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Chapter 15 Key Points Adult 1
Terms in this set (37)
adverse drug events (ADEs)
an unintended harmful reaction to an administered drug
infusion therapy pump generally used with a home care patient to allow a return to his or her usual activities while receiving infusion therapy
Catheter-related bloodstream infection (CRBSI)
health care acquired bloodstream infections caused by the presence of any type of intravenous catheter
Catheter-related bloodstream infection (CRBSI) prevention bundle
A nationally recognized set of evidence based practices to prevent CRBSIs.
central line-associated bloodstream infection (CLABSI)
Health care acquired bloodstream infections caused by the presence of a central intravenous line.
a condition in which increased tissue pressure in a confined anatomic space causes decreased blood flow to the area, leading to hypoxia and pain.
Escape of fluids or drugs into the subcutaneous tissue; a complication of intravenous infusion therapy.
A surgically implanted vascular access device (VAD) where the port is placed in a subcutaneous pocket; used for long-term or frequent infusion therapy
leakage of IV solution into the tissues around the vein.
A solution that is infused into the body
the delivery of parenteral medications and fluids through a variety of catheter types and locations using multiple techniques and procedures, such as intravenous and intra-arterial therapy to deliver solutions into the vascular system
A VAD that is 3 to 8 inches long and inserted through the veins of the antecubital fossa
Nontunneled Central Venous Catheter (CVC)
A multilumen VAD inserted through the subclavian or jugular vein using sterile technique
peripheral IV therapy
IV therapy in which a vascular access device (VAD) is placed in a peripheral vein, usually in the arm
peripherally inserted central catheter (PICC)
A long VAD inserted through a vein at the antecubital fossa
inflammation of a vein that can predispose patients to thrombosis.
short peripheral catheter (SPC)
A VAD composed of a plastic cannula, built around a sharp stylet for venipuncture, which extends slightly beyond the cannula and is advanced into the vein.
secondary (piggyback) administration set
A short tubing set that is attached to the primary administration set and used to deliver intermittent medications
infusion pumps with dosage calculation software
Pump for infusion therapy that uses a battery-powered piston to push the plunger continuously at a selected rate; limited to small-volume or intermittent infusions
presence of a thrombus associated with inflammation.
formation of a blood clot within a blood vessel.
tunneled central venous catheter
A surgically implanted VAD used for long-term infusion therapy in which the catheter lies in a subcutaneous tunnel, separating the points where the catheter enters the vein from where it enters the skin
vascular access device (VAD)
An infusion catheter placed in a blood vessel to deliver fluids and medications
drugs that cause severe tissue damage if they escape into the subcutaneous tissue
Infusion therapy is the delivery of medications in solution and fluids by the parenteral (piercing of skin or mucous membranes) route
through a wide variety of catheter types and locations using multiple procedures.
Infusion therapy is used for
maintaining or correcting FLUID AND ELECTROLYTE BALANCE, maintaining ACID-BASE BALANCE, administering medications, and replacing blood or blood products.
Infusion nurses may develop
evidence-based policies and procedures
The RN is ultimately accountable for
all aspects of infusion therapy and delegation of associated tasks
Only isotonic normal saline solution (0.9%) is given with
Because the isotonic infusate stays in the vascular space
monitor for signs of fluid overload, especially with the very young and very old.
Because of its high osmolarity, total parenteral nutrition, a hypertonic solution, is
best infused into a central line for rapid dilution in a high-volume vein.
Hypertonic solutions are used to promote FLUID AND ELECTROLYTE BALANCE by
moving water out of the body's cells and into the bloodstream
move water into cells to expand them.
TPN should not be infused in peripheral circulation because
it can damage blood cells and the endothelial lining of the veins and decrease PERFUSION. Needs a central line or Picc Line.
No specific time frame is recommended for
dwell time of short peripheral catheters.
Recommendations for catheter removal or relocation are
based on clinical indications (e.g., signs of phlebitis, infection, or malfunction or Hospital Policy)
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