1-4 iv

Macrodrip delivers how many drops per milliliter?

10,15,20

Which type of solution raises serum osmolarity and pulls fluid and electrolytes from the intracellular and interstitial compartments into the intravascular compartment?

Hypertonic solution

Microdrip delivers how many drops per milliliter?

60 gtt

Fluid volume and concentration are regulated by the interaction of two hormones

ADH and aldosterone

Hypotonic

Crystalloids dextrose 2.5% in water 0.33 % sodium chloride Half normal saline

What is 20% of body weight?

ECF

Major cation in ICF, necessary for cell function, essential for electrical activity of neurons and all muscle cells, maintains cell electroneutrality, plays a major role in acid-base balance.

(K+)Potassium

What safety mechanism on electric infusion devices prevents a rapid infusion.

Anti-free flow mechamim

What should you do before giving any infusion medication into the VAD

Asses the absence of resistance when flushed and presence of blood return

May increase the risk of life-threatening complications, such as pneumothorax, sepsis, thrombus, or perforation of the vessel and adjacent organ

CV therapy

Which electrolyte is critical for the blood coagulation process?

Calcium

Catheter partly backed out of vein

Catheter dislodgment

Intravascular infections can be prevented by which of the following precautions

Changing insertion sites

The major extracellular electrolytes are:

Chloride and sodium

First step in performing a routine venipuncture

Is to dilate the vein

What are signs and symptoms of hypercalcemia?

Lethargy, fatigue, constipation, anorexia, excessive amounts of urine (polyuria), excessive thirst (polydipsia), depressed reflexes, cardiac arrhythmias, and ECG changes

Isotonic

Normal Saline 0.9%, Dextrose 5% in water (D5W), Lactated Ringers are examples of this type of solution

Possible if the device isn't flushed to ensure patency before and after medication is infused

Occlusion

Loading dose, lockout interval, and maintenance doses are basic to this type of therapy

PCA therapy

The major intracellular electrolytes are:

Phosphorus and potassium

An intermittent infusion device

Saline lock

Weight loss, increased thready pulse, sunken eyes, dry conjunctivae, decreased tearing, increased thirst, dry mouth, mental status changes

Signs of Fluid Deficit

ncreased respiratory rate, weight gain, bounding pulses, generalized edema, periorbital edema

Signs of fluid overload

WHat are the 6 major electrolytes?

Sodium, Potassium, Calcium, Chloride, Phosphorus, and Magnesium

Which is the most commonly used CVAD insertion site

Subclavian

Respiratory distress,unequal breath sounds weak pulse, increased central venous pressure,decreased BP and confusion

air embolism

The preferred skin antiseptic is?

alcoholic chlorhexidine

This will minimize the risk of catheter embolism

avoid reinserting the needle into an IV catheter?

The risk of using CVAD for routine blood sampling includes

bloodstream infection and anemia

Hypertonic

crystalloids dextrose 5% normal saline dextrose 5% in lactated ringers 3% sodium choloride

Along lateral and dorsal portions of fingers

digital veins

Floating blood clot

emblous

Top layer of skin

epidermis

Clinician responsibilities when preparing a patient for central IV therapy

explaining the procedure and care measures of the therapy

Swelling at and around I.V site decreased skin temperature site,blanching,absent back flow of blood and leakage of medication into the surrounding tissue

infilteration

When applying a transparent dressing it is important to?

mold the dressing around and under the hub

An infusion medication compounded by clinician is done for?

only urgent situation when the need is immediate

Redness at tip of catheter and along vein,puffy area over vein and hard palpation

phlebitis

Short peripheral catheters should be removed when?

signs and symptoms indicate a problem with the catheter

The tip of a central venous access device is inserted here

superior or inferior vena cava

The correct patient position for removing a CVAD from the jugular or subclavian vein is?

supine with head flat

IV medication may be indicated when?

the medication can't be absorbed by GI tract

inner layer of vein

tunica intima

When capillary blood pressure exceeds colloid osmotic pressure

water and diffusible solutes leave the capillaries and circulate into the ICF