Intervenous Flashcards
IV solutions
5% Dextrose in H20
(D5W)
to maintain h20 balence and supply calories necessary for cell metabolism
0.9 Sodium Cloride (NS)
(Isotonic )
- initial fluid & electrolyte replacement in all types of hypovolemia
- cardiac arrest
Lactated Ringers
(isotonic) -initial fluid replacement -cadiac arrest (maylead to vol. overload or CHF) CAUTION * cx w/ liver disease or anorexia *low sodium w/ multiple infusions
IV flow rate calulation
Volume x drip rate (gtts)
________________________ = ml/ minute
minutes
BLOOD
Composition of blood
Plasma
Leukocytes
Erthrocytes
Thrombocytes
Why would one need Blood Transfustion
Trauma Anemia Hemmorrage Lukemia Liver disorder surgery Thrombocyhemia Burns
who can administer Blood via IV
RN/Dr
if blood is not used…
send it back to blood bank
Auto Transfustion
Cx can save his/ her own blood for use if needed during/after surgery
Before transfusion what needs to happen?
- patient is type + cross matched to check blood type + Rh factor between donor and reciepient
- basline of vitals
- positive Id by 2 nurses
Large Bore IV for Blood (guage size)
18 Guage
what is blood infused with?
Normal saline
dextrose + LR induce clotting
infusions must happen within what time frame?
4 hours transfusion should be complete
tin the first 15 minutes blood infusion should be no greater then ….
2mls/ minute
RN remain with Cx for first 15 minutes because
reactions typically occur in first 15 minutes
