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► med misc 49 > Unit IV COPY > Flashcards

Unit IV COPY Flashcards

1
Q

Administration of fluids, blood components and/or medication into a vein

A

Intravenous

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2
Q

Include electrolyte solutions, vitamins, nutrient preparations and commercial blood “fractions” designed to be administered into a vein

A

Intravenous fluids

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3
Q

Solutions containing protein or starch molecules that remain uniformly distributed in fluid (do not dissolve) fail to form. True solution

A

Colloid

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4
Q

Non-colloid (salts), electrolyte solution

A

Crystalloid

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5
Q

The insertion of a needle or catheter into a vein

A

Vein puncture

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6
Q

Extremities, vs. use of central vein

A

Peripheral IV therapy

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7
Q

Catheter inserted into a centrally located vein unusually subclavian or jugular

A

Central venous catheter or central line (CVC)

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8
Q

Entry into the vascular system via the insertion of a catheter into a peripheral vein threaded through to the superior vena cava

A

Peripherally inserted central catheter (PICC)

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9
Q

Surgically placed under skin and accesses vascular system internally

A

Implanted ports

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10
Q

catheters, cannulas, or infustion ports usually disned for long term repeated access to the vasculr system

A

vascular access device (VAD)

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11
Q

by route other than GI into tissue

A

parenteral

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12
Q

nutrionally adequate hypertonic solution, usually given via CVC

A

total parental nutrition (TPN)

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13
Q

vesicant solution is administered into surrounding tissue, vesicants are solutions capable of causing tissue injury or destruction if they escape into surrounding tissue

A

Extravasation

tissue is destroyed

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14
Q

nonvesicant soultion is administered into surrounding tissue

A

infiltration

tissue is not destroyed

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15
Q

symptoms occur 48 hours or more after the Rx was given

A

delayed extravasation

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16
Q

pink

A

20

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17
Q

blue

A

22

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18
Q

what is the main purpose of IV therapy

A

hydration

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19
Q

who can order an IV

A

MD, PA, NP

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20
Q

2/3 of body fluids, has the most protein in it, located in the cells, having protein helps keep fluid in cells

A

intracellular fluids (ICF)

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21
Q

1/3 of bldy fluids, found outside of cell

A

extracellualr fluids

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22
Q

what are the 4 components of extracellualr fluid

A

intravascular
interstitial
transcellular
lymph

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23
Q

plasma space that is in the vessels, 2nd highest protein component

A

intravascular

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24
Q

fluid between cells

A

interstital

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25
Q

ceribral spinal space, GI tract, plural space are all considered what kind of fluid

A

transcelluar fluid

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26
Q

tissue fluid, mostly water but also has albumin, salt, ureia, glucose

A

lymph

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27
Q

movement of water across cell membranes from the less concentrated solution to the more concentrated solution

A

osmosis

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28
Q

body looses water ad electrolytes from the extracellular fluid

A

fluid volume deficit

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29
Q

fluid is colleced in certain areas

A

third space syndrome

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30
Q

fluid loss

A

hypovolemia

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31
Q

body retains water and sodium equally

A

fluid volume excess

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32
Q

increase in fluid volume (blood volume)

A

hypervolemia

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33
Q

intravascular and intersitial (legs & feet)

A

edema

have decreased protein levels

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34
Q

loose water, have excess sodium, water is drawn into the vascular compartment from the interstitial space

A

dehydration

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35
Q

too much water, not enough sodium

A

overhydration

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36
Q

has the same osmotic pressure as the cell, they can incresase extracellular fluid volume

A

isotonic

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37
Q

has a lower osmotic presser than the cell, cause the cell to swell resutling in water intoxication

A

Hypotonic

38
Q

what is the most common additive

A

KCl

39
Q

common IV fluids

A 
D5/W
NS
0.9% S
NSS 
D5 1/2 S
D5NS
LR
40
Q

macrodrip

A

10 drops/mL

41
Q

microdrip

A

60 drops/mL

42
Q

IV tubing is good for ?

A

96 hours

43
Q

Plain NS fluid is good for?

A

48 hours

44
Q

what is placed on the lable

A

pts name
date/time up
date/time down
initials

45
Q

KVO

A

10 gtts/min

46
Q

normal output per da

A

1500 mL

47
Q

what is the minimum output per hour

A

30 mL

48
Q

is you have an incrase BUN, with creatin normal what could your pt have

A

dehydration

49
Q

increase BUN & creatin

A

kidney damage

50
Q

IV bags with medication must be changes every

A

24 hours

51
Q

change IV site every

A

96 hours

52
Q

what do you assess the IV site for

A

edema, erythema, drainage, pain pallor

53
Q

flush jelco plug with

A

3 mL NS

54
Q

IV sites started by paramedics must be changed within

A

24 hours

55
Q

a local allergic reaction without pain or swelling

A

flare

56
Q

what do you do with a infiltration or extravastation

A

stop IV, elevate, cool compress

57
Q

inflammation of vein

A

phlebitis

58
Q

clot formation with phlebitis

A

thrombophlebitis

59
Q

result of an invastion of pathogens that are localized in the surrounding tissues

A

infection

60
Q

what is a sign of phlebitis/thrombophlebitis

A

heat

61
Q

what is a sign of infection

A

pus

62
Q

pathogenic microorganism in the blood

A

septicemia

63
Q

where is septicemia usually found

A

cental line

64
Q

air inadvertently enters the venous system

A

air embolism

65
Q

if you suspect an air embolism what should you do

A

turn pt on left side to trap air in the right atrium

66
Q

occurs when a portio nof the catheter breaks off and flows into the vascular system

A

catheter embolism

67
Q

results from a rapid introduction of a medicaion into the circulatory system

A

speed shock

68
Q

decompensation of the circultory system due to excessive volume of fluid

A

circulatory overload

69
Q

what is a late sign of circulatory overload

A

cyanosis

70
Q

what is an early sign of circulatory overload

A

crackles

71
Q

how often should a flush be done

A

q8hrs

72
Q

dextrose in water contains

A

H2O, glucose

73
Q

Saline contains

A

NaCl

74
Q

dextrose in saline contains

A

glucose, NaCl

75
Q

lactated ringers

A

NaCl, KCl, CaCl, H2O

76
Q

1 inch

A

2.54 cm

77
Q

1 liter

A

1,000 mL

78
Q

1 kg

A

2.2 lbs

79
Q

1 teaspoon

A

5 mL

80
Q

1 tablespoon

A

15mL

81
Q

1 oz

A

30 mL

82
Q

1gr

A

60 mg

83
Q

My Dear Cat Loves Xtra Vitamins Intensely

A

M = 1000, D = 500, C = 100, L = 50, X = 10, V = 5, I = 1

84
Q

1kg

A

1000g

85
Q

1g

A

1000mg

86
Q

has a higher osmotic pressure than the cell,may cause to shrink resulting in dyhydration

A

Hypertonic

87
Q

1ml

A

15 minim or drops

88
Q

1 Dram

A

4 ml

89
Q

1gr

A

60-65 mg

90
Q

total parenteral nutrition

A

K, Na, Ca, Mg, Cr, vitamins

► med misc 49 (29 decks)

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