IV Therapy Use Flashcards

1
Q

What is the fastest delivery method of anything into our bodies?

A

IV Therapy/Administration

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2
Q

4 Main Advantages of IV Therapy

A
  • Replace Fluid
  • Transfuse Blood
  • Deliver Medication
  • Correct Electrolyte Imbalances
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3
Q

8 Disadvantages of IV Therapy use

A
  • Adverse Reactions
  • Incompatibilities
  • Infections
  • Damage
  • Fluid overload
  • OD
  • Hindrance
  • Potentiates electrolyte imbalance
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4
Q

Why is it really hard to fix an error made with IV use?

A

It is immediately put into the blood stream where it is absorbed the fastest

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5
Q

3 Isotonic Solutions

A
  • D5W: 5% Dextrose in Water
  • NS: 0.9% Sodium Chloride
  • LR: Lactated Ringers
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6
Q

Main use of Isotonic solutions

A

To replace fluid volume

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7
Q

Danger of Dextrose

A

It can be metabolized quickly and become hypertonic

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8
Q

1 Risk of Hypotonic Solutions

A

More risk of inter cranial pressure

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9
Q

4 types of Hypotonic solutions

A
  • 1/2 NS: 0.45% NaCl
  • 1/3 NS: 0.33% NaCl
  • 1/4 NS: 0.25% NaCl
  • 2.5 DW: 2.5% NaCl
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10
Q

How do hypotonic and hypertonic solutions affect osmolarity?

A

Hypo: lowers it
Hyper: raises it

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11
Q

When are Hypertonic solutions commonly used?

A

Post op to reduce edema risk

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12
Q

4 types of Hypertonic solutions

A
  • D5 1/2 NS: 5% Dextrose 0.45 NaCl
  • D5NS: 5 Dextrose 0.9% NaCl
  • D5LR: 5% Dextrose Lacerated Ringers
  • D10W: 10% Dextrose in Water
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13
Q

Who is D10W good for?

A

Pt’s moving away from TPN

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14
Q

Hypovolemia

A

Fluid Deficit of isotonic fluid in extracellular spaces

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15
Q

Hypovolemia Caused By

A
  • Fluid loss
  • Fever
  • Excess Sweating
  • Hemorrhage
  • Vomiting
  • Diarrhea
  • GI suction
  • Low fluid intake
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16
Q

Hypervolemia

A

Fluid excess of isotonic fluid in the extracellular space

17
Q

Hypervolemia Caused by

A
  • Abnormal Retention of water and sodium
18
Q

S&S of Hypovolemia

A
  • Restlessness Confusion Seizures Comas
  • Cold Clammy SKin
  • Decreased Skin Turgor
  • Weak, rapid heart rate
  • Rapid Respirations
  • Hypotension
  • Lower urine output
  • Weight loss
19
Q

S&S of Hypervolemia

A
  • Headaches/Confusion
  • PERIPHERAL EDEMA
  • Jugular Vein Distention
  • Abnormal heart sounds
  • Dyspnea, tachypnea, Crackles, Edema
  • Weight gain
20
Q

How can we treat/manage Hyper/Hypo Volemia? (8)

A
  • Assess for S&S of fluid imbalance
  • Give IV Fluids and meds as ordered
  • Oxygen therapy as ordered
  • Fall Precautions
  • Daily weights
  • Good I&O Recording
  • Elevate edematous extremities
  • Encourage oral fluids when appropriate
21
Q

What causes Hypovolemic shock?
What is this usually due to?

A
  • When 40% or more of intravascular volume is loss
  • Trauma
22
Q

How can we treat Hypovolemic Shock?

A
  • Fluid Replacement
  • Blood Transfuision
  • Vasopressor
  • O2 therapy
  • VS and mental health monitoring
  • Cather of I&O monitoring
  • Assess lung sounds
23
Q

Dehydration also means that pt is…

A

Hypernatremic