Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

nursing > infusion therapy > Flashcards

infusion therapy Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

infusion therapy definition

A

delivery of meds in solution and fluids by parenteral route
IV most common route
IV most common invasive therapy administered to hospitalized pts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

infusion therapy definition

A

delivery of meds in solution and fluids by parenteral route
IV most common route
IV most common invasive therapy administered to hospitalized pts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

normal serum osmolarity in adult

A

270-300 mOsm/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

isotonic serum osmolarity

A

270-300

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

hypertonic serum osmolarity

A

> 300

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

hypotonic serum osmolarity

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

isotonic infusate

A

water doesn’t move into/out body cells

risk for fluid overload, esp older adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

hypertonic infusate

A

corrects fluid, electrolyte and acid-base imbalances by moving water out body cells into bloodstream
example - parenteral nutrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

hypotonic infusate

A

moves water into cells and expands them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

infusion in central circulation

A

if osmolarity is >600 mOsm/L
where greater volume provides adequate hemodilation
TPN should NEVER be infused in peripheral circulation b/c can cause damage to cells and lining of vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

administering IV meds

A

med safety
rapid therapeutic effect
never assume IV admin is same as giving via other routes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

vascular access device types

A 
short peripheral catheters
midline catheter
peripheral inserted central cath (PICC)
nontunneled percutaneous central venous cath (CVC)
tunneled cath
implanted port
hemodialysis cath
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

peripheral IV therapy

A

in superficial vein of dorsal surface of hand

in place for 72-96 hrs then require remove and insert at another site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

locations not use in pats with…

A 
mastectomy
axillary lymph node dissection
lymphedema
paralysis of upper extremity
dialysis graft/fistula
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

midline cath

A 
3-8 in long, double/single lumen
inserted through vein in upper arm
used for therapies lasting 1-4 wks
do not use for vesicant drugs (meds that can break down lining of vessel ie chemo/tpn)
DO NOT USE TO DRAW BLOOD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

central IV therapy

A

vascular access device placed in central circulation with superior vena cava
CXR used to confirm placement
OK TO GIVE VESICANT
don’t cover w/ gauze b/c can hold moisture and cannot see insertion site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

peripherally inserted central cath (PICC)

A

18-29 in
CXR to determine placement
used for contrast injection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

nontunneled percutaneous

A

inserted through subclavian vein in upper chest or jugular vein in neck
may require insertion in femoral vein - rate inf high
7-10 in up to 5 lumen
CXR confirm placement
IF INFECTION OCCURS, OCCURS AT INSERTION SITE INSTEAD OF VESSEL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

tunneled central venous

A

portion lies in SQ tunnel
used for frequent and long-term infusion therapy
cuff of abx-containing material help reduce infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

implanted port

A

surgically created SQ pocket housing port body
placed in upper chest/extremity
flush after each use and at least once/month b/t therapies prevent clot formation in internal chamber
fill with heparin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

hemodialysis catheter

A

DON’T TOUCH THEM
placement in both veins and arteries
large lumen to accomodate hemodialysis/pheresis procedure
cath-related bloodstream infection, vein thrombosis common problem
do not use admin other fluids/meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

local complication of IV therapy

A 
infiltration
phlebitis
thrombosis
thrombophlebitis
ecchymosis/hematoma
site infection
venous spasm
nerve damage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

infilatration

A

cold skin - IV solution hanging out in tissue
edema
tx - stop infusion, elevate extremity to reabsorb, hot/cold compress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

phlebitis

A

red, swollen, red streak along vein

warm compress to increase blood flow

25
Q

thrombosis

A

redness, swelling, tender
IV won’t work, blood won’t get through area
elevate, no excessive movement, may require surgery

26
Q

thrombophlebitis

A

clot

irritated

27
Q

hematoma

A

bruise
went through vein, blood leaking from vein into area
don’t leave IV in, apply ice (heat makes worse, thins blood, leak even more)
elevate arm

28
Q

normal serum osmolarity in adult

A

270-300 mOsm/L

29
Q

isotonic serum osmolarity

A

270-300

30
Q

hypertonic serum osmolarity

A

> 300

31
Q

hypotonic serum osmolarity

A
32
Q

isotonic infusate

A

water doesn’t move into/out body cells

risk for fluid overload, esp older adults

33
Q

hypertonic infusate

A

corrects fluid, electrolyte and acid-base imbalances by moving water out body cells into bloodstream
example - parenteral nutrition

34
Q

hypotonic infusate

A

moves water into cells and expands them

35
Q

infusion in central circulation

A

if osmolarity is >600 mOsm/L
where greater volume provides adequate hemodilation
TPN should NEVER be infused in peripheral circulation b/c can cause damage to cells and lining of vein

36
Q

administering IV meds

A

med safety
rapid therapeutic effect
never assume IV admin is same as giving via other routes

37
Q

vascular access device types

A 
short peripheral catheters
midline catheter
peripheral inserted central cath (PICC)
nontunneled percutaneous central venous cath (CVC)
tunneled cath
implanted port
hemodialysis cath
38
Q

peripheral IV therapy

A

in superficial vein of dorsal surface of hand

in place for 72-96 hrs then require remove and insert at another site

39
Q

locations not use in pats with…

A 
mastectomy
axillary lymph node dissection
lymphedema
paralysis of upper extremity
dialysis graft/fistula
40
Q

midline cath

A 
3-8 in long, double/single lumen
inserted through vein in upper arm
used for therapies lasting 1-4 wks
do not use for vesicant drugs (meds that can break down lining of vessel ie chemo/tpn)
DO NOT USE TO DRAW BLOOD
41
Q

central IV therapy

A

vascular access device placed in central circulation with superior vena cava
CXR used to confirm placement
OK TO GIVE VESICANT
don’t cover w/ gauze b/c can hold moisture and cannot see insertion site

42
Q

peripherally inserted central cath (PICC)

A

18-29 in
CXR to determine placement
used for contrast injection

43
Q

nontunneled percutaneous

A

inserted through subclavian vein in upper chest or jugular vein in neck
may require insertion in femoral vein - rate inf high
7-10 in up to 5 lumen
CXR confirm placement
IF INFECTION OCCURS, OCCURS AT INSERTION SITE INSTEAD OF VESSEL

44
Q

tunneled central venous

A

portion lies in SQ tunnel
used for frequent and long-term infusion therapy
cuff of abx-containing material help reduce infection

45
Q

implanted port

A

surgically created SQ pocket housing port body
placed in upper chest/extremity
flush after each use and at least once/month b/t therapies prevent clot formation in internal chamber
fill with heparin

46
Q

hemodialysis catheter

A

DON’T TOUCH THEM
placement in both veins and arteries
large lumen to accomodate hemodialysis/pheresis procedure
cath-related bloodstream infection, vein thrombosis common problem
do not use admin other fluids/meds

47
Q

local complication of IV therapy

A 
infiltration
phlebitis
thrombosis
thrombophlebitis
ecchymosis/hematoma
site infection
venous spasm
nerve damage
48
Q

infilatration

A

cold skin - IV solution hanging out in tissue
edema
tx - stop infusion, elevate extremity to reabsorb, hot/cold compress

49
Q

phlebitis

A

red, swollen, red streak along vein

warm compress to increase blood flow

50
Q

thrombosis

A

redness, swelling, tender
IV won’t work, blood won’t get through area
elevate, no excessive movement, may require surgery

51
Q

thrombophlebitis

A

clot

irritated

52
Q

hematoma

A

bruise
went through vein, blood leaking from vein into area
don’t leave IV in, apply ice (heat makes worse, thins blood, leak even more)
elevate arm

53
Q

venous spasm

A

irritated vessel, spasming

warm compress, wait, deep breathing

54
Q

nerve damage

A

DON’T INJECT FLUID INTO NERVE

55
Q

systemic complication of IV therapy

A

circulatory overload
speed shock
allergic reaction
catheter embolism

56
Q

circulatory overload

A

SOA, bounding pulse, high BP and pulse
peripheral edema in lage stages
SWELLING IN EYES FIRST
tx - SLOW infusion rate if catch early, STOP if catch late, counter w/ diuretic, O2 d/t fluid building in lungs

57
Q

embolism

A

either in heart or lung

could be lifethreatening

58
Q

alt sites for infusion

A 
intra-arterial therapy
intraperitoneal infusion
SQ infusion
intraspinal infusion
intraosseous therapy
59
Q

compartment syndrome

A

increased tissue perfusion in confined space causing decreased flow to area
tx w/ fasciotomy to relieve pain
no peripheral pulse, low O2 sat, white extremity, numb/tingling

nursing (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions