Infusion Therapy/ complications/ peripheral and central Flashcards

1
Q

how often would you need to change the IV tubing?

A

every 24 hrs for intermittent infusion.

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2
Q

maximum flow rate of contrast injection for a “Power peripherally inserted central catheter” (“Power PICC”)?

mL/sec

A

5 ml/sec

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3
Q

Which component would the nurse verify on the blood label
before administering a blood transfusion to a patient? Select all
that apply.

Dosage

Tonicity

Lot number

Product code

ABO group and Rh factor

A

lot number.
product code.
ABO group and Rh factor.

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4
Q

Which route is often used to administer chemotherapeutic agents into a tumor’s blood supply?

Intraspinal

Intraosseous

Intra-arterial

Intraperitoneal

A

Intra-arterial

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5
Q

When a patient requires peripheral infusion therapy, which factor would the nurse consider in planning for the type of access device? Select all that apply.

Age of the patient

Gender of the patient

Diagnosis of the patient

Duration of the therapy

Patient preference

A

AGE.
Diagnosis.
Duration of the therapy.
Patient preference.

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6
Q

Which condition indicates infiltration?

Inflammation of the vein

Blood clot inside the vein

Leakage of nonvesicant IV solution into extravascular fluid

Leakage of vesicant IV solution into extravascular fluid

A

Leakage of nonvesicant IV solution into extravascular fluid

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7
Q

How often would the nurse change the gauze dressing on a patient’s midline catheter site?

24 hours

48 hours

36 hours

72 hours

A

48 hours

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8
Q

As the nurse assesses the insertion site of a short peripheral venous catheter, which finding indicates the presence of phlebitis? Select all that apply.

Bruising

Swelling

Blistering

Skin coolness

Palpable cord

A

Palpable cord

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9
Q

A patient reports blistering, sloughing, and tissue necrosis from the site after an IV drug infusion. Which drug is likely to have caused this condition?

Dopamine

Vancomycin

Amiodarone

Ciprofloxacin

A

Dopamine can damage tissues.

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10
Q

Which condition is present if the IV solution leaks into tissues around the vein?

Phlebitis

Infiltration

Thrombosis

Hematoma

A

Infiltration occurs when IV solution leaks into the tissues around the vein.

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11
Q

A potential complication of intraosseous (IO) infusion therapy?

Osteoporosis

Osteogenesis

Osteoarthritis

Osteomyelitis

A

Osteomyelitis is a serious complication of IO therapy.

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12
Q

When a patient has an arterial catheter in the right wrist, which assessment would the nurse make to determine patency of the
patient’s radial artery?

Blood pressure

Capillary refill

Neurologic function

Pain level at the site

A

Capillary refill would ensure that arterial line is not occluded.

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13
Q

s/sx of speedy shock by rapid infusion.

A

facial redness, irregular pulse, light head, low BP.

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14
Q

signs of thrombosis at catheter insertion site.

A

swelling, tenderness and redness due to presence of blood clot inside the vein.

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15
Q

Ecchymosis

A

is caused by infiltration of blood into the surrounding tissue.

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16
Q

Infiltration

A

is leakage of nonvesicants into surrounding tissues.

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17
Q

Which route of infusion therapy can be used to treat trauma and burn victims?

Intra-arterial

Intraosseous

Subcutaneous

Intraperitoneal

A

Intraosseous

18
Q

Midline IV cathether

A

for therapies last from 1- 4 weeks.

19
Q

Short peripheral cath

A

are used for therapies for up to 3-4 days (72-96 hours).

20
Q

PICC lines

A

are used for therapies that last for months

21
Q

Tunneled Central cath

A

are for long term use and inserted by health care provider.

22
Q

Which central catheter insertion procedure requires the patient to be in the Trendelenburg position?

Implanted port

Tunneled central venous catheter

Peripherally inserted central catheter

Nontunneled percutaneous central venous catheter

A

Nontunneled percutaneous central venous catheter

23
Q

Which vein is the preferred site for inserting a peripherally inserted central catheter (PICC)?

Median vein in the forearm

Basilic vein in the upper arm

Brachial vein in the upper arm

Cephalic vein in the upper arm

A

Basilic vein in the upper arm

24
Q

Implanted port

A

a kind of CVAD that is used for IV therapy for more than a year.

25
Q

Heparin is used for:

A

Prevention of blood clots

26
Q

Lab value to monitor heparin level

A

Activated Partial Thromboplastin Time (APTT)

Normal level: 30 - 40 seconds

27
Q

What reverses Heparin?

A

Protamine Sulfate

28
Q

Warfarin is used for

A

prevent and TREAT blood clots like DVT

29
Q

Lab value to monitor for Warfarin levels

A

INR . (Normal 2 - 3)

30
Q

What reverse Warfarin?

A

Vitamin K

31
Q

Furosemide is pushed at what rate?

A

10 mg / min

32
Q

Why is isotonic solution given?

A

To increase blood volume, to fix dehydration and hypovolemia.

33
Q

Why is Hypertonic solution given?

A

To correct fluid overload and HYPONATREMIA

34
Q

Why is Hypotonic solution given?

A

(This solution helps move water into cells to rehydrate them).

Used for for dehydration / Hypernatremia .
DKA (helps correct cellular dehydration seen in DKA).

35
Q

Examples of Isotonic solutions

A

• 0.9 % Nacl
• 5% Dextrose in water (D5W)
• Lactated Ringers

36
Q

Examples of Hypertonic Solutions

A

• 3% & 5% Nacl

• 10% & 20% Dextrose in Water (D10W, D20W).

37
Q

Examples of Hypotonic Solutions

A

• 0.45% Nacl ( aka 1/2 saline)

• 0.25 % & 0.33% Nacl are also hypotonic

38
Q

Central lines

A

• Can be used for months. Change dressing Q 7 days (sterile technique)

• placed by MD on Trendelenberg position

39
Q

How to assess for patency of dialysis fistula

A

By auscultation: hear whooshing sound (bruit)

By palpitation: feel vibrations

40
Q

Arterial lines ( A line)

A

Used for continuous BP monitoring and blood sampling (abg’s).

Location: distal/ radial of hand