Fluid Volume Deficit/Overload
Dehydration is defined as a ______ loss of body mass.
What is 1% or greater?
How much does 1L of Fluid weigh?
What is 2.2 lbs or 1 kg?
_____, _____, _____are the 3 elements to assessing hydration and fluid balance.
What is patient assessment, body weight, and urine output?
This IV solution is the only solution that can be infused with blood products.
What is Normal Saline (NS)?
It is important to stay with a patient for the first _____minutes after starting blood products.
What is 15 minutes?
Which of the following is a cause of fluid overload?
1. Vomiting
2. Ascites
3. Sweating
4. Heart failure
What is heart failure?
This size gauge needle is preferred when transfusing blood products.
What is 18 or 20?
Your patient turns on their call light because their IV pump is beeping. When you go into the room your patient also states that their IV site is painful and swollen. This complication is called ___________.
What is infiltration?
Continuous infusion tubing changes occur every ____hrs.
Intermittent infusion tubing changes occur every ____hrs.
What is 96 hours or 4 days?
What is 24 hours or 1 day?
This blood type is considered to be the universal blood recipient.
What is AB positive?
The very young population is at greater risk for
What is fluid volume deficit?
You filled a cup that holds 400mL with ice for your patient. Your patient finished the ice, what would you record as their intake?
What is 200mL?
You have a patient who is 75 years old, has a history of CHF, and takes Furosemide. He states that he feels dizzy. You take orthostatic vital signs:
Supine BP: 110/75 ; HR: 85
Sitting BP: 105/72 ; HR: 90
Standing BP: 84/60 ; 110
Your patient is in what type of fluid imbalance?
What is an isotonic imbalance?
What is an extracellular fluid volume deficit?
Under no circumstances should this be administered by IV Push
What is KCL?
The steps for initiating a blood transfusion include:
What is:
An assessment of the patient
Verification of MD order
Verification of correct blood product for the correct patient
Your patient has liver disease and is going to get a paracentesis for their ascites. Your patient is in a fluid volume _______.
What is deficit?
Inserting a central line involves using what technique?
What is sterile technique?
Your patients' labs come back and their sodium level (Na+) is high. They are NPO because they need to have a swallow evaluation done. What IV solution would the MD order?
What is Hypotonic solutions?
(Table 42.11, pg. 1002)
Which fluid order should the nurse question for a patient with a traumatic brain injury?
1. 0.45% sodium chloride
2. 0.9% sodium chloride
3. Lactated Ringer's
4. Dextrose 5% in 0.9% sodium chloride
What is 0.45% sodium chloride?
You can restart a blood transfusion with what type of reaction?
What is a mild allergic reaction?
Which defining characteristics are consistent with fluid volume deficit?
1. A weight loss of 1 lb (0.5 kg) in 1 week, pale yellow urine
2. Engorged neck veins when upright, bradycardia
3. Dry mucous membranes, thready pulse, tachycardia
4. Bounding radial pulse, flat neck veins when supine
What is 3?
The two acid-secretion systems are_____
What are the lungs and kidneys?
You are assessing your patient who is getting a blood transfusion. Their SPO2 is 91% and you notice a new onset of crackles in the bases of their lungs. What adverse effect do you suspect?
What is transfusion-associated circulatory overload?
Which fluid therapy should initially be used to treat a patient who has been having diarrhea and vomiting for the past 3 days?
What is 0.9% ?
When a patient has a blood transfusion reaction what steps must the RN take?
(8)
1. Stop the fluids immediately.
2. Keep the IV line open by replacing the IV tubing and running 0.9%.
3. Notify the MD.
4. Remain with the patient to assess and monitor vital signs q5mins.
5. Prepare to administer emergency medications.
6. Prepare to perform CPR.
7. Save the blood bag, tubing, labels, and transfusion record for return to the blood bank.
8. Obtain blood and urine specimens as directed.