Class Notes Flashcards
The accepted upper limit for a peripheral IV is ___ mOsm/L. Greater association with phlebitis and should be administered via a central line.
900
What can excessive NS cause?
hypochloremic metabolic acidosis
What fluid is used for reattaching a finger for example?
dextran
What is EBV for:
women
men
infants
60-65
70-75
80-85
What area is contraindicated for arterial line placement due the possibility of an air or thrombus that may quickly gain access to the cerebral circulation during flush?
axillary
What are the indications for central venous access?
monitoring central venous pressure
fluid administration
infusion of caustic Rx
total parenteral nutrition
air emboli aspiration
transcutaneous pacing leads
poor peripheral access
What is good lor long term venous access?
peripheral arm veins (PICC)
What are central venous complications?
pneumothorax/hemothorax
arrhythmias
air embolism
carotid artery puncture
infection
Why is vancomycin infused slowly?
histamine release & hypotension
true allergy leads to cardiovacular collapse
Hyperthermia increases incidence of SSI. True or false?
false
hypothermia
____capnea causes vasoconstriction which can impair perfusion to vital organs.
____capnea causes vasodilation and increases skin perfusion
Hypo
Hyper
What are the signs and symptoms of blood stream infection?
non-specific signs of infection with no obvious source
change in mental status, hemodynamic instability, altered tolerance for nutrition, and malaise
What GI infection is resistant to FOAM sanitizer?
C. Diff
What are universal precautions for infection prevention?
handwashing
decontaminate equipment and devices
avoid recapping
wear protective items
promptly clean up blood and body fluid spills
What microbial infection that implants on heart valves?
infective endocarditis
