IV Infusions Flashcards

1
Q

Isotonic Fluid

A

N/S, Lactated ringer, 1/3 2/3

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2
Q

What is ringers lactate used for?

A

Fluid resuscitation

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3
Q

What is NS used for?

A

Expand volume, dilute medications, keep vein open

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4
Q

Hypotonic fluids

A

D5W (in body)

O.45% NS, 0.33% NS

Don’t give to infants/head injury pts

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5
Q

Hypertonic

A

D5 1/2 NS

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6
Q

What is D5 Ns used for?

A

Na and volume replacement

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7
Q

4 Movements of body fluids

A

Osmosis
Diffusion
Filtration
Carrier-mediated transport

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8
Q

What ways can fluid replacement be administered?

A

Enteral or parenteral

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9
Q

Isotonic definition

A

Same osmolality as body fluids

Volume replacement

Expand fluid volume without a shift

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10
Q

Hypotonic definition

A

Osmotic pressure lower than plasma

Fluid moves into cells

Hydrates without adding fluid into circulation

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11
Q

Hypertonic

A

Osmolality greater than body fluids

Pulls fluid out of cells

D5LR

D5 1/2 NS

D5NS

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12
Q

What is the rate of IV’s called?

A

Drop/drip factor

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13
Q

Factors influencing flow rate

A

Position of forearm

Tubing

Height of infusion container

Infiltration

Angiocath/vein size

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14
Q

Advantages to IV therapy

A

Fluid/electrolyte management

TPN administration

Preferred route for medications

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15
Q

Disadvantages to IV therapy

A

Infection

Hypervolemia

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16
Q

What is the most accurate means to evaluate fluid balance?

A

Daily weight

Same time each day, after voiding

17
Q

Serum electrolyte test

A

Assess fluid balance

285-295 mmol/kg

18
Q

Arterial Blood Gas

A

Sample of blood from artery tp assess acid-base status

No air entry!

19
Q

Restriction of Fluids

A

Pts who retain fluids/fluid volume excess

Often difficult

20
Q

Crystalloids

A

Dextrose, sodium chloride, lactated ringers

Contain solutes that mix, dissolve, cross membranes

21
Q

Colloids

A

Contain protein/starch

Do not cross membranes

Remains in ECF for several days

22
Q

When are PICCS or Central venous access devices used?

A

For long-term use

For medications that are irritating to veins

Presence of limited/poor peripheral access

23
Q

What would happen if tubing were dislodged from control mechanism?

A

Fluid would stop