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1. If you have a patient who has been diagnosed with asthma, and is
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ss currently having an asthma attack, and a patient who is having chest
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ss pain who would you see first
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ss Answer> Chest pain patient should be seen first
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2. LPN's Scope of practice r/t IV therapy
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ss Answer>Can hang first, and continue to hang bags of Isotonic,
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ss Hypertonic, Hypotonic solutions ss ss
-Can hang first, and continue to hang bags of antibiotics
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-Can hang the 2nd bag of Vitamins/Electrolytes
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-Can stop and monitor for s/s of infections with Blood/PCA
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-Can place an IV antecubital or below
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-Needle cannot be greater then 3 inches in length
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-Patient must be an adult older than 18 years of age
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3. What can an LPN do for a Pediatric patient
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ss Answer> -Check vitals ss ss
-Get cultures ss
-Can give IM injections
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-Can give suppositories
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-Can give oral meds
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-Can stop the IV if complications occur
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,ss such as phlebitis can still occur even after the IV has been removed. Make sure to
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monitor site.
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5. How do you Prioritize which patient to see first
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ss Answer> Airway Breathing ss ss
Circulation
ss (ABC's)
and Critical thinking
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6. IV Complications
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ss Answer>
Hematoma
-Infiltration
-Extravasation
-Phlebitis
7. Hematoma (What it looks like and Interventions): ss ss ss ss ss ss ss
ss Answer>Bruise around IV site D/C the IV, place ice on area, apply
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ss pressure
8. Infiltration (What is looks like and Interventions):ss ss ss ss ss ss ss
ss Answer>Lump D/C IV, and elevate extremity ss ss ss ss ss
9.
10. Extravasation (What it looks like and Interventions): ss ss ss ss ss ss ss
ss Answer>Lump, Could also have/get tissue damage ss ss ss ss ss
Leave IV in, Give antidote, then D/C IV
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**DO NOT ELEVATE EXTREMITY
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, 11. Phlebitis (What it looks like and Interventions): ss ss ss ss ss ss ss
ss Answer>Red, Warm, Red line, Palpa- ss ss ss ss
ble cord (vein feels like a tendon)
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ss D/C IV, apply a warm compress
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12. At what stage of phlebitis is the palpable cord felt
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ss Answer> Stage 3 ss ss
13. I&O with recommendations of what the patient needs (more or less
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ss fluid)-
ss Answer>If the output is greater than the input recommend increasing the
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ss fluids
-If input is greater than output recommend a diuretic
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14. Albumin administration and your assessment ss ss ss ss
ss Answer>5% = Isotonic ss ss
-20-25% = Hypertonic ss ss
-Watch for fluid volume overload ss ss ss ss
-Assess Lungs- Listening for any fluid buildup
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-Assess B/P- (HTN) ss ss
15. Acute Hemolytic Transfusion Reaction (AHTR): ss ss ss ss ss
ss Answer>ABO Incompatibility- The RBC's burst/lyse, which creates the ss ss ss ss ss ss ss
ss brick red urine. ss ss
Caused by getting the wrong type of 3blood
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S/S: Fever, Tachycardia, Chest pain, Back/flank pain, Flushed, Hypotension,
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ss Chills, Dark brick colored urine
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