Review

Question 1

At what rate do you use micro vs macro drip?

Answer 1

Infusions 100 mls/hror more use macrodrip(10ggt/ml).

Infusions less than 100 mls/hruse microdrip(60gtt/ml)

Question 2

physical vs chemical incompatibility

Answer 2

physical- cloudy, precipitates, gas bubbles

chemical- change action or potency of drug

Question 3

Key IV site complications you look for with periph IV

Answer 3

tenderness, redness, swelling, exudate, or complaints of pain

Question 4

Describe a mild anaphylactic reaction

Answer 4

peripheral tingling and sensation of warmth,”fullness in throat and mouth, nasal or orbital swelling, pruritus, erythema (redness), sneezing. Onset within first 2 hrs of exposure

Question 5

Describe mod anaphylactic reaction

Answer 5

flushing, warmth, anxiety, itching. On the severe end of moderate some dyspnea and rest issues will appear

Question 6

Severe anaphylactic reaction

Answer 6

Rapid onset, bronchospasm, severe laryngeal edema, cyanosis hypotension, dysphagia and abd cramping, NV and D, seizures

Question 7

What is allergic Rhinitis

Answer 7

hay fever, seasonal allergies, type 1 hypersensitivity

Question 8

What is anaphylactic shock

Answer 8

From type 1 hypersensitivity. Antigen-antibody complex that leads to systemic cap permeability and bronchospasm

MNGMT- epinephrine, diphenhydramine, life preservation support

Question 9

what is compatibility

Answer 9

The ability of a medication to retain its properties when combined with a diluent such as normal Saline

Question 10

What is speed shock and how do you avoid it and deal with it

Answer 10

s the systemic reaction that occur when drugs is introduced to the circulatory system too rapidly .
S&S: dizziness, facial flushing, headaches, irregular heart rate
Sudden onset
Prevention : ensure accurate rate of administration as per the IV monograph

Question 11

What will you find in the IV monograph

Answer 11

It Contains :
• Indications/contraindications
• Cautions and monitoring of client
• Administration - who may give and how
• Reconstitution, dilution and compatibility
• Recommendedratesofadministration
• Adverseeffects

Question 12

Key points for prevention of anaphylaxis

Answer 12

• Avoidance
• Screening for allergens / Complete medical history
• Drug awareness/ Antidote
• Appropriate documentation
• Teaching
• Diligent checking
• Thorough questioning
• Frequent assessment for early detection

Question 13

if you are giving minibags of meds back to back that are incompatible…what do you do?

Answer 13

􏰖 Run 20 mls solution from new minibag or

􏰖 Back flush method if primary bag solution is compatible