Blood Administration
Within 30 min of picking up the blood unit from the lab.
What blood product can we give to increase plasma volume?
Albumin
Signs of PIV infiltration
Edema
Pallor
Cool skin
Neutropenia teaching...
Neutropenia = neutrophils less than 1,000
Avoid crowds
Avoid fresh fruits/vegetables/live plants
Avoid anyone with an illness
Monitor for a fever - take temp daily - report if greater than 101
Hand hygiene
Ensure foods are cooked thoroughly
Meniere's Disease symptoms
Gradual hearing loss
Tinnitus
Symptoms of TACO
Shortness of breath
Crackles
Low O2
hypertension
Sign of incompatible IV push medications?
Crystallization within the syringe/tubing. Discard, DO NOT administer.
Signs of phlebitis?
Redness/Streaking
External radiation side effects
Change in skin pigmentation
Skin sloughing
Redness of the skin
Labyrinthitis symptoms
Vertigo
Ataxia
n/v
HA
What medication can be given for transfusion reaction?
diphenhydramine for pruritis
The most appropriate way to administer IV potassium?
IV INFUSION NOT A BOLUS/IV PUSH
Use separate pump/channel to infuse
PIV LPN Scope of Practice
Flush PICCs and central lines
Flush PIVs
Draw blood from PIV
Remove PIV
Monitor PIV
Insert PIV
When is the best time for a self-breast exam? (BSE)
7 days after the menstrual cycle begins.
Open-angle glaucoma symptoms
Gradual loss of peripheral vision
Narrowing of visual field
What can blood products be infused with?
Normal saline/NS/ 0.9% ONLY
What color top is the CBC?
What is included in CBC?
Lavender top
The greatest risk for central lines.
Central line infections
Maintain sterility during insertion/dressing changes.
Only access as necessary
Ensure tubing is changed per best practice
Ensure caps are always on all ports that are not in use.
Chemo and nutrition teaching
High protein, high calorie
Ex: Legumes, tofu, lean meats/fish, eggs, low-fat dairy
Timolol adverse reactions
Bradycardia
Hypotension
Although given via eye drops, this beta-blocker may have systemic effects.
What blood can a B- patient receive?
B-
O-
What color top for Pt/INR/d dimer?
Blue top
When accessing a PORT what precautions should the nurse take?
Sterile gloves, ensure everyone in the room has a mask on.
Hospice
Encourage the client to explore feelings and personal beliefs
Careful with supplements; although they are in hospice, there can still be medication interactions.
Retinal detachment repair instructions
Restrict eye and head movement
Wear a patch over the affected eye
Remain upright as much as possible to promote drainage
No pain, usually no need for comfort measures