IV meds.

Question 1

how many people do you need to hang blood?

Answer 1

2 people

one lpn one RN

Question 2

before you transfuse you need

Answer 2

a consent form

make sure it is done

Question 3

blood is good for how long?

Answer 3

4 hours

Question 4

in one spiked bag is blood in the other bag is

Answer 4

normal saline

Question 5

how long should you stay with a pt.

Answer 5

15 minutes

Question 6

what do you watch for when administering blood ?

Answer 6

hemolytic reaction

Question 7

what happens to a pt. with a hemolytic reaction?

Answer 7

within 15 mins
pain
bruising
flushed face
low bp

Question 8

febrile reaction

Answer 8

body temp. slightly elevates
HR goes up
flushed
itching

Question 9

what size gauge will you use to transfuse?

Answer 9

18-20

Question 10

how do you identify the blood necessary?

Answer 10

appropriate ticket
name and birthday of the patient
scan medical records
scan the bracelet

Question 11

universal donor

Answer 11

can give it to anyone

O

Question 12

universal recipient

Answer 12

AB

can get from anyone

Question 13

autologous blood transfusion

Answer 13

blood donated to self

beforehand

Question 14

possible uses for blood transfusion

Answer 14

anemia
bleeding
hypovolemic shock

Question 15

fresh frozen plasma is used for?

Answer 15

to provide clotting factors for low platelet count, bleeding disorders, observe for slowed down bleeding.

Question 16

why do we warm blood?

Answer 16

to prevent core temperature dropping

Question 17

febrile reaction (most common reaction)

Answer 17

itching
hives 
flank pain
fever
muscle pain

Question 18

difference between hemolytic and febrile

Answer 18

stop hemolytic reaction
bleeding/bruising
low bp
high hr
restless

Question 19

when putting in a IV distal to proximal non-dominant hand and use ?

Answer 19

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

Question 20

fluid overload

Answer 20

expect an order for Lasix
Observe for:
distended vein
edema 
crackles in the lungs

Question 21

if a pt. is receiving a solution from a pump. What do you observe for if it keeps beeping?

Answer 21

check for occlusion
check if the tubing is kinked
check if a clamp is still rolled

Question 22

flushing a saline lock

Answer 22

don’t keep pushing

could cause a blood clot

Question 23

(PIC) peripheral inserted catheter

Answer 23

goes into the subclavian

used for long term antibiotics

Question 24

fluid volume overload can cause

Answer 24

15 ml of mercury over the baseline

monitor the blood pressure for this

Question 25

assess Iv every?

Answer 25

hour

Question 26

s/s of phlebitis

Answer 26

swelling
warmth to touch
redness

Question 27

bevel up or down?

Answer 27

up

Question 28

Hypotonic solutions

Answer 28

.45% normal saline

Question 29

Who do not get Hypotonic solutions?

Answer 29

pt.s suffering from brain injury

Question 30

Isotonic solutions

Answer 30

normal saline
lactated ringers
plasmalyte

Question 31

Who do not get isotonic solutions

Answer 31

liver compromise

Question 32

Most common solution

Answer 32

Normal saline>chloremia AKI

Question 33

Burn patient solutions

Answer 33

lactated ringers or plasmalyte

Question 34

vesicant

Answer 34

causes blistering

Question 35

extravasation

Answer 35

leaking of fluid into surrounding area

Question 36

what do you do if you observe vesicant or extravasation?

Answer 36

stop
call the hcp
antidote

Question 37

what purpose do you prime a IV line

Answer 37

to get out air bubbles

Question 38

how often do you flush saline?

Answer 38

every shift

Question 39

do we push potassium?

Answer 39

no