IV meds. Flashcards
how many people do you need to hang blood?
2 people
one lpn one RN
before you transfuse you need
a consent form
make sure it is done
blood is good for how long?
4 hours
in one spiked bag is blood in the other bag is
normal saline
how long should you stay with a pt.
15 minutes
what do you watch for when administering blood ?
hemolytic reaction
what happens to a pt. with a hemolytic reaction?
within 15 mins pain bruising flushed face low bp
febrile reaction
body temp. slightly elevates
HR goes up
flushed
itching
what size gauge will you use to transfuse?
18-20
how do you identify the blood necessary?
appropriate ticket
name and birthday of the patient
scan medical records
scan the bracelet
universal donor
can give it to anyone
O
universal recipient
AB
can get from anyone
autologous blood transfusion
blood donated to self
beforehand
possible uses for blood transfusion
anemia
bleeding
hypovolemic shock
fresh frozen plasma is used for?
to provide clotting factors for low platelet count, bleeding disorders, observe for slowed down bleeding.
why do we warm blood?
to prevent core temperature dropping
febrile reaction (most common reaction)
itching hives flank pain fever muscle pain
difference between hemolytic and febrile
stop hemolytic reaction bleeding/bruising low bp high hr restless
when putting in a IV distal to proximal non-dominant hand and use ?
10 to 30 angle look for flash of blood push up the catheter the needle will retract add pressure then connect the primed U Loop
fluid overload
expect an order for Lasix Observe for: distended vein edema crackles in the lungs
if a pt. is receiving a solution from a pump. What do you observe for if it keeps beeping?
check for occlusion
check if the tubing is kinked
check if a clamp is still rolled
flushing a saline lock
don’t keep pushing
could cause a blood clot
(PIC) peripheral inserted catheter
goes into the subclavian
used for long term antibiotics
fluid volume overload can cause
15 ml of mercury over the baseline
monitor the blood pressure for this
assess Iv every?
hour
s/s of phlebitis
swelling
warmth to touch
redness
bevel up or down?
up
Hypotonic solutions
.45% normal saline
Who do not get Hypotonic solutions?
pt.s suffering from brain injury
Isotonic solutions
normal saline
lactated ringers
plasmalyte
Who do not get isotonic solutions
liver compromise
Most common solution
Normal saline>chloremia AKI
Burn patient solutions
lactated ringers or plasmalyte
vesicant
causes blistering
extravasation
leaking of fluid into surrounding area
what do you do if you observe vesicant or extravasation?
stop
call the hcp
antidote
what purpose do you prime a IV line
to get out air bubbles
how often do you flush saline?
every shift
do we push potassium?
no
