IVF
How long do you swab IV port?
15 sec
what are the 4 areas of self esteem
significance, competence, virtue, power
What is indicated by pale or blanched skin at IV site
infiltration
D5W IV at 125 mL/hr, drop factor 10 gtt/mL
21 gtt/min
What do you round to on an Alaris pump? What do you round to on gravity pump?
tenths. Whole number
A client had a 1000 mL bag of 5% dextrose in 0.9% sodium chloride hung at 3pm. The nurse making rounds at 3:45 pm finds that the client is complaining of a pounding headache and is dyspneic, is experiencing chills, and is apprehensive, with an increased pulse rate. The IV bag has 400 mL remaining. The nurse should take which action first?
1. Call the physician
2. Slow the IV infusion
3. Sit the client up in bed
4. Remove the IV catheter
2. These are sxs of speed shock
Draw Maslow's hierarchy of needs (5 inside), (3 outside)
self actualization - self fulfillment
self esteem, love and belonging-psychological needs
Physiologic needs, safety - basic needs
A patient has an order for furosemide 80mg/8mL
IVP over 5 minutes. How many mL will the nurse
give every 30 seconds?
0.8mL
During IVPB, what do you program first? Primary or secondary bag?
Primary
What are the units for an IV gravity system? What must you know before doing the math?
gtt/min or drops per minute
get/mL or drops per mL
name the three alarms on an IV pump
Pt side occluded, fluid side occluded, air in line
Lay out Erikson's psychosocial development stages
1. Trust vs. Mistrust (Birth to 1 year)
2. Autonomy vs. Shame & Doubt (1-3 years)
3. Initiative vs. Guilt (3-6years)
4. Industry vs. Inferiority (6-12 years)
5. Identity vs. Role Confusion (12-20 years)
6. Intimacy vs. Isolation (Mid 20's-Mid 40's)
7. Generativity vs. Self-Absorption (Mid 40's-Mid 60's)
8. Ego Integrity vs. Despair (Late 60's to Death)
What must you do before pushing a known vesicant
Aspirate for blood - need blood return
Name 4 things to check on an IV bag when retrieving it from the Pyxis
Expiration, damage to bag, cloudy solution, correct volume, correct solution
A nurse is assigned to care for a client with a peripheral IV infusion. The nurse is providing hygiene care to the client and would avoid which of the following while changing the client's hospital gown?
1. Using a hospital gown with snaps at the sleeves
2. Disconnecting the IV tubing from the catheter in the vein
3. Checking the IV flow rate immediately after changing the hospital gown
4. Putting the bag and tubing thru the sleeve, followed by the client's arm
2
How often must you flush? With how many mL?
8 hours, no set amount
4 components of self concept
body image, self esteem, role performance, personal identity
Name 5 complications of IV access
thrombus, infiltration, extravasation, phlebitis, infection
How long is the secondary IV tubing good for?
96 hours
name 5 signs of the fight or flight response (anxiety)
1. Increased mental activity
2. Dilated pupils
3. Bronchiolar dilation
4. Increased heart rate
5. Increased cardiac output
6. Increased arterial blood pressure
7. Increased respiratory rate
8. Increased blood flow to skeletal muscles
9. Increased glucose
10. Increased fatty acids
Put in order:
1. Prime tubing
2. check order
3. Use MAR - obtain bag from Pyxis
4. Document on MAR
5. Attach primed tubing to saline lock
6. Attach label to tubing
7. turn on pump and program it
8. Use site closest to patient, assess site, clean port, aspirate, and flush
9. label fluid bag
2, 3, 1, 8, 5, 7, 9, 6, 4
Name 4 physical causes of stress
--Aging process
--Chronic illness
--Trauma or injury
--Pain
--Sleep deprivation
--Mental disorder
What gauges are approved for PIV in adults?
20-24
put in order:
1. Administer 2ndary IVF
2. Label 2ndary tubing
3. check provider order
4. Use MAR - obtain bag from Pyxis
5. Label IVPG bag
6. Document on MAR
7. Spike IVPB and prime tubing
8. Program pump
9. Clean port 15 sec, Attach to fluid side port
3, 4, 7, 9, 8, 1, 5, 2, 6
Name 3 SxS of air embolism in IV and 3 interventions
1. Dyspnea, change in LOC, tachycardia, hypotensive, cyanosis
2. Secure IV system to prevent air entry, place pt in L side down Trendelenburg, call for immediate assistance, monitor vitals and spo2