Circulation pg 1341-1357

Question 1

What are some isotonic solutions

Answer 1

.9% NaCl
Lactated ringers
D5W

Question 2

What are some hypotonic solutions

Answer 2

.45% and .33% NaCl

Question 3

What are some hypertonic solutions

Answer 3

D5NS
D5 1/2NS (NS= normal saline)
D5LR (LR=lactated ringer)

Question 4

What are volume expanders used for

Answer 4

increasing blood volume after severe blood loss

Question 5

What are some things to consider when selecting a venipuncture site (IV site)

Answer 5

Use veins that are palpable, but not necessarily visible
Use non-dominant arm
Site should be away from flexion points

Question 6

What is the drop factor for microdrips

Answer 6

60drops/ml

Question 7

What are the common drop factors for macrodrips

Answer 7

10, 12, 15, or 20drops/ml

Question 8

What are some factors that can affect flow rates

Answer 8

the position of the forearm
the position and patency of the tubing- is it kinked?
height of the IV solution- higher placement increases rate
Fluid leakage into spaces other than the blood stream- poor placement of the catheter during IV setup
the size of the angiocath vs the size of the vein- a catheter that is too large can impede infusion rate

Question 9

What does EID mean

Answer 9

electronic infusion devices

Question 10

What are two devices that are often used for IV infusions that arent electronic

Answer 10

Dial-A-Flo

elastometric pump

Question 11

What are some things to monitor for with IV’s

Answer 11

infiltration (infiltration= when fluid moves into the tissue surrounding the IV site rather than the blood vessel) so look for swelling
bleeding
phlebitis
allergic reactions from tape or iodine

Question 12

What are the symptoms of phlebitis

Answer 12

pain in the area
redness
heat

Question 13

Regardless of how much solution remains, how often should IV bags be changed

Answer 13

every 24hrs