IV meds. Flashcards

1
Q

how many people do you need to hang blood?

A

2 people

one lpn one RN

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2
Q

before you transfuse you need

A

a consent form

make sure it is done

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3
Q

blood is good for how long?

A

4 hours

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4
Q

in one spiked bag is blood in the other bag is

A

normal saline

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5
Q

how long should you stay with a pt.

A

15 minutes

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6
Q

what do you watch for when administering blood ?

A

hemolytic reaction

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7
Q

what happens to a pt. with a hemolytic reaction?

A
within 15 mins
pain
bruising
flushed face
low bp
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8
Q

febrile reaction

A

body temp. slightly elevates
HR goes up
flushed
itching

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9
Q

what size gauge will you use to transfuse?

A

18-20

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10
Q

how do you identify the blood necessary?

A

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

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11
Q

universal donor

A

can give it to anyone

O

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12
Q

universal recipient

A

AB

can get from anyone

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13
Q

autologous blood transfusion

A

blood donated to self

beforehand

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14
Q

possible uses for blood transfusion

A

anemia
bleeding
hypovolemic shock

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15
Q

fresh frozen plasma is used for?

A

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

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16
Q

why do we warm blood?

A

to prevent core temperature dropping

17
Q

febrile reaction (most common reaction)

A
itching
hives 
flank pain
fever
muscle pain
18
Q

difference between hemolytic and febrile

A
stop hemolytic reaction
bleeding/bruising
low bp
high hr
restless
19
Q

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

A
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
20
Q

fluid overload

A
expect an order for Lasix
Observe for:
distended vein
edema 
crackles in the lungs
21
Q

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

A

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

22
Q

flushing a saline lock

A

don’t keep pushing

could cause a blood clot

23
Q

(PIC) peripheral inserted catheter

A

goes into the subclavian

used for long term antibiotics

24
Q

fluid volume overload can cause

A

15 ml of mercury over the baseline

monitor the blood pressure for this

25
assess Iv every?
hour
26
s/s of phlebitis
swelling warmth to touch redness
27
bevel up or down?
up
28
Hypotonic solutions
.45% normal saline
29
Who do not get Hypotonic solutions?
pt.s suffering from brain injury
30
Isotonic solutions
normal saline lactated ringers plasmalyte
31
Who do not get isotonic solutions
liver compromise
32
Most common solution
Normal saline>chloremia AKI
33
Burn patient solutions
lactated ringers or plasmalyte
34
vesicant
causes blistering
35
extravasation
leaking of fluid into surrounding area
36
what do you do if you observe vesicant or extravasation?
stop call the hcp antidote
37
what purpose do you prime a IV line
to get out air bubbles
38
how often do you flush saline?
every shift
39
do we push potassium?
no