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Question 1

Why are medication administered intravenously

Answer 1

When patient cannot swallow them orally

Most rapid and efficient method of a ministration

Some medication or fluids are only available as IV

Question 2

What are some of the substance that are given IV

Answer 2

Fluid and electrolytes

Medication that are efficient when given by this route or cannot be given any other way

Blood plasma or other blood component

Nutritional formulas containing glucose amino acid and lipids

Question 3

How many milliliters does an average adult need in 24 hours to replace normal output

Answer 3

1500 to 2000 mL

Question 4

Types of fluid

Answer 4

Isotonic hypertonic hypotonic

Question 5

Same osmolality as blood

Answer 5

Isotonic

Question 6

Normal Saline

D5 H2O =D5W

D5 0.225 saline

Lactated ringer’s

Answer 6

Isotonic

Question 7

Example of isotonic solutions

Answer 7

Normal SaLINE

D5 H2O equals D5 W

D5 0.2 25 SALINe

Lactated ringer’s

Question 8

Lower osmolarity than blood will cause fluid to be taken up by cell

Answer 8

Hypotonic

Question 9

Example of hypotonic solution

Answer 9

0.45% SALINE water

Question 10

Higher osmolarity than blood will cause the fluid to move out the cell into the blood

Answer 10

Hypertonic

Question 11

Examples of hypertonic solution

Answer 11

D 10 H2O equals D 10 W

D5 NS

D5 0.45 SALINE

D5 LR

Question 12

Enters the body directly through the IV site

Answer 12

Primary Iv

Question 13

It’s connected to primary tubing instead of infusing directly into the patient

Answer 13

Piggyback or secondary set

Question 14

Regular drop

Answer 14

10 through 20

Question 15

Macro drops

Answer 15

10-15

Question 16

Microdrops

Answer 16

60

Question 17

When administering a secondary bag, should It be hung higher or lower than the primary bag

Answer 17

higher

Question 18

What is the purpose of y tubing and what solution are administered using this type of tubing

Answer 18

Used to infuse blood products

Only normal SALINE use on the same line as blood

Question 19

What must be obtained before administering blood to a patient

Answer 19

Hey signed consent must be obtained from patient to receive blood

No more than 48 to 72 hours before transfusion

You need to figure out the type and crossmatch

Two nurses must verify

Blood band
Vital signs

Question 20

How quickly can a blood transfusion reaction occur

Answer 20

Within 5 to 15 minutes

Question 21

What are the signs and symptoms of blood transfusion reaction

Answer 21

Hives
itching 
facial flushing 
chills 
back pain 
fever 
stop infusion

Question 22

What information must be verified with another nurse before administering any blood products

Answer 22

Two nurses must verify the blood component,

the patient number,

the component unit number,

ABO group

Rh factor,

expiration date,

check for CLOT

Question 23

What size IV gauge with a patient need that will be receiving blood

Answer 23

At least 20 G; Smaller one may break up red blood cells

Question 24

How much time would the nurse have to begin the administration of blood, after it leaves the blood bank

Answer 24

Must begin 30 minutes after the product leaves the blood bank

Question 25

Blood must be infused within___ hours once released from the blood bank

Answer 25

4

Question 26

How often are the patient’s vital signs assessed after initiating the blood transfusion

Answer 26

At the 15 minute mark; then the 30 minute mark; and every 30 minutes there after