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NURS 3715 Clinical Integration III- Week Two Exam
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NURS 3715 Clinical Integration III- Week Two Exam...
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NURS 3715 Clinical Integration III- Week Two ExamWhat is an IV bolus also known as?
IV push
What is an advantage of IV bolus that makes it useful for a patient on restricted fluids?
Only requires a small amount of fluid to deliver the medication directly into a patient's
circulation.
What is the most dangerous method of medication administration?
IV bolus, because the nurse has no time to correct if there is an error.
What is a disadvantage to IV bolus for the patient?
Causes irritation to lining of the blood vessels.
assistant<|end_header_id|>шуWhat does the nurse need to check before administering
an IV bolus?
First, verify the location of the IV line by drawing a blood return through the IV catheter
or needle. If no blood return, then the patient's needle or catheter is in the patient's
tissues or abutting against the vein wall.
If the insertion site is puffy or edematous, should the nurse administer the medication to
the client?
No
When administering an IV bolus medication, what is done immediately after the leur lock
is established?
Clamp the tubing then follow the institutional length of time in which the medication is
pushed (amount of medication given per minute).
,When administering IV bolus, is blood return always visualization?
END
Not always, especially with a smaller gauge IV needle or with a needless device. If the
site does not show evidence of infiltration and the IV is infusing well, then you can give
the medication.
CATS PRRR?
Compatilbilites, allergies, tubing correct, site checked, pump safety, right rate, release
clamps, return and reassess patient
Which of the following routes of medication administration has the most reaction?
IV bolus because the action peaks fast. Also, the risk of infiltration and phlebitis
increased.
What are some alternatives to IV bolus?
Syringe pump that has a high alert for adverse effects. If this is not an alternative, have
pharmacy dilute the medication and administer in a piggyback.
What sites are IV bolus medications given?
Via a continuous IV infusion already in place, or an intermittent venous access-saline
lock Flush with saline after use.
a
What is a piggyback medication?
Small 25-250ml IV bag connected to a short tubing line that connects to the upper Y port
of a primary infusion which is connected to an intermittent venous access. Either a
macro or micro drip and it must be set higher .
What is volume control administration?
Small containers (50-150ml) that attach just below the main infusion bag This is set up
similar to normal IV infusion but the priming set differs.
What is a mini infusion pump?
, Battery operated device that delivers small volumes of fluid 5 -60mL within controlled
infusion times using standard syringes.
In what substances are medications NEVER given through?
Blood or parenteral nutrition
What are the advantages of medications through IV direct?
-delivered more rapid and predictable therapeutic effects
-able to quickly respond to the patient's needs
-avoids risk of fluid overload
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What type of action is the IV direct?
The serum levels rise rapidly and immediately to a high concentration in the vital
organs. Very little, if any, chance is afforded to halt the injection if an adverse reaction
occurs.
What are the flushing rules with the IV direct?
Before and after, at least 2-3 mls. ALWAYS flush after at same rate as med administered.
What are examples of drugs that are never given IV push?
KCL, insulin, some antibiotics (Vancomycin and gentamicin)
Can IV push be given into existing medication infusion lines?
No ie// no heparin lines or insulin drips.
What is extravasation?
When a drug leaks into surrounding tissue. Highly irritating.
What are some complications of direct IVP when giving medications?
Extravasation
Allergies
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