The 5 purposes of IV therapy?
1) Restore or maintain _______ and ________
2) Use it to _________
3) Provide __________
4) _________ therapy
5) Route for __________ - ANS-fluid and electrolytes
-administer medicines
-nutrition
-Transfusion
-blood sampling
Components of IV therapy order:
1) Type of _________
2) Any ________ in solution and what _________- it is (i.e. D5 1⁄2 NS + 20k)
3) _______ and _______ and _______ (i.e. 1000mL q8h, 100mL/h)
5) __________ (i.e. Peripheral IV, Central Line) - ANS-solution
-additives
-concentration
-Rate, volume, duration
-Method
- Medications are administered ______ for their immediate effect.
- It is the most ________ site. (no getting those meds back)
- The absorption is most _________ (straight into blood stream)
- It is the ________, it goes right into the blood stream. You cannot get it back.
- Have to be at least _____ to do it, so if you're going straight IV push you have to be an RN,
or a student with an instructor standing there - ANS-IV
-dangerous
-complete
-fastest
-RN
- We can add ________ to an infusion.
- When it comes to LPNs, if the medications are added to the infusion by the pharmacist
then the LPN can ______ the IV drug. However, they are not allowed to do the actual
_________.
- So, if you're working the night shift and the pharmacy is closed, You have to administer the
medication if it's mixed, because you're going to be the one mixing it. Can the LPN mix it?
why? - ANS-medications
-hang
-mixing
-no, pharmacist didnt do it
, when a concentrated dose is given directly into the IV, or directly into the saline lock, or on
rare occasions directly into the pt's vein. OR we can give it by intermittent infusion,
secondary infusion, piggyback infusion. - ANSIV push (IV blous)
If it's an intermittent infusion:
The pt could have a _________ IV that's running and we could go in periodically, we could
piggyback a second little one in, and when that's done we disconnect that little bag. So we
could give a gram of Ancef q8h, and when that's done we discontinue that small infusion.
OR we could do it to a ________:
In between they have no IV, they just have the saline lock sitting in their arm. - ANS-primary
-saline lock
Solution (liquid containing dissolved substances called solutes):
what are the 3 types of solutions? - ANSIsotonic, hypertonic, hypotonic
_________ of solution: How it compares to normal blood plasma
When discussing Isotonic, Hypertonic, or Hypotonic of a solution, it's always compared to
that of the _________ to make that determination. That's how we measure it.
(vascular space measures tonicity) - ANS-Tonicity
-vascular space
__________: The same tonicity as the blood.
Solution ONLY expand within the _________ (inside the blood vessels) volume.
What are examples?
__________ (________) & tonicity of _______
_______ (5% sugar in water) when in the bag, osmolarity of ______, however this is not
isotonic in the body, its _______ because the body is going to use the sugar, and leave the
_____ and go into the _______.
Lactated ringers osmolarity of ______ - ANS-Isotonic
-intravascular
-0.9% Saline, normal saline, 308
-D5W, 260, hypotonic, h2o, cells
-275
Hypotonic:
-Shift fluid from ________ into _________
-_________ osmotic pressure than that of blood
-draw fluid _____ cell (cells _______)
- used to _______ cell
-__________solution
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