5 Written questions
5 Matching questions
- Standard Microdrop size is what?
- symptoms of circulatory overload include
- Standard Macrodrop size is what?
- What to do for an IV infiltration?
- for CVL's you must put what on the IV flow sheet?
Put what on the nurses notes?
And place a sign about CVL where?
- a venous distention, higher BP, coughing, shortness of breath, increased respirations,
- b stop IV immediately
restart IV in another vein
apply warm moist compress to affected site
- c 10-15 drops per mL
- d 60 drops per mL
- e -insertian and MD name
-tolerance of procedure
-on front of chart and above pt bed
5 Multiple choice questions
- patients with HTN or CHF
patient with intercranial pressure or third spacing
- catheter inserted through the skin into a large vein, usually the superior vena cava or inferior vena cava or within the R atrium of the heart
- resp distress, SQ emphysema
5 True/False questions
Tunneled Caths such as the Groshong have a Dacron cuff that does what? → Flushed every shift and anytime push meds are administered with normal saline
After inserting the CVL what does the patient get? → Children with an IV
Any IV admixture
Pts with cardiac/renal problems
critically ill pts
Hypotonic IV FLuids do what to cells?
have an osmolality of what? → They replace electrolytes and shift fluid from interstitial places/cells into the plasma.
serum osmolality of 375 or higher
When are Hypotonic solutions used? → DANGEROUS: Fluid accumulation where fluid is not meant to pool. WHERE? Peritonieal Cavity, Pericardium & Pleural spaces (most common) WHY? Not enough Albumin in vascular system so it can't hold fluid like it's supposed to and ends up leaking. Body can't get rid of it (has to be drained) ALSO BECAUSE OF changes in oncotic or hydrostatic pressure, RESULT: Fluid that is "lost" from circulation.
How often do you have to flush tunneled caths? → Only an MD