Iv Therapy
ICF stands for_________?
intracellular fluid.
IV Therapy slide 11
What 3 things are we looking at when assessing an IV site?
Leakage, edema, redness.
IV med slide 12
What 5 groups of pts are at increased risk for shock?
Elderly, pts with chronic illness, immunosuppressed pts, malnourished pts, debilitated individuals.
Shock slide 6
What are the 5 components of metabolic syndrome? How many does it take to dx a pt with this condition?
Increased glucose, abdominal obesity, High BP, High triglycerides, decreased HDLs.
3/5 components.
Mandy Hajjar made qouestion.
What is a dexcom?
small, wearable sensor and transmitter send your glucose numbers to a smart device or receiver every 5 minutes.
DM slide 16
H2O moving though semipermeable membrane from areas of low solute concentration to high solute concentration is called_______?
Osmosis.
IV Therapy slide 12
When are volume control infusion sets typically used?
When fluid volume must be carefully monitored.
IV Meds slide 40
A pt's body can no longer regulate BP, and has lost 40% of their blood, which stage of shock are they in?
A. Progressive
B. Initial
C. Refractory (Irreversible)
D. Progressive
D. Progressive stage.
Shock slide 26
What is the "honeymoon" period? How long is it?
Newly dx pts may have a remission after starting treatment.
3-12 months
Mandy Hajjar made question.
You are passing a pt's med. The Pt's BS is 202 how many units should be given according to this sliding scale?
< 60 call for orders
60-100 = 0 units
101-150 = 2 units
151-200 = 4 units
201-250 = 6 units
251-300 = 8 units
> 300 call for orders
6 units.
DM slide 30
Abnormal accumulation of fluid where there shouldn't be any is ____ spacing.
3rd spacing
IV Therapy slide 17
What are 2 things noted about the absorption of medication when administered via IV route.
medication acts rapidly, directly into circulatory system.
IV Med slide 9
Which position is used to redistribute fluid in the body to treat shock?
Modified Trendelenburg position.
Shock slide 39
Describe four methods of Dx DM? How many do you need to dx DM?
A1C 6.5% or higher, FBG 126 mg/dL or greater, 2-hr plasma glucose of 200 mg/dL or greater.
Only 1 to dx.
Mandy Hajjar made question.
Jardiance treated DM by______.
Blocking glucose reabsorption in the kidney, and increasing urinary glucose excretion.
DM slide 19
Too much accumulation of interstitial fluid(edema) is ___ spacing?
2nd spacing.
IV Therapy slide 17
What are the 3 major things that nurses need to document in regards to IV med administration?
Records med (dose, route, time, date)
Record volume of fluid in med bag (I/O form)
Report adverse reactions
IV med slide 55
What 4 assessments is the nurse performing when presented with a pt in shock/entering shock?
ABC, Assess tissue perfusion(VS, LOC, skin, urine, pulse), Assess lung sounds, GI, HR, Rhythm, Obtain hx(events leading to shock state).
Shock slide 35
What is the Somagyi effect? How do you prevent it?
Hyperglycemia in the morning d/t high dose of insulin which lowers BS during the night. Counter Hormones are released and cause rebound hyperglycemia in the morning. Pt can report headaches and night sweats to further verify Somagyi effect.
Mandy Hajjar made question
A pt has extreme thirst, has noticed increased urination, and a splitting headache, these are all S/S of what?
Hyperglycemia.
DM slide 34
.33% NS, .45% NS, .25% NS, D5W are al examples or _______. Theyre used to treat what.
Hypotonic Solution. Dehydration.
IV Therapy slide 20
Where is the IV med administered during Intermittent infusion?
Upper port.
IV Med slide 33
What are the 4 types of IV vasoactive meds that are administered to treat shock?
Inotropic, Vasoconstrictors, Antiarrhythmics, Vasodilators.
Shock slide 45
What are the 7 components of DM management that should be HT?
disease process, drug therapy, exercise, meal planning, monitoring glucose checks, risk reduction, psychosocial elements.
Mandy Hajjar made question.
Avandia, and Actos are used limitedly because______?
Adverse cardiovascular reactions.
DM slide 18