managing ivt

Question 1

7 rights of IVT

Answer 1

– Right Route
– Right Rate
– Right Flask Number
– Right Fluid/Solution
– Right Patient
– Right Documentation
– Right Volume

(double R, double F, penis, dick, vagina)

Question 2

• EC = Extracellular fluid

Answer 2

is all fluid outside of the body cells, this includes intravascular and interstitial compartments.

Question 3

• IC = Intracellular fluid

Answer 3

is all fluid inside of the body cells

Question 4

• Osmolality

Answer 4

is the measure of solute concentration per kg of

solvent weight.

Question 5

• Serum osmolality

Answer 5

= is the amount of ‘stuff’ or solutes in your

plasma serum of your blood.

Question 6

• Hypotonic

Answer 6

– Osmolality lower than serum osmolality.

This results in fluid shift out of blood vessels and into the cells and interstitial spaces

Question 7

• Isotonic

Answer 7

– Has the same osmolality as serum and body
fluids. Isotonic solutions stay in the intravascular space
and do not draw fluid from the cells. Expands the EC
compartment.

Question 8

• Hypertonic

Answer 8

– Osmolality higher than the plasma so
increases serum osmolality. Fluid is pulled from
interstitial and intracellular spaces into the intravascular
space. This causes cell shrinkage.

Question 9

complications of IVT (6)

Answer 9

• Thrombosis = Formation of a clot when red blood cells
adhere to vein wall due to endothelial cell trauma
• Thrombophlebitis = Thrombus that becomes inflamed
• Infiltration = Administration of non-vesicant (nonblistering) solution into the surrounding tissues. Cause:
Dislodgement of cannula from the vein.
• Extravasation = Inadvertent administration of vesicant
solution into the surround tissues
• Fluid overload – Pulmonary oedema
• Speed shock