NSG262 Week 9 Test With
Complete Solution
IV therapy goals - ANSWER- prevent/correct fluids and electrolyte imbalances
- allow direct access to vascular system for meds and fluids
risk for fluid volume excess - ANSWER- daily weights
- I/O's
- behavioral changes
- lung sounds
- heart sounds
- neck/jugular vein distention
- skin turgor status
- labs: Na+, K+, glucose, BUN
normal Na+ concentration - ANSWER135-145 mEq/L
normal K+ concentration - ANSWER3.5-5.0 mEq/L
normal Cl- concentration - ANSWER95-105 mEq/L
normal BUN concentration - ANSWER8-21 mg/dL
types of IV administration - ANSWER- large volume (LR/NS)
- bolus/IV push
- piggyback
, - volume controlled
- intermittent venous access (saline lock)
continuous IV - ANSWERchange tubing every 96 hours (IV fluid bag does not need
to be changed)
large volume IV - ANSWERsafest and easiest method
- 500-1000 mL
- If infused too rapidly, pt is at risk for overdose and fluid overload.
Bolus/IV push - ANSWERallows for immediate blood levels, does not require
prolonged continuous monitoring
piggyback IV - ANSWERfluid constantly running, but something else is pushed with
it
- be sure meds are compatible
- change tubing every 24 hours
intermittent venous access (saline lock) - ANSWERnot continuous flow, but you have
access to the vein if needed
- flush with saline to be sure it is patent and open
spike- IV - ANSWERgoes into the fluid bag, must stay sterile!
blood transfusions - ANSWERchange tubing every 4 hours and with each
administration
labeling IV fluid bags - ANSWERalways label date, time, and initials
- if there are no labels, you must change the tubing and label it
- do not label someone else's tubing
Complete Solution
IV therapy goals - ANSWER- prevent/correct fluids and electrolyte imbalances
- allow direct access to vascular system for meds and fluids
risk for fluid volume excess - ANSWER- daily weights
- I/O's
- behavioral changes
- lung sounds
- heart sounds
- neck/jugular vein distention
- skin turgor status
- labs: Na+, K+, glucose, BUN
normal Na+ concentration - ANSWER135-145 mEq/L
normal K+ concentration - ANSWER3.5-5.0 mEq/L
normal Cl- concentration - ANSWER95-105 mEq/L
normal BUN concentration - ANSWER8-21 mg/dL
types of IV administration - ANSWER- large volume (LR/NS)
- bolus/IV push
- piggyback
, - volume controlled
- intermittent venous access (saline lock)
continuous IV - ANSWERchange tubing every 96 hours (IV fluid bag does not need
to be changed)
large volume IV - ANSWERsafest and easiest method
- 500-1000 mL
- If infused too rapidly, pt is at risk for overdose and fluid overload.
Bolus/IV push - ANSWERallows for immediate blood levels, does not require
prolonged continuous monitoring
piggyback IV - ANSWERfluid constantly running, but something else is pushed with
it
- be sure meds are compatible
- change tubing every 24 hours
intermittent venous access (saline lock) - ANSWERnot continuous flow, but you have
access to the vein if needed
- flush with saline to be sure it is patent and open
spike- IV - ANSWERgoes into the fluid bag, must stay sterile!
blood transfusions - ANSWERchange tubing every 4 hours and with each
administration
labeling IV fluid bags - ANSWERalways label date, time, and initials
- if there are no labels, you must change the tubing and label it
- do not label someone else's tubing
