IV Therapy Taylor Flashcards
Name IV solution & Type
Not for routine maintenance as it only provides Na & Cl (excessive amount)
Treats hypovolemia, metabolic Alkalosis, mild hyponatremia, Hypercalcemia
Used with administration of blood infusion
0.9% NaCl
Normal Saline
ISOTONIC
Name IV fluid & Type
Contains electrolytes identical to plasma (Except Mg)
Used in treatment of burns,hypovolemia, fluid loss from GI sources
Lactated Ringer’s
Isotonic
Name IV fluid & Type
Used in treating Hypernatremia
Aids kidneys to eliminate solutes
0.33% NaCl
Hypotonic
Name IV fluid & Type
Used as a basic fluid for maintenance needs.
Often used to treat Hypernatremia
0.45% NaCl
Hypotonic
Name IV fluid & Type
Supplies fluid and calories to the body
Replaces electrolytes
5% Dextrose in Lactated Ringer’s
Hypertonic
Name IV fluid & Type
Used to treat SIADH
Temporary treatment of hypovolemia if plasma expander is not available
5% Dextrose in 0.9% NaCl
Hypertonic
How long to leave a peripheral IV in place for?
Until not needed
Or
Infection occurs
PICC lines aka peripherally inserted central catheter
Devices where the catheter terminates at lower 1/3 rd of the superior Vena Cava, can be used for giving vesicant drugs ie. Chemo therapy
True or False
True
Type of dressing to use on an iv site
Exception to this
Transparent semipermeable membrane TSM
(Tegaderm or Opsite IV)
EXCEPTION
use gauze if they are sweaty, bloody, oozing.
Ideal vein site for peripheral venous catheter
Forearm to increase last lastability
Metacarpals, Cephalic, basilic, medians also OK
Use the dominant hand for a peripheral venous catheter
True or False
False non dominant
A strong pulsation in a vein is a good choice.
False
This is DEADLY & could be an artery
How many attempts can be made to find a vein.
4 in total
2 by first & 2 by second nurse
