Nf3 exam 1 Questions and Answers 100% Solved
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Terms in this set (78)
Cvc; veins used for cvc Internal jugular, subclavian vein
Veins for midline catheter Basilic, cephalic, median vein in the antecubital fossa.
Inserted directly into the external or internal jugular,
subclavian or femoral vein, and advance into the
superior or inferior venacava.
Single or multi lumen, non valves.
Direct percutaneous Must be sutured to the skin which minimizes risk of
central Venus catheter dislodgement.
Indicated for ; all infusions, blood withdrawal.
Use: days to weeks -needs med order if in situ longer
than 4 weeks.
Used in inpatient care units
Inserted in to the subclavian and tunnelled through
the subcutaneous tissue existing on the chest wall.
Dacron cuff under skin stabilized catheter and acts as
Tunnelled Central Venous
a barrier to bacteria
Catheters
Sutures removed as ordered
Can be placed for weeks to years
Valved or non valved.
, Soft silicone or polyurethane catheter attached to a
reservoir which is covered by a self sealing silicone
septum.
Reservoir inserted into subcutaneous pocket in chest,
Implanted Central Venous
arm or abdomen.
Catheter
The catheter segment is inserted into the subclavian
vein.
Requires non- coring needle for accessing.
Can be placed for weeks to years.
a catheter used for long-term intravenous access and
inserted in the basilic or cephalic vein just above or
below the antecubital space with the tip of the
catheter resting in the superior vena cava.
peripherally inserted
Usually placed for weeks to months.
central catheter (PICC)
Must be stabilized with an external securement
device
Single or multilumen
Valved or non valved
Intracellular - all fluid with in body cells 60 percent of
body fluid.
Extracellular- all the fluid outside of body cells;
Body fluids interstitial fluid- lymph fluid between the cells and
outside of the blood vessels. , intravascular - blood
plasma, transcellular - cerebrospinal, pleural,
peritoneal, synovial and fluid from the Gi tract.
Nursing assessments; vital signs, skin turgor, mucus
membranes, daily weight, intake and output including
Diagnostic tests for fluid sensible and in sensible loss.
and electrolyte Lab tests; serum electrolytes, creatinine, hemacrit,
blood urea nitrogen BUN, ATERIAL BLOOD GAS,
urine specific gravity, urine electrolytes,
, maintenance, replacement, homeostasis
To maintain fluid, electrolytes and energy demands
Goals of IV therapy
when patient are limited in their intake.
To prevent or correct fluid and electrolyte
disturbance from excess losses.
Crystalloids ; solutions contains small molecules that
flow easily across semipermeable membranes.
Hypertonic - higher concentration of electrolytes
compared to ECF.
Iv solutions crystaloids
Isotonic- same concentration or Tonicity compared to
ECF.
Hypotonic- lower concentration/ tonicity compared
to ECF.
Contains protein or starch that does not cross
semipermeable membranes, staying in the
intravascular space.
Iv. solutions; colloids Increases osmotic pressure, increase vascular volume
Natural colloids made from blood products ; albumin,
plasmanate.
Artificial colloids; dextran, hespan.
Intravenous nutritional support
Total nutrient admixture (TNA); one bag system.
Parenteral nutrition
Two bag system; (TPN) amino acids / dextrose, lipids
emulsion.
Sterile procedure to set up and initiate.
Increase rate as per doctors orders.
Follow nursing policies and procedures.
TPN management Administrated through central line catheter preferably
Monitor; daily weights and fluid balance, serum
glucose levels, for signs and symptoms of infection-
such as change in vitals.
Save
Terms in this set (78)
Cvc; veins used for cvc Internal jugular, subclavian vein
Veins for midline catheter Basilic, cephalic, median vein in the antecubital fossa.
Inserted directly into the external or internal jugular,
subclavian or femoral vein, and advance into the
superior or inferior venacava.
Single or multi lumen, non valves.
Direct percutaneous Must be sutured to the skin which minimizes risk of
central Venus catheter dislodgement.
Indicated for ; all infusions, blood withdrawal.
Use: days to weeks -needs med order if in situ longer
than 4 weeks.
Used in inpatient care units
Inserted in to the subclavian and tunnelled through
the subcutaneous tissue existing on the chest wall.
Dacron cuff under skin stabilized catheter and acts as
Tunnelled Central Venous
a barrier to bacteria
Catheters
Sutures removed as ordered
Can be placed for weeks to years
Valved or non valved.
, Soft silicone or polyurethane catheter attached to a
reservoir which is covered by a self sealing silicone
septum.
Reservoir inserted into subcutaneous pocket in chest,
Implanted Central Venous
arm or abdomen.
Catheter
The catheter segment is inserted into the subclavian
vein.
Requires non- coring needle for accessing.
Can be placed for weeks to years.
a catheter used for long-term intravenous access and
inserted in the basilic or cephalic vein just above or
below the antecubital space with the tip of the
catheter resting in the superior vena cava.
peripherally inserted
Usually placed for weeks to months.
central catheter (PICC)
Must be stabilized with an external securement
device
Single or multilumen
Valved or non valved
Intracellular - all fluid with in body cells 60 percent of
body fluid.
Extracellular- all the fluid outside of body cells;
Body fluids interstitial fluid- lymph fluid between the cells and
outside of the blood vessels. , intravascular - blood
plasma, transcellular - cerebrospinal, pleural,
peritoneal, synovial and fluid from the Gi tract.
Nursing assessments; vital signs, skin turgor, mucus
membranes, daily weight, intake and output including
Diagnostic tests for fluid sensible and in sensible loss.
and electrolyte Lab tests; serum electrolytes, creatinine, hemacrit,
blood urea nitrogen BUN, ATERIAL BLOOD GAS,
urine specific gravity, urine electrolytes,
, maintenance, replacement, homeostasis
To maintain fluid, electrolytes and energy demands
Goals of IV therapy
when patient are limited in their intake.
To prevent or correct fluid and electrolyte
disturbance from excess losses.
Crystalloids ; solutions contains small molecules that
flow easily across semipermeable membranes.
Hypertonic - higher concentration of electrolytes
compared to ECF.
Iv solutions crystaloids
Isotonic- same concentration or Tonicity compared to
ECF.
Hypotonic- lower concentration/ tonicity compared
to ECF.
Contains protein or starch that does not cross
semipermeable membranes, staying in the
intravascular space.
Iv. solutions; colloids Increases osmotic pressure, increase vascular volume
Natural colloids made from blood products ; albumin,
plasmanate.
Artificial colloids; dextran, hespan.
Intravenous nutritional support
Total nutrient admixture (TNA); one bag system.
Parenteral nutrition
Two bag system; (TPN) amino acids / dextrose, lipids
emulsion.
Sterile procedure to set up and initiate.
Increase rate as per doctors orders.
Follow nursing policies and procedures.
TPN management Administrated through central line catheter preferably
Monitor; daily weights and fluid balance, serum
glucose levels, for signs and symptoms of infection-
such as change in vitals.
