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Nursing 211/213 > exam 1 (211) > Flashcards

exam 1 (211) Flashcards

1
Q

what is parenteral?

A

administration by route other that GI

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2
Q

what must the provider include when writing an order?

A

date, type of medication, dosage, rate, frequency

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3
Q

what is a flange

A

the platform reduces risk fo fingers touching the spike

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4
Q

what is the macro drops per ml/min

A

either 10,15, or 20

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5
Q

what is the micro drip per ml/min

A

60

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6
Q

when does the tubing need changed?
Peripheral
Central Venous
intermittent

A

96
96
24

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7
Q

solvent?
solute?

A

water
dissolved particles

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8
Q

what are electrolytes

A

solutes that dissolve in water and dissociate into ion particles. Electrolytes give water the ability to conduct electricity

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9
Q

intravascular
interstitial

A

fluid lies within the veins
fluid lies in spaces between the cells

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10
Q

what osmolality is normal saline at?

A

308

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11
Q

uses for isotonic fluids

A

to expand extracellular fluid
replacement of fluids for acute blood loss
hypovolemia
hypotension
(ofter for hemorrhage, burns, and wounds)

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12
Q

uses for hypotonic fluids

A

hydrate cells
renal failure
malnutrition

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13
Q

uses for hypertonic fluids

A

in cases of extravascular volume overload

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14
Q

the inflammation of a vein

A

phlebitis

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15
Q

inflammation of the vein with the formation of thrombus

A

thrombophlebitis

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16
Q

s&s of phlebitis

A

redness, warmness, tenderness, swelling, buring

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17
Q

nursing care of phlebitis

A

discontinue catheter, elevate, warm compress

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18
Q

leakage of IV solution into tissue surrounding the vein

A

infiltration

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19
Q

s&s of infiltration

A

redness, warmth, swelling, dull ache, coolness & blanching

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20
Q

leakage of irritant chemicals into tissue surrounding the vein

A

extravasation

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21
Q

important s&s of extravasation

A

discoloration of tissue around IV site

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22
Q

occurs when IV fluid infuses too rapidly or too much fluid is infused

A

circulatory overload

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23
Q

s&s of circulatory overload

A

engorged neck vein, dyspnea, edema, bounding pulse, rapid repirations

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24
Q

occurs when fluid overload leads to respiratory distress

A

pulmonary edema

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25
Q

s&s of pulmonary edema

A

dyspnea, cough, anxiety, thready pulse, elevation/drop in BP, frothy sputum

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26
Q

occurs as a systematic reaction to a foreign substance entering the bloodstream too rapidly

A

speed shock

27
Q

s&s of speed shock

A

syncope, shock, cardiac arrest

28
Q

present psi limit has been exceeded

A

occlusion

29
Q

the sensor detected air in the line

A

air-in-line

30
Q

preset volume has infused

A

infusion complete

31
Q

pump on, but not started nonfunctional

A

not infusing

32
Q

inadequate closure

A

door open

33
Q

how long can mid line catheter access be used for

A

2-4 weeks

34
Q

how long are midline catheters

A

3-8 inches

35
Q

CVAD are…

A

long-term or home IV therapy

36
Q

CVAD indications

A

parenteral nutrition
fluids
chemo
blood
antibiotics (long treatment)
pressure monitoring

37
Q

most common central line

A

picc

38
Q

how long can a PICC dwell

A

6 months

39
Q

how long is a PICC

A

16-26 inches

40
Q

catheters that are usually inserted directly through the skin & into the jugular subclavian or femoral veins

A

non-tunneled catheters

41
Q

what catheters tip rests in the superior vena cava

A

non-tunneled catheters
tunneled catheters

42
Q

how long are non-tunneled catheters

A

6-8 inches

43
Q

how long can non-tunneled catheters be used?

A

5-10 days

44
Q

how long do tunneled catheters last?

A

months to years

45
Q

Hickman
broviac
Groshong

A

blunt end
smaller w/ blunt end
closed-end, side slits

46
Q

how many ML’s are needed when flushing a PICC line

A

10 MLs every 12 hours

47
Q

SALINE FLUSH, ADMINISTER, SALINE FLUSH

A

!!!!

48
Q

enteral is administered?

A

orally

49
Q

total parenteral nutrition is administered?

A

directly into the vein

50
Q

central parenteral nutrition is administered through

A

central line

51
Q

S&S of hyperglycemia

A

N&V, dizziness, rapid pulse, fruity breath

52
Q

S&S of hypoglycemia

A

tremors, cold clammy skin, blurred vision, lack of cordination

53
Q

fluid overload S&S

A

weight gain, neck distention, crackles & rhonchi, rapid pulse

54
Q

fluid deficit S&S

A

loss of turgor, small tongue, sunken eyes, weaken pulse

55
Q

what is the average liters of blood in the body?
female
male

A

F- 4 to 5
M- 5 to 6

56
Q

5 fypes of white blood cells

A

neutrophils
eosinophils
basophils
monocytes
lymphocytes

57
Q

platelets are also known as

A

thrombocytes

58
Q

type A blood has

A

A antigens and anti-B antibodies

59
Q

type B blood has

A

B antigens and anti-A antibodies

60
Q

type AB blood has

A

anti-A and anti-B antigens and NO antibodies

61
Q

type O blood has

A

NO antigent and both A and B type blood

62
Q

what is the most common reaction that happens around 6hrs. of a transfusion

A

febrile

63
Q

what reaction is due to an ABO incompatibility and usually occurs within the first 15 min. after a transfusion

A

hemolytic

Nursing 211/213 (5 decks)

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