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Med Surg > Infusion Therapy > Flashcards

Infusion Therapy Flashcards

1
Q

isotonic osmolarity

A

270-300

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2
Q

hypertonic serum osmolarity

A

over 300

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3
Q

hypotonic osmolarity

A

under 270

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4
Q

isotonic infusate

A

water does not move in or out of cells

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5
Q

isotonic infusate causes risk for

A

fluid overload

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6
Q

hypertonic infusate

A

move water out of cell into bloodstream

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7
Q

use of hypertonic infusate

A

correct fluid, electrolyte, acid base imbalances

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8
Q

hypotonic infusate

A

move water into cells and expand them

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8
Q

if osmolarity is above 600 it is best infused

A

in central circulation for hemodilution

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9
Q

TPN osmolarity

A

over 1400

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10
Q

TPN infusate

A

never infused in periphery due to damage of blood cells and linings

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11
Q

isotonic solutions

A

.9% saline, D5W, lactated ringers

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12
Q

hypotonic solutions

A

.45% saline, D5LR

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13
Q

hypertonic solutions

A

D10W, D5/.9%NS, D5/.45%NS

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14
Q

blood transfusions include

A

packed RBCs, platelets, plasma, albumin, clotting factors

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15
Q

fluid prescription requirements

A

type, rate of admin, dilution, compatibility,

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16
Q

drug prescription requirements

A

name, dose, route, frequency, timing, length of infusion, purpose

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17
Q

VAD (short peripheral catheters): location/placement

A

superficial veins of hand/arm in central circulation in junction w right atrium

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18
Q

complaints of VAD (short peripheral catheters)

A

tingling, pins and needles, numbness due to nerve puncture

18
Q

VAD (short peripheral catheters) dwell time

A

only take out for clinical indications

19
Q

veins cannot be used in pt with

A

mastectomy, lymph node dissection, lymphedema, paralysis of upper extremities, dialysis

19
Q

midline catheter

A

3-8 inch double or single lumen

20
Q

midline catheter location

A

vein in upper arm

21
Q

midline catheter use

A

hydration and drug therapy for 6-14 days

22
Q

midline catheter DO NOT USE FOR

A

vesicant drugs, parenteral nutrition w low dextrose, solutions about 600, blood drawing

23
Q

PICC

A

18-29 inch single, double, triple lumens

24
Q

PICC use

A

long term TPN, vasopressors, antibiotics, blood drawing

25
Q

power PICC

A

used for contrast injections and attach to transducers for CVP monitor

26
Q

PICC teaching

A

no physical activity/heavy lifting

27
Q

PICC complications

A

infection, phlebitis, thrombophlebitis, CRBSI

28
Q

nontunneled percutaneous central venous catheter location

A

subclavian vein or jug vein residing the SVC, may need femoral due to high infection

29
Q

tunneled central venous catheter location

A

subcutaneous tunnel with antibiotic cuff to reduce infection

30
Q

tunneled central venous catheter use

A

long term frequent infusion therapy

31
Q

implanted ports location

A

subcutaneous pocket in upper chest or extremity

32
Q

port teaching

A

flushed after each use and at least once a month

33
Q

implanted port use

A

chemo long term therapy

34
Q

hemodialysis catheter

A

only for hemodialysis or pheresis

35
Q

complications of hemodialysis catheter

A

CRBSi, vein thrombosis

36
Q

change parenteral tubing every

A

24 hrs

37
Q

change lipid tubing every

A

12 hrs

38
Q

change blood tubing every

A

4 hrs

39
Q

infiltration

A

leak of IV solution into tissues

40
Q

extravasation

A

escape of fluids/drugs into subcut tissue

41
Q

phlebitis

A

inflammation of a vein

42
Q

speed shock

A

fluid going in too fast causing chest tightness and irregular pulses

43
Q

allergic reactions to IV therapy

A

itchy, red, blotchy, throat tightness

Med Surg (12 decks)

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