Laboratory 02: Intravenous Therapy Flashcards

1
Q

This is known as the insertion of needle/catheter/cannula into a vein for the infusion of fluids, medication and blood products for rapid delivery into the system,

A

Intravenous Therapy

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2
Q

Explain the process of intravenous therapy.

A

The process by which fluids are introduced directly into a vein

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3
Q

What is the purpose of conducting intravenous therapy?

A

(A) Restore fluid and electrolyte, acid base balance.
(B) Supplements calories and nutrients.
(C) Maintains hydration correct dehydration.
(D) Avenue to administer intermittent or emergency medication blood or blood component.

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4
Q

What are the basic nursing competencies in intravenous therapy?

A

(A) Universal Precaution/ Principles of Aseptic Technique
(B) Assessing Vital Signs
(C) Medication Calculation and Administration

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5
Q

These sets allow 60 drops (gtts) /mL trought a small needle into the drip chamber.

A

MICRODRIP

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6
Q

These sets allow 10 to 15 drops /mL into the drip chamber.

A

MACRODRIP

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7
Q

What are the two key components in computing the IV fluid rate?

A

(A) Drop factor of the IV administration set.
(B) Amount of solution to be infused.

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8
Q

What is the formula for the calculation of the IV fluid rate?

A

Total volume x Drop Factor/ Duration of Infusion x 60

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9
Q

What are the rules and regulations related to intravenous therapy based on the Board of Nursing Resolution No. 38 Series of 2016?

A

(A) Prescribing New Rules on the Implementation of the Special Training Requirement in Intravenous Therapy for Nurses.
(B) Nurses are expected to possess the basic competencies, intravenous therapy, being an integral component of the BSN curriculum.
(C) If the nurse demonstrates basic competence in VT, no further training shall be required of the nurse.

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10
Q

Which article of the Republic Act 9173 or the Philippine Nursing Act of 2002 states that parenteral medication is in scope of the nursing practice?

A

Article IV sec 28 Nursing Practice

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11
Q

Based on the nursing roles during IV therapy, what should the nurse utilize in the care of the patient with IVT?

A

ADPIE

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12
Q

How do nurses handle physician’s prescriptions for IV therapy?

A

Nurses carry out the physician’s written prescriptions for IV therapy, ensuring accurate preparation and administration of the prescribed fluids or medications.

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13
Q

Based on the nursing roles during iV therapy, what is involved in performing peripheral venipuncture?

A

Nurses perform peripheral venipuncture by inserting needles or cannulas into peripheral veins, excluding central lines such as subclavian, internal and external jugular veins, and femoral lines.

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14
Q

How do nurses manage the administration of blood and blood components?

A

Nurses administer blood and blood components as prescribed by the physician, monitoring the patient for any adverse reactions during the transfusion.

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15
Q

Based on the nursing roles during iV therapy, how are IV flow rates determined and maintained?

A

Nurses calculate and establish the flow rates of solutions, medications, blood, and blood components as prescribed, ensuring accurate delivery rates throughout the therapy.

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16
Q

Based on the nursing roles during iV therapy, what actions are taken if adverse reactions occur during IV therapy?

A

Nurses observe and assess for any adverse reactions related to IV therapy and initiate necessary measures to prevent or address these reactions promptly.

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17
Q

Based on the nursing roles during iV therapy, what infection control practices are adhered to during IV therapy?

A

Nurses adhere to established infection control practices, such as maintaining aseptic technique and proper hand hygiene, to prevent infections related to IV therapy.

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18
Q

Based on the nursing roles during iV therapy, what documentation is required during IV therapy?

A

Nurses document information related to the preparation, administration, and termination of all forms of IV therapy, including patient responses and any complications.

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19
Q

Based on the nursing roles during iV therapy, how do nurses ensure proper use and maintenance of IV equipment?

A

Nurses ensure technical capability in the use, care, maintenance, and evaluation of IV equipment, including infusion pumps and syringe pumps, to guarantee safe and effective therapy.

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20
Q

What are the different types of Intravenous Solution?

A

(A) Isotonic
(B) Hypertonic
(C) Hypotonic

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21
Q

These kind of intravenous solution trigger the least amount of water movement from IVF in/out of ICF and interstitial compartments.

A

ISOTONIC

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22
Q

What is the primary purpose of administering isotonic IV solutions?

A

To replace extracellular fluid volume without altering the balance of fluids between compartments.

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23
Q

How does the osmolarity of isotonic solutions compare to that of blood plasma?

A

Close to the same osmolarity as serum.

24
Q

Where do isotonic solutions primarily remain after administration, and what is their effect?

A

They stay inside the intravascular compartment, thus expanding it and increasing blood volume.

25
Q

These IV solutions can be helpful in treating patients who are hypotensive or hypovolemic by increasing circulating blood volume.

A

ISOTONIC

26
Q

Examples of Isotonic solutions.

A

(A) Lactate Ringer
(B) Normal Saline
(C) D5W
(D) 0.9%NaCl
(E) Blood Compartment

27
Q

This Intravenous solution has a lower salt concentration than in normal cells of the body and the blood. This causes the water to leave IVF compartment and enter ICF and the interstitial space.

A

HYPOTONIC

28
Q

What is the primary purpose of administering hypotonic IV solutions?

A

To replace cellular fluid by moving water into cells, thereby hydrating them.

29
Q

How do hypotonic solutions assist in waste excretion?

A

They provide free water, which aids the kidneys in excreting body wastes.

30
Q

In which condition are hypotonic solutions commonly used?

A

They are used to treat hyperosmolar conditions, such as hypernatremia, by diluting the extracellular fluid.

31
Q

Can you provide examples of hypotonic IV solutions?

A

Examples include 0.45% sodium chloride (half-strength saline) and 0.33% sodium chloride.

32
Q

This type of intravenous solution contains a higher salt concentration compared to normal cells of the body and the blood. This draws water from the ICF and interstitial spaces into the IVF compartment.

A

HYPERTONIC

33
Q

What are the different examples of hypertonic solutions?

A

(A) 3% Saline
(B) 5% Saline
(C) D5W
(D) D0.9
(E) NaCl
(F) D50. 45% NaCl

34
Q

What are the 10 rights of Medication Administration?

A

(A) Right patient
(B) Right medication
(C) Right dose
(D) Right route
(E) Right time
(F) Right education
(G) Right documentation
(H) Right to refuse
(I) Right assessment
(J) Right evaluation

35
Q

What are the most common venipuncture sites?

A

(A) Cephalic vein
(B) Basilic vein
(C) Dorsal veins / Superficial Dorsal Vein
(D) Median cubital vein
(E) Median vein of forearm
(F) Radial vein

35
Q

What are the different indications of intravenous therapy?

A

(A) Severe Dehydration
(B) Uncontrollable Vomiting
(C) Unable to Drink/NPO
(D) Gastric Distention

36
Q

This part refers to the diameter of the lumen of the needle or the cannula.

A

GAUGE

37
Q

This needle size in intravenous therapy is utilized for massive trauma patients.

A

G14

37
Q

This needle size in intravenous therapy is utilized for cases of trauma, surgeries, or multiple large volume infusions.

A

G16

38
Q

This needle size in intravenous therapy is utilized for cases of blood transfusions or large volume infusions.

A

G18

39
Q

This needle size in intravenous therapy is utilized for multipurpose IV, for medications, hydration, and routine therapies.

A

G20

40
Q

This needle size in intravenous therapy is utilized for most chemo infusions, patients with small veins, elderly and pediatric patient.

A

G22

41
Q

This needle size in intravenous therapy is utilized in the cases of very fragile veins and pediatric patients.

A

G24 or G26

42
Q

After preparing the IV solution, what details should be placed on the label on the IV bottle?

A

(A) Patient’s Name
(B) Room number
(C) IV solution
(D) IVF rate
(E) Date and time started
(F) Date and lime due

43
Q

What are the three usual sites for intravenous therapy?

A

(A) Cephalic
(B) Basilic
(C) Median Vein

44
Q

How should the nurse choose a venipuncture site?

A

(A) Select a vein large enough administration.
(B) Choose a site that will not interfere ADLs or planned procedures.
(C) Avoid sites distal to previous venipuncture.
(D) Avoid veins in the antecubital fossa.
(E) Avoid a hardened vein.
(F) Avoid bruised areas.

45
Q

In choosing a venipuncture site, the nurse should avoid areas affected by?

A

(A) Pain, Infection, or Wound
(B) Previous CVA, paralysis, or mastectomy

46
Q

How should the nurse put the tourniquet?

A

(A) Slide loop under to allow for one handed release.
(B) Pull it tight enough to stop venous flow, but loose enough to allow arterial flow.

47
Q

How do you prepare and administer an intravenous solution?

A

(A) Anchor catheter using transparent dressing or sterile gauze dressing securely following agency policy. Apply splint If needed.
(B) Recheck the flow rate and correct drops per minute.

(C) Apply label on the V rape indicating date of Insertion, gauge of IV catheter and place your initials.
(D) Dispose used stylet or other sharps in appropriate sharps container. Discard supplies, remove gloves and practice hand hygiene.

48
Q

How should the nurse evaluate the client after intravenous therapy?

A

Observe client every 1 to 2 hours
(A) Check if correct amount of IV solution has infused.
(B) Count drip rate
(C) Check patency of IV catheter by compressing cannulated vein proximal lo site.
(D) Observe during compression of vessel for signs of discomfort.
(E) Inspect insertion site, note color, presence of swelling. Palpate temperature of skin above dressing.

48
Q

When should the nurse change the container?

A

(A) When there is a new order for a new solution.
(B) When it is time to change an empty container for a full container.
(C) When it is clinically appropriate to change depending on the client’s F and E Balance.
(D) IC recommends changing container within 24 hours.

49
Q

When should the nurse change an infusion tubing?

A

Not more tyhan 72 hours

50
Q

When changing an IV container what should the nurse assess?

A

(A) Patency of site
(B) Swelling, coolness to touch or tenderness around site (Infiltration)
(C) Infusion rate
(D) Dressing
(E) Check IV bing for puncture, contamination or occlusions.

51
Q

What are the materials needed for intravenous therapy?

A

(A) Needle and catheter
○ 16G-18G for trauma
patients
○ 20G-22G for
non-traumatic fluid replacement

(B) IV solution
(C) Administration set
(D) Microdrip set
(E) Micropore
(F) Constriction band

(G) Alcohol/Betadine prep
(H) Arm board
(I) Transparent dressing
(FV pole/ IV stand
● Disposable gloves
● Bandage scissors
● IV Label
● Sharps container
● Towel
● IV Tag
● Special gown with snaps at
shoulder seams (makes
removal of IV tubing
easier, if available)

52
Q

What is the purpose of discontinuing an intravenous infusion?

A

(A) To discontinue IV Infusion
(B) Completion of therapy
(C) IV site needs to be changed

53
Q

What are the common complications of intravenous therapy?

A

(A) Edema
(B) Localized pain
(C) Coolness of sit e
(D) Infiltration
(E) Circulatory overload
(F) Air embolism
(G) Nerve damage
(H) Pyogenic contamination

54
Q

What are the different nursing diagnosis for intravenous therapy?

A

(A) Risk for infection
(B) Fluid Overload
(C) Electrolyte imbalance
(D) Pain