NURS 358 Exam 2 Questions And
Correct Answers.
IV FLUIDS - Answer ____________________*ISOTONIC*_____________________________
*D5W* Dextrose 5% in water
-YES--Fluid loss, dehydration, hypernatremia
-NO--Renal and cardiac pts, possible fluid overload
*0.9% NS* Normal saline....sodium chloride
-YES--Shock, hyponatremia, blood transfusions, resuscitation, fluid changes, DKA
-NO--Can lead to overload, pts with heart fail or edema
*LR* Lactated Ringers
-YES--Dehydration, burns, lower GI fluid loss, acute blood loss hypovolemia due to third spacing
-NO--renal failure, it has potassium, liver disease as they cant metabolize lactate
--------------------------------------------------------
____________________*Hypotonic*__________________________________
*0.45%* 1/2 Normal saline
-YES--Water replacement, DKA, Gastric fluid loss from NG or vomiting
-NO--May cause cardio collapse or increased intracranial pressure , liver disease, trauma, burns
---------------------------------------------------------
___________________*Hypertonic*___________________________________
,-NO--Only when blood sugar is below 250
*Dextrose 5% in normal saline*
-YES--Temporary treatment for shock if plasma expanders aren't available, Addisons crisis
-NO--Cardia or renal pts
*Dextrose 10% in water*
-YES--Water replacement, when some glucose nutrition is required
-NO--Make sure to monitor blood sugar levels
IV med advantages - Answer -Fast acting
-Increased potency
-Controlled blood levels
-Emergencies
-Bypass enteral route
-No muscle mass
IV med disadvvantages - Answer -Discomfort at site
-Complications at site
-Overdose
-Fluid overload
-Cost
-Incompatibilities/precipitates
6 rights - Answer *Right*
-Drug
-Patient
-Time
, IV considerations: Nursing process - Answer *1)* Does my patient have an IV currently?
*2)* Is a mainline already infusing?
*3)* Is the medication compatible?
IV Checking compatibility- where? - Answer -Nursing central app
-Micromedex
-Guides on the unit
-Consult a pharmacist is unsure
IV Checking compatibility- references should have - Answer -Generic and trade name
-Medication class: therapeutic/pharmacologic
-Indication for use
-Doses and availability
-----how its supplied
-----if there is premade dosages
IV -- Med considerations - Answer *Right flush or dilution*
-No dilution: straight from vial
-Dilution: normal saline or sterile water
-Y site incompatibilities: with solution or other meds
*Right Speed*
-Rate of infusion: what is recommended?
-IV push or Piggyback?
*Right monitoring*
IV -- Continuous infusion - Answer *Medication added to maintenance solution*
Correct Answers.
IV FLUIDS - Answer ____________________*ISOTONIC*_____________________________
*D5W* Dextrose 5% in water
-YES--Fluid loss, dehydration, hypernatremia
-NO--Renal and cardiac pts, possible fluid overload
*0.9% NS* Normal saline....sodium chloride
-YES--Shock, hyponatremia, blood transfusions, resuscitation, fluid changes, DKA
-NO--Can lead to overload, pts with heart fail or edema
*LR* Lactated Ringers
-YES--Dehydration, burns, lower GI fluid loss, acute blood loss hypovolemia due to third spacing
-NO--renal failure, it has potassium, liver disease as they cant metabolize lactate
--------------------------------------------------------
____________________*Hypotonic*__________________________________
*0.45%* 1/2 Normal saline
-YES--Water replacement, DKA, Gastric fluid loss from NG or vomiting
-NO--May cause cardio collapse or increased intracranial pressure , liver disease, trauma, burns
---------------------------------------------------------
___________________*Hypertonic*___________________________________
,-NO--Only when blood sugar is below 250
*Dextrose 5% in normal saline*
-YES--Temporary treatment for shock if plasma expanders aren't available, Addisons crisis
-NO--Cardia or renal pts
*Dextrose 10% in water*
-YES--Water replacement, when some glucose nutrition is required
-NO--Make sure to monitor blood sugar levels
IV med advantages - Answer -Fast acting
-Increased potency
-Controlled blood levels
-Emergencies
-Bypass enteral route
-No muscle mass
IV med disadvvantages - Answer -Discomfort at site
-Complications at site
-Overdose
-Fluid overload
-Cost
-Incompatibilities/precipitates
6 rights - Answer *Right*
-Drug
-Patient
-Time
, IV considerations: Nursing process - Answer *1)* Does my patient have an IV currently?
*2)* Is a mainline already infusing?
*3)* Is the medication compatible?
IV Checking compatibility- where? - Answer -Nursing central app
-Micromedex
-Guides on the unit
-Consult a pharmacist is unsure
IV Checking compatibility- references should have - Answer -Generic and trade name
-Medication class: therapeutic/pharmacologic
-Indication for use
-Doses and availability
-----how its supplied
-----if there is premade dosages
IV -- Med considerations - Answer *Right flush or dilution*
-No dilution: straight from vial
-Dilution: normal saline or sterile water
-Y site incompatibilities: with solution or other meds
*Right Speed*
-Rate of infusion: what is recommended?
-IV push or Piggyback?
*Right monitoring*
IV -- Continuous infusion - Answer *Medication added to maintenance solution*
