part 6

Question 1

What is important to remember in regards to the older adult and fluids?

Answer 1

• dehydration is a risk
• FVE is a risk (esp. post op because stress causes fluid retention)
• increased risk for acidosis (due to use of NaCl)
• accurate reporting of I/O is imperative (pt may not pee for 72 hours after surgery)
• assessments

Question 2

How often should primary and secondary continuous tubing be changed?

Answer 2

Q96H

-the secondary should stay connected to primary in order to be keep the 96 hour change

Question 3

How often should intermittent be changed?

Answer 3

Q24H

Question 4

How often should a special administration set with filter for blood be changed?

Answer 4

Q4H or after each unit

Question 5

Lipids use special administration sets. How often should they be changed?

Answer 5

Q12H

Question 6

What type of set should be used for nitroglycerin and insulin?

Answer 6

non-PVC sets

Question 7

What 2 catheter gauges are mostly used in the hospital?

Answer 7

• Blue: 22 gauge

- pink: 20 gauge

Question 8

What contributes to drug stability?

Answer 8

pH
additives 
dilution
time 
light exposure
temperature
container type

Question 9

What are the types of incompatibility?

Answer 9

physical
chemical
therapeutic
-its a reaction between drug, solution, container, or another drug

Question 10

When hanging more than one bag of fluid/medication what do you need to check?

Answer 10

compatibility

Question 11

What are some advantages and disadvantages of continuous IV infusion?

Answer 11

• Advantages: meds/fluids maintained

- Disadvantages: potential for fluid overload, possible incompatibilities with meds , accidental bolus infusion

Question 12

What are some advantages and disadvantages of intermittent IV infusion?

Answer 12

• Advantages: risk for overload decreased

- Disadvantages: drug concentration increased and can irritate vein, possible wasting of meds stuck in tubing

Question 13

How often should IV site be assessed?

Answer 13

Q2H