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Hondros Nursing Nur 172 Exam 2 Study Guide.
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Hondros Nursing Nur 172 Exam 2 Study Guide.
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Hondros Nursing Nur 172 Exam 2 Study GuideSyringe solution containers
pre-filled syringes that are packaged as "clean" or sterile
Examples: NS flush
Heparin
Anti-Coagulant
Drug Action: Increase bleeding time
Reversal agent: Protamine Sulfate
Labs: PTT
Warfarin
Anti-Coagulant
Drug Action: Interferes with clotting factor of the blood
Reversal agent: Mephyton (vitamin K)
Labs: PT
Lorazepam-Ativan
benzodiazepine/Anxiolytic /Anti-emetic
Drug Action: CNS Depression
Uses: Anxiety/Seizures
Diazepam-Valium
Anxiolytic and Sedative
Action: Potentiates the actions of GABA
Uses: Can treat anxiety, muscle spasms, seizures
Isoniazid-Isotamine (INH)
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,Anti-tubercular
Action: Bactericidal interference with lipid, nucleic acid biosynthesis
Uses: Treatment, prevention of TB
Rifampin-Rifadin, Rofact
Anti-tubercular
Action: decreases tubercle bacilli replication
Uses: Pulmonary TB, Mening-ococcal carriers (prevention)
Positive attributes of Plastic
Closed system, flexible, light weight, easier storage
Positive attributes of glass
crystal clear, allows good visualization of contents, graduations easy to read,
no plasticiziers
Safety considerations for plastic
DEHP- toxic-leaches into lipid based solutions, easily punctured, graduations
difficult to read, composed of plasticizers. Do not write on the outside of the
bag-will leak into fluid.
Safety considerations for glass
break easily during transport, particulate matter due to coring, cumbersome
disposal, check closure for integrity, need vented tubing
Use-activated container
A pre-measured drug and diluent in separate compartments that is mixed
prior to administration by breaking the seal.
What is a back check valve
a one way valve that allows the solution to flow in one direction; when piggy
back is complete, this allows the primary admin set to resume flow. Also,
keeps contents from 2nd admin set from flowing back into the primary
solution.
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, Safety considerations with a back check valve
Using a blunt needle and breaking the valve
Why are Needleless connectors important?
allows for venous access without removal of the connector, thus maintaining a
closed infusion system; reduces the risk of infection;allows for blood control,
less risk to the nurse
When would a needleless connector need changed?
when it is removed for any reason, residual blood or debris is present, prior to
a blood drawl for culture and upon contamination.
potential risks for needleless connectors
failure to disinfect the needless connectors prior to access can cause infection.
What is the method of clearing IV lines?
NS flush
Why would the nurse flush an IV?
to reduce the risk of occlusion
What is a lock and what is it used for?
A solution that is left instilled in the catheter to prevent occlusion between
intermittent infusion; prevent occlusion
Why is saline used for peripheral intermittent device flushing and locking
rather than heparin?
because there are no nutrients in saline that can help bacteria grow
Advantages of a PICC line
used when the patient requires longer med administrations, multi-lumen
allows for multiple med administrations;
PICC location and length of therapy
upper arm; greater than 2 years
Central line location and length of therapy
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