1Exam 1 Med Surg
QUESTIONS AND CORRECT ANSWERS
GRADE A+
1. Who can insert peripheral IV?
Who is responsible for all infusion aspects including delegation?
What is infusion therapy?
What is the most common reason for infusion therapy?
What is infusion therapy? The RN can ins...
Who is responsible for all infusion aspects including delegation?
What is infusion therapy?
What is the most common reason for infusion therapy?
What is infusion therapy? The RN can insert and is responsible for all infusion aspects and
deligation
Infusion therapy is administration of medication's or fluids via paternal route, using a needle to
pierce through skin catheter DIRECTLY INTO THE VEIN, most common Invasive therapy
Most common reason for infusion;
Maintain correct fluid electrolyte, balance,
administer meds
Long-term disease management
Replace blood products
Infusion nursing ;
Special team of nurse is trying to initiate and maintain infusion therapy
Develop EBP policies and procedures
Isotonic
Examples
***Treatment for... low
*test question
,*test question... THE NORMAL SERUM LEVEL FOR ADULT IS 270-300 mOSM
Isotonic; equal amount of saw you inside the cell is outside the cell solutions that are
within normal range between 270 to 300 mOSM/L,
Ex.
0.9% normal saline,
Lactated ringer
5% dectrose in water
Treatment for;
Blood loss
Dehydration
Vomitting and diarrhea and surgical patients
Hypertonic
Example
***Treatment for hypo
*test question Hypertonic; fluid grade in 300 osmolarity hyper is above
Higher concentration outside than inside
Ex.
3% normal saline.
10% dextrose
5% dextrose and 0.45 normal saline.
Treatment
Sugar hyponatermia (low sodium)
Increased intercranial pressure
Higher concentration outside of the cell than inside
Hypotonic
Example 0
**Treatment db
*test question Hypotonic; flu is less than 270 osmolarity lower concentration on outside of the
cell than inside
Examples
0.33% normal saline
0.225 NS
0.45 NS
,Treatment for
Diabetic keto acidosis
Hyperosmolar hyperglycemia
Intravanous Medications IV Meds
RN must know;
Drug indications
Dosage
Contraindications
Precautions
IV Meds;
Appropriate dilution
Rate of infusion
Infusion site peripheral versus Central
Patient monitoring associated with medication
IF UNSURE CALL THE PHARMACIST OR PHYSICIAN NEVER ASSUME ANYTHING
Blood is only compatible with 0.9% normal saline
Requires signed consent before administering
Blood infusion Requires 2 nurse verification
***get vital signs
**Blood only good
, *LASIX and fluricide given to patient with history of blood transfusion
**TEST QUESTIONS before and 15 mins AFTER, then EVERY HOUR afterwords
MUST be Done in 4 hours
Blood Good for 72 hrs
I have a medication's, have a rabbit, therapeutic affects book and have adverse reactions
RN must know.. infusion therapy
If unsure... RN must know;
Drug dosage
Contraindications
Precautions
IF UNSURE ALWAYS CALL PHARMACIST
Packed RBCs must be infused through tubing only compatible with 0.9% normal saline
REQUIRES SIGNED consent requires two nurses to verify need to stay with patient
NEED TO STAY WITH PATIENT FOR FIRST 15 minutes for any reaction. Nothing is
compatible with blood except normal saline.
Vascular access; devices how we just up the road body blood vessel
Short, peripheral catheters
Most often inserted
Gauges from
24-26 gauge
22 g for..
20g for...
18 g for...
IV Site should be accessed...
**test question
***Flush with
***test question
** Lim alert, should be applied, avoid using on extremity axillary lymph nodes, lymphedema
and upper arm**test question
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