Week 1 Flashcards

0
Q

Definitions of Intracellular

A

Inside cell

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1
Q

What are the 3 reasons on why pt have IV

A

Achieve or maintain fluids or electrolytes
Route for providing medication
Replace blood or blood products

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2
Q

Definition of Intra vascular

A

Inside vessel

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3
Q

Examples of Crystalloids are

A

Normal saline
D5W
Lactated ringers

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4
Q

Crystalloids are made of what kind of solutions

A
Dissolved water
Dextrose 
Electrolytes 
Sugar
Or a combination of these
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5
Q

Examples of colloids non synthetic

A

Albumin or plasmabumin

Protein

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6
Q

Colloids contain what kind of solutions

And they are

A

Macromolecules
Electrolytes

Volume expanders

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7
Q

Examples of colloids synthetic

And they are

A

Hespan or dextran

Volume expander (shock used)

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8
Q

Colloids are used for people who have what

Albuninar

A

Tramatic blood lost

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9
Q

What is the normal concentration of electrolytes in the body

A

285 mEq/ liter

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10
Q

Isotonic was how much concentration

A

The same concentration of electrolytes as body fluids

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11
Q

How much does concentration does hypertonic have

A

Greater than 300 mEq/liter

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12
Q

How much concentration does hypotonic have

A

Less that 280 mEq/liter

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13
Q

What does h20 do with hypertonic

A

Goes out of the cell

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14
Q

What does isotonic do with h2o

A

It circulates in and out of the cell

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15
Q

What does hypotonic do with h20

A

It absorbs h20 into the cell

16
Q

What kind of Iv will they give in surgery

A

Lactated ringers

17
Q

What kind of IV is for a trauma pt and or dehydration

A

Normal saline

18
Q

What kind of salines are associated with isotonic medium

A

Ssw
Normal saline
Lactated ringers 0.9

19
Q

What kind of saline is associated with hypertonic medium

A

D10w
D5LR
D5.45
D5.95

20
Q

What kind of saline is associated with hypotonic medium

A

0.45 saline

Free water

21
Q

What is so special about d5w

A

It’s isotonic in the bag
It then quickly becomes hypotonic once metabolized in the body
Which means what’s left is free water
What makes it free water is that the cells quickly absorb the sugar

22
Q

Micro drip set IV set

A

60 drops/mL

23
Q

Macro drip IV set

A

10, 12, 15, 18 ,20

24
Q

Central Line insertion

A
Used for large amounts of fluid
Pt who need IV for more than 7 days
Need large bore acces
Frequent blood drawn
Pt who receive vesicant medication. (Chemo)
Who need supplemental nutriention (TPN)
25
Q

Reasons for alternative access devices

A

Vesicant med, nutrition, long term need, high volume of fluids, multiple meds require ports, frequent blood drawn

26
Q

PICC catheter

A

Longer catheter

Goes into right arteria of heart

27
Q

Midline catheter

A

Shorter cath

Stops at about the arm pit

28
Q

Preparing for a central line

A
IV antibiotic 30-60 min prior
Alcohol scrubs
Chlorhex scrub
Surgical draping
Surgical dress
Fans off and windows closed
Pt and asst wear mask
29
Q

Central line insertion

A

Lines get flushed prior to insertion (physician)
Placed In the trendelenburg position ( feet right up and head down) ( prevents air embolism) and asked to perform vassal a maneuver
Assures placement by blood draw. PN May or may not change central lines (policy)

30
Q

Central line monitoring

A

Indicators of extravastin, possible infection, patency, line is secure, line is clamp if not in use

31
Q

Blood transfusion and IV site

A

Require separate consent specific to blood transfusion,

Central line, peripheral IV of at least 20 gauge (smallest you can go) or bigger

32
Q

Blood products Packed cells

A

Given for anemia (hemoglobin, hematocrit)

Pale skin , pt report blood loss, confusion, dizziness

33
Q

Blood products fresh frozen plasma

A

Has platletes, used to replenish and clotting factors

34
Q

Monitor blood infusion

Pt s/s

A

Baseline vitals, temp(important) q5 min x15 times

Pt says feeling funny, chills, back pain, SOB, rash, n/v, tachycardia, blood in urine, fever
Usually reaction occurs within the first 5 min and takes 2 hours to infuse. If reaction does occurs keep IV tubing and saline solution