Exam (elaborations)
IV Exam (1)
- Institution
- INSTITUTIONAL IV CERTIFICATION TEST
Exam of 10 pages for the course INSTITUTIONAL IV CERTIFICATION TEST at INSTITUTIONAL IV CERTIFICATION TEST (IV Exam (1))
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IV ExamLPN without IV certification can do what, under the direction of an RN, MD, DDS, DO or
Podiatrist? - ANS-- they can perform dressing change at the insertion site of a
peripheral IV.
- verify type of solution
- examine the peripheral IV site
- d/c a peripheral IV.
LPN with an IV certification can do what, under the direction of an RN, MD, DDS, DO or
Podiatrist - ANS-- may initiate a peripheral IV in any vein below the antecubital fossa, on
anyone eighteen years or older.
- initiate and maintain allowable solutions or combination of allowable solutions.
allowable solutions an IV certified LPN can do. - ANS-- 5% dextrose in water(D5W)
- 0.9% sodium chloride (normal saline): *more common*
- 0.45% sodium chloride (1/2 normal saline)
- 0.2% and 0.3% sodium chloride
- 5% dextrose and 0.9% sodium chloride (D4NS):*more common*
- 5% dextrose and 0.45% sodium chloride (D5 1/2 NS)
- 5% dextrose and 0.25% sodium chloride (D5 1/4 NS)
- lactated ringers (LR):*more common*
- may hang 2nd multivitamin
IV procedures the certified LPN may perform - ANS-- maintain an infusion of allowable
solutions administered through a peripheral inserted central lone (PICC) or central
venous line (CVL)
- prepare or reconstitute only antibiotic additives
- initiate or maintain an IVPB infusion containing only an antibiotic additive. (lpns can
hang the initial bag)
- inject heprin or normal saline to flush an
solutions LPNS wont hang - ANS-- greater than D 5% ex: D10%
- 5% normal saline
- NO D5W for head injury d/t isotonic in IV bag and hypotonic in the pt thus increasing
intracranial pressure.
the changes in ohio law for IV certified LPNS - ANS-- the IV certified LPN may aspirate
any peripheral, PICC line, or CVL to check patency or placement
, - may hang antibiotics for PICC or CVL infusion
- may flush PICC or CVL according to facility policy and procedure with heparin, NS, or
both.
conditions for IV certified LPNS to engage in limited IV therapy procedures in an Acute
Care Setting. - ANS-- the assessment must be performed by the RN prior to initiation of
IV therapy by the IV certified LPN.
conditions for IV certified LPNS to engage in limited IV therapy procedures in a Long
Term Care Facility. - ANS-- RN does not have to perform an on site assessment of the
pt prior to start of IV therapy by the IV certified LPN.
- the RN must be readily available by some form of telecommunication.
- if the LPN acting at the direction of others listed in the la, that person must be readily
available by telecommunication.
previous law applies: - ANS-- the IV certified LPN may NOT hang the initial bag of
mixed potassium chloride, or multivitamins, the RN must hang the initial bag.
- the IV certified LPN MAY hang the subsequent bags of IVs containing potassium or
multivitamins as long as the order (doseage) does not change.
the IV certified LPN may not: - ANS-- mix, prepare, or administer any medications for IV
infusion other than antibiotics, heparin flush or NS flush and iron infusion.
- may not program or set any function of a pt controlled analgesia pump (PCA)
- may not change tubing on a PICC or CVL unless an injection port (microclave) is in
place.
- may not administer blood or blood products but may stop the blood and disconnect
tubing and if suspect of a blood reaction immediately stop the transfusion, save bag and
tubing if suspected blood reaction.
- may not administer total parenteral nutrition (TPN)
- may not administer IV chemotherapeutic meds
- may not administer IV investigational or experimental meds
- may not D/C any CVL or PICC line.
osmosis - ANS-The movement of water across a selectively permeable membrane from
an area of HIGHER concentration to an area of LOWER concentration.
electrolytes - ANS-- are substances that develop an electrical charge when dissolved in
water. the electrically charged particle is called an ion.
most abundant EXTRACELLULAR cation? - ANS-- sodium
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