Exam 4 review Chapter 64/dosage cal

Ordered: 100 mL gentamicin over 30 minutes using IV tubing with a drop factor of 15 gtts/mL? What is the flow rate

Take care to ensure that the label of the medication to be infused states that it is safe for IV administration

For the IV sites please name G

Monitor the IV site for patency (closeness) or infiltration (the flowing of fluid into tissues instead of the veins)

is the process of puncturing a vein to obtain a blood specimen/drawing blood or to establish an intravenous access site.

A rapid infusion rate may cause circulatory overload or increased intracranial pressure in these clients

Ordered: 3000 mL NS over 24 h using tubing with a drop factor of 10 gtts/mL. What is the flow rate?

LPN often is not allowed to work with central lines in the acute care facility, but should be aware of the basics

It is vital to confirm that the IV catheter is in the vein and the fluid is flowing freely.

Step 1: The infusion is stopped and the tube clamped with the slide clamp and the roller clamp.

Step 4: Insert the lock cap device firmly into the extension tubing. Tape firmly in place

The IVPB medication must be given within 30 min of the scheduled time.

The PICC is inserted into a peripheral vein, at the antecubital space & threaded up through the vein to a large CV

use of a PICC restricts the use of the client’s arm into which it is inserted and is usually not sutured to the skin.

Scrupulous site care is required for any central line, to prevent infection.

The next five will be true or false based on the welcome steps for converting a continuous IV to a saline lock

The macrodrip, delivers approximately 60 drops per mL depending of the tubing's manufacturer

Special techniques are required for administration of H2H chemotherapy products and disposing of the materials used.

When it comes to caring for a client receiving IV therapy. What are some nursing guidelines?

The main advantage of the lock is freedom for the client because they are no longer “attached” to an IV line and pump

drugs that have been identified as high risk does not require double-checking by two nurses

Always administer IV medications into tubing that is infusing blood, blood products, or TPN solutions.

if a tandem bag is not clamped off immediately when the medicatiokn is infused what will happen to the fluid

The most commonly used IV solutions include which of the following

how is medication absorbed via IV route than any other commonly used route

How often should all IV sites be checked for

Dr. Barry ordered 500 mL of blood plasma over 4 hours at a blood drop rate of 10 gtts/mL. What is the flow rate?

For the IV sites please name C

Electronic infusion controllers (EIC) are most often used in what type of settings

Since peripheral veins vary what are some things to consider when choosing a vein

what are the the rights of administration

The IV pump and controller sound an alarm if what is happening?

For the IV sites please name F

which veins are mostly used in newborns

The microdrip usually delivers approximately 10-15 drops per mL of fluid

what are the some reasons why IV infusions are commonly given

IV dressings are changed according to the nurses policy?

when pump not being used, the size of the catheter, the height of the bag influence the infusion rate

Dr. John ordered 1000 mL of 0.9% NS to infuse in 12 hours with a drop factor of 20 gtts/mL. What is the flow rate?

which medications are commonly administered in a PCA pump

The short CVC is used for clients who requires large amounts of which of the following for a limited length of time

A needleless system is usually used to flush the lock

Many facilities require one nurse to double check pump programming.

They use gravity to maintain the flow of IV fluids at a preset rate

if a PT has signs of swelling, pain at the insertion site, surrounding tissues appear white/red. what is this a sign of

What are other nursing guidelines when it comes to caring for a client who is receiving IV therapy

Limits are preset, as well as time intervals between PCA doses called PCA locked in

Step 5: Document the procedure and the amount of fluid that has been infused.

What are some considerations in determining venous access sites?

Step 2: Remove the primary IV tubing from the extension device. Cleanse the device with an antimicrobial wipe

which of the following is a complications when working with IVs

What other elements does TPN solution contains besides dextrose (10-70%)

It is vital to calculate the dosage exactly. IV method of administration does not allow any time to correct an error.

For the IV sites please name H

It is vital to close the clamp on any CVC whenever the end will be opened for any reason This helps prevent air embolism

Which nursing guidelines is true when managing parenteral nutrition ?

For the IV sites please name B

The vein that runs on the side near the thumb/radial artery is called what

Which drugs are commonly added to IV infusions

For the IV sites please name D

A midline catheter can remain in place for 2 to 4 weeks

A client who is very ill may have poor circulation. Access may be difficult. also if there is doubt, seek assistance

A seal or cap is attached to the hub (end) of the IV catheter, “locking” it

when in a rush you should always Write DIRECTLY on the solution bag

With the PCA pump medications can be delivered by continuous infusions or in the PCA mode (client activates when needed)

I’ve fluids are administered without stopping in order To keep open (KVO) and Keep vein open (TKO) and is run very slow

a faster rate of infusion is necessary for older adults, small children, clients with kidney/heart disease/ head injury

Ordered: 750 mL of NS to infuse over 5 hours IV using tubing with a drop factor of 10 gtts/mL What is the flow rate?

Dressings over Hickman catheters often are changed every 96 hours.

Ordered: 2000 mL of D5 1⁄2 NS to run over 24. The drop factor is 20 gtts/mL. What is the flow rate?

For the IV sites please name E

You should document all findings on an IV slow sheet or computer

LPN may not be responsible for initiating the infusion they are often responsible for monitoring it.

If the IV fluid is not flowing into the client's vein but into the client's tissues, this is known as infaltration

Fluids are administered via the ___ system to correct or prevent fluid and electrolyte imbalance.

saline lock (formerly called a “heparin lock”) is sometimes referred to as a hep lock

For the IV sites please name A

A secondary bag of fluid is infused as an intermittent infusion, usually while the primary infusion is sto

Step 3: Insert the tip of the syringe into the extension tube. Unclamp the extension tube & flush with NS. Reclamp tube