Strawberries
Tell me about Tylenol (Acetaminophen).
What is a non opioid analgesic/ antipyretic used for mild pain or fever. 4000mg/day for healthy adults. 3000mg for adult who drink several alcoholic beverages a day or have advanced age. Routine LFTs should be monitored for clients who take Tylenol regularly. No anti-inflammatory properties/ no blood thinning properties.
If a client is experiencing an adverse effect of IV fluids what is the first thing the nurse should do?
What is STOP fluids?
What physiological changes put older adults at a risk of dehydration?
What is decreased kidney function? Remember when people age everything shrinks and dries out!
What type of isotonic solution is used for a client with burns and why?
What is Lactated Ringers or Plasmalyte because of the electrolytes?
What is class medication is diphenhydramine/Benadryl and what is it used for?
What is a first generation antihistamine and it is used to treat minor allergic reaction symptoms like pruritus and hives?
What are manifestations of fluid overload?
What is - jugular vein distension, SOB, hypertension, edema (especially periorbital), bounding pulse, crackles in the bases?
If the nurse accidentally sticks themselves with a dirty needle what is the FIRST thing the nurse should do?
What is wash the area out with soap and water? Then report to HCP.
What do isotonic solutions do? Examples?
What is - increasing circulating blood volume- they do not enter or pull from cells- hence no cell size change "ISOPERFECT"
examples- 0.9%NS, LR, Plasmalyte
Tell me about furosemide (Lasix)?
What is-
It is loop diuretic- monitor electrolytes- especially Potassium. SBP should be > 110. Monitor weights. Monitor for signs of ototoxicity. May cause photosensitivity.
What are manifestations of phlebitis?
What is redness, warmth, hard (palpable) vein, sometimes streaking of red lines from IV insertion site?
What is electric safety for items like infusion pumps that nurses use?
What is report any frayed wiring, avoid rolling equipment over cords, use an electrical plug with 3 prongs, unplug the cord by pulling the plug not the cord, avoid plugging in next to water, do not place the cord under rugs...?
What do hypotonic solutions do? Examples?
What is- Pull fluid into cells to treat dehydration- hence the change in cell size- larger like HIPPOs.
Examples- 0.45%NS
When a blood transfusion starts how long must the nurse stay in the room and why?
What is 15 minutes from time at the hub- and because that is the timeframe when the most lethal transfusion reaction occur.
What are manifestations of an infiltration?
What is edema distal and around IV insertion site, coolness, wet IV dressings, pain?
What are manifestations of dehydration?
What is- skin tenting (over sternum not hand), dark concentrated urine, weight loss, constipation, thirst, flat jugular veins, hypotension, tachycardia, dry mucous membranes, sluggish cap refill, weak pulses .....
What do hypertonic solutions do?
Examples?
What is pull fluid from cells causing cell size change- smaller- decreases ICP?
Examples- 3%NS
PRBC have to be infused in what timeframe?
What is within 4 hours from the removal of the PRBC from the refrigerator?
If a client has an extravasation what should the nurse do?
What is-
stop the infusion, disconnect the tubing, attach an empty syringe to the catheter, aspirate any fluid from the surrounding tissue, and remove the catheter.
What should the nurse do if they suspect the client is experiencing an air embolism?
What is- stop the infusion, call for help, administer hi-flow oxygen, place the client in left sided Trendelenburg?