What is an IV? Correct Answer-Intravenous infusion administration of
fluids into a vein by means of a steel needle or plastic catheter.
why is an IV administered Correct Answer-used to maintain fluid and
electrolyte balance, or to correct fluid volume deficits in patients unable
to take sufficient volumes orally. Also used for prolonged nutritional
support of patients with gastrointestinal dysfunction (total parenteral
nutrition).
CATS PRRR Correct Answer-C = compatibilities,
A = allergies,
T = tubing correct,
S = site checked,
P = pump safety checked,
R = right rate,
R = release clamps,
R = return and reassess the patient.
NS 0.9% NaCl Correct Answer-Expand volume, dilute medications and
to keep the vein open, Isotonic. NS is just like your body and similar to
the medicine that's in the IV push.
Lactated Ringers Correct Answer-Used for fluid resuscitation
,D5 1/2 NS D5NS Correct Answer-Used for Na and volume replacement
CAUTION go slow and monitor BP, pulse rate, and quality of lung
sounds as well as serum Na and urine output.
D5W Correct Answer-isotonic until administered into the body. after
___ metabolizes glucose it becomes hypotonic
Don't give D5W to... Correct Answer-infants or patients with head
injury bc of the risk to cerebral edema
what is given by IV? Correct Answer-chemotherapy drugs
Antibiotics
Antifungals
pain medications
drugs for hypotension
immunoglobulin medications
how to check compatibility Correct Answer-Confirm the compatibility
of the secondary piggyback IV fluid with the primary IV fluid and the
compatibility of the secondary piggyback IV medication with the
primary IV fluid composition.
Nutrition Therapy: Parenteral Nutrition Correct Answer-= affords the
provision of energy and nutrients intravenously
,Parenteral Nutrition indications for use Correct Answer-Preserved for
severely malnourished pts undergoing chemo, unable to digest food
through any part of GI tract &/or major surgery
Consideration prior to initiating TPN Correct Answer-GI dysfunction,
severity of malnutrition, degree of hypercatabolism (excessive metabolic
breakdown) , medical prognosis, pt wishes
Components of parenteral nutrition solutions Correct Answer--
carbohydrates
-amino acids
parenteral nutrition solutions: carbohydrates Correct Answer-Dextrose
yields 3.4 kcal/g because of its hydrated form
Concentrations greater than 10% are hypertonic; must be delivered via
central parenteral nutrition (CPN)
parenteral nutrition solutions: amino acids Correct Answer-Mixture of
crystalline amino acids
PPN (Peripheral Parenteral Nutrition Correct Answer-via peripheral
intravenous access
lower concentration than TPN
, TPN (Total Parenteral Nutrition) Correct Answer-Highly concentrated
dextrose solution Hyperosmolar Solution (severe hyperglycemia,
extreme dehydration)
Delivered through central vein
What is a saline lock? Correct Answer-the cap that goes onto an iv
insertion catheter. it allows you the ability to stop giving iv fluids and
then start again at a later time without having to do another venipuncture
risk for saline lock Correct Answer-occlusion
-check for patency frequently
Intermittent venous access (saline lock) advantages Correct Answer--
Cost savings resulting from the omission of continuous IV therapy
-Effectiveness of nurse's time enhanced by eliminating constant
monitoring of flow rates
-Increased mobility, safety, and comfort for the patient
Intermittent venous access (saline lock) BEFORE administration Correct
Answer-Assess the patency and placement of the IV site
Intermittent venous access (saline lock) AFTER administration Correct
Answer-Access must be flushed with a solution to keep it patent
(Locked with Saline Flush)