Home Page Science Biology Anatomy Ch. 18 I.V therapy - Flashcards

Ch. 18 I.V therapy – Flashcards

Marta Browning

7 July 2022

question

I.V THERAPY IS USED TO ADMINISTER:

answer

drugs fluids blood and/or blood components TPN

question

INDICATIONS FOR I.V THERAPY USE

answer

for rapid drug effect when drug isn't available orally pt. can't swallow PO meds drug needs to be maintained @ a certain level in blood

question

I.V FLUIDS CAN PROVIDE

answer

water normal saline electrolytes amino acids lipids vitamins glucose

question

BLOOD COMPONENTS CONSIST OF

answer

packed red blood cells frozen red blood cells platelets plasma proteins

question

SOLUTION

answer

a liquid containing one or more dissolved substances

question

CRYSTALLOIDS

answer

fluids that contain water and electrolytes

question

COLLOIDS

answer

fluids containing blood and/or blood components

question

TONICITY

answer

measure of concentration of electrolytes in fluids

question

ISOTONIC

answer

solution that has same concentration as body fluids (285 mEq/L)

question

HYPERTONIC

answer

concentration is greater than 300 mEq/L (these increase blood volume)

question

HYPOTONIC

answer

concentration is less than 280 mEq/L (these decrease blood volume)

question

EXAMPLE OF AN ISOTONIC SOLUTION

answer

0.9% sodium chloride (normal saline)

question

CANNULA

answer

needle or catheter used for intravenous therapy.

question

CATHETER

answer

small plastic tube that fits over or inside a needle

question

ADVANTAGES OF APICC LINE OVER OTHER CENTRAL LINES

answer

easier insertion cost saving no risk of pneumothorax or hemothorax very low risk of infection or air embolism less arm restriction less traumatic to vein

question

CENTRAL LINES ARE USED WHEN

answer

pt. has poor peripheral veins when irritating fluids are administered

question

S/S OF FLUID VOLUME EXCESS

answer

increase blood pressure bounding pulse edema dyspnea

question

RESPONSE IF S/S ARE PRESENT

answer

stop infusion raise HOB call physician

question

SEVERE FLUID VOLUME EXCESS CAN CAUSE

answer

congested heart failure pulmonary edema

question

RISK FACTORS FOR FLUID VOLUME OVERLOAD

answer

large volume infusion decreased cardiac output decreased renal function young children older adults

question

S/S OF AIR EMBOLISM

answer

SOB hypotension (possible shock or cardiac arrest)

question

STEPS TO TAKE IF AIR GETS INTO I.V LINE

answer

lower HOB turn pt. on left side (this traps air in right atrium, where it can be absorbed)

question

EMBOLISM

answer

obstruction created by a trapped embolus

question

EMBOLUS

answer

unattached blood clot

question

EXTRAVASATION

answer

Escape of fluid or blood from a blood vessel into body tissue

question

INFILTRATION

answer

Collection of infused fluid in tissues surrounding a cannula inserted for intravenous therapy.

question

PHLEBITIS

answer

Inflammation of a vein

question

THROMBUS

answer

stationary blood clot

question

TUBING USED TO GIVE BLOOD, LIPIDS OR TPN

answer

should be changed every 24 hours

question

SHORT PERPHERAL CANNULAS & TUBING SHOULD BE CHANGED

answer

every 48-72 hours

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question

I.V THERAPY IS USED TO ADMINISTER:

answer

drugs fluids blood and/or blood components TPN

question

INDICATIONS FOR I.V THERAPY USE

answer

for rapid drug effect when drug isn't available orally pt. can't swallow PO meds drug needs to be maintained @ a certain level in blood

question

I.V FLUIDS CAN PROVIDE

answer

water normal saline electrolytes amino acids lipids vitamins glucose

question

BLOOD COMPONENTS CONSIST OF

answer

packed red blood cells frozen red blood cells platelets plasma proteins

question

SOLUTION

answer

a liquid containing one or more dissolved substances

question

CRYSTALLOIDS

answer

fluids that contain water and electrolytes

question

COLLOIDS

answer

fluids containing blood and/or blood components

question

TONICITY

answer

measure of concentration of electrolytes in fluids

question

ISOTONIC

answer

solution that has same concentration as body fluids (285 mEq/L)

question

HYPERTONIC

answer

concentration is greater than 300 mEq/L (these increase blood volume)

question

HYPOTONIC

answer

concentration is less than 280 mEq/L (these decrease blood volume)

question

EXAMPLE OF AN ISOTONIC SOLUTION

answer

0.9% sodium chloride (normal saline)

question

CANNULA

answer

needle or catheter used for intravenous therapy.

question

CATHETER

answer

small plastic tube that fits over or inside a needle

question

ADVANTAGES OF APICC LINE OVER OTHER CENTRAL LINES

answer

easier insertion cost saving no risk of pneumothorax or hemothorax very low risk of infection or air embolism less arm restriction less traumatic to vein

question

CENTRAL LINES ARE USED WHEN

answer

pt. has poor peripheral veins when irritating fluids are administered

question

S/S OF FLUID VOLUME EXCESS

answer

increase blood pressure bounding pulse edema dyspnea

question

RESPONSE IF S/S ARE PRESENT

answer

stop infusion raise HOB call physician

question

SEVERE FLUID VOLUME EXCESS CAN CAUSE

answer

congested heart failure pulmonary edema

question

RISK FACTORS FOR FLUID VOLUME OVERLOAD

answer

large volume infusion decreased cardiac output decreased renal function young children older adults

question

S/S OF AIR EMBOLISM

answer

SOB hypotension (possible shock or cardiac arrest)

question

STEPS TO TAKE IF AIR GETS INTO I.V LINE

answer

lower HOB turn pt. on left side (this traps air in right atrium, where it can be absorbed)

question

EMBOLISM

answer

obstruction created by a trapped embolus

question

EMBOLUS

answer

unattached blood clot

question

EXTRAVASATION

answer

Escape of fluid or blood from a blood vessel into body tissue

question

INFILTRATION

answer

Collection of infused fluid in tissues surrounding a cannula inserted for intravenous therapy.

question

PHLEBITIS

answer

Inflammation of a vein

question

THROMBUS

answer

stationary blood clot

question

TUBING USED TO GIVE BLOOD, LIPIDS OR TPN

answer

should be changed every 24 hours

question

SHORT PERPHERAL CANNULAS & TUBING SHOULD BE CHANGED

answer

every 48-72 hours

Ch. 18 I.V therapy – Flashcards

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