IV Info

Question 1

Isotonic?

Answer 1

Solution and cell have = concentrations

Equal Osmotic Pressure

Question 2

Hypotonic?

Answer 2

Solution more concentrated than in cell (crenation)

-More Osmotic Pressure

Question 3

Hypertonic?

Answer 3

Solution less concentrated than in cell (lyse)

-Less Osmotic Pressure

Question 4

Isotonic Solution examples? (4)

Answer 4

0.9% Normal Saline
2/3 - 1/3 0.3% Normal Saline 3.3 D5W Combined.
Ringers lactate
D5W ( Relatively Isotonic)

Question 5

When does D5W become Hypotonic?

Answer 5

Once it gets into veins due to metabolism of glucose.

Question 6

Hypotonic Solution Examples?

Answer 6

0.3% NS

Question 7

Hypertonic solution Examples?

Answer 7

Mannitol

3.0% Normal Saline

Question 8

D: Crystalloids Solutions

Answer 8

Move quickly across cell membranes
Remain in intravascular space for short time before diffusing cross capillary walls.
(thinner)

Question 9

D: Colloid Solutions

Answer 9

Don’t move quickly and remain intravascular space for long periods
(thicker volume expanders)

Question 10

1 liter of Lactate ringers solution Contains?

Answer 10

Sodium
Potassium
Calcium
Chloride Ions
Lactate

Question 11

1 liter of normal saline contains?

Answer 11

Sodium

Chloride

Question 12

Artificial Colloids?

Answer 12

Dextran

Hetastarch (Hespan)

Question 13

Normal size for IV bag during Drug Admin?

Answer 13

100-250ml

Question 14

Macro

Answer 14

10 drop set - large amount of fluid with each drop

Question 15

Micro drip set?

Answer 15

60 drop set - smaller amount of fluid with each drop

60 drops = 1 ML

Question 16

IV catheter sizes?

Answer 16

24G - yellow
22G - BLUE
20G - PINK
18G - GREEN
16G - GREY
14G - Orange

Question 17

Needle size for canulation of peripheral vein?

Answer 17

1.5-2 inches.

Question 18

Tunica Media info?

Answer 18

Middle of a vein - Muscular & Elastic.

Vasoconstrictor and vasodilator stimulate vein to contract and relax.

Question 19

IV attempts to what number?

Answer 19

3

Question 20

What angle to hold catheter?

Answer 20

45 degree angle. when you get flash drop to 15

Question 21

What size syringe to aspirate blood from IV line?

Answer 21

10ML

Question 22

What do you flush in a dextrose line?

Answer 22

20ML

Question 23

Size of Needle for blood admin?

Answer 23

18G (GREEN)

Question 24

Cannulation of peripheral vein a needle should be what size?

Answer 24

1.5-2 inches (5 cm)

Question 25

Flow Rate thru 14G, 5 cm catheter is?

Answer 25

125ml/Min

Question 26

Some veins particularly difficult to cannulate?

Answer 26

obese patients
Pt's in shock and cardiac arrest
Chronic mainline drug users
Elderly w/ rolling veins
Small children

Question 27

Circulatory Overload?

Answer 27

Too much IV solution administered/ too rapidly for Pt. condition.
Closely monitor IV flow rate (CHF)

Question 28

What are IV complications? (5)

Answer 28

Cannulation of Artery(puncture)
Hematoma/infiltration
Local infection
Air Emboli
Pyrogenic Reaction

Question 29

What is Pyrogenic Reaction?

Answer 29

Foreign protein producing fever usually within 30 minutes
** SWITCH ARMS**

Fever of 100F - 106F