Hondros 172 College of Nursing
How often do you monitor the IV site if a vesicant is infusing - Q 1-2 hours
A 20 G needle is _______ in diameter than an 18 G - smaller
A blue catheter is what size - 22 G
A gray catheter is what size - 16g
A green catheter is what size - 18G
A nurse may only attempt an IV how many times - Twice
A Pink catheter is what size - 20G
Actions for LPN when there is a complication with PCA - Stop PCA, Assess breathing, assist with
breathing & O2 & ambu bag, Notify RN & MD, Admin Narcan only IM for LPN
After 2 nurses stick twice each, what should be done - Notify doctor and should order a PICC or
other CVAD
Dextrose - Is irritating to veins, It is a vesicant, It is glucose, Reduces catabolism of fat ( ketosis),
Reduces catabolism of protein, Must check compatability
Dilaudid side effects - respiratory depression, dizziness, drowsiness, hypotension, N/V
FVE: Hypervolemia s/s - Hypertension, tachycardia, weight gain, crackles, cough, dyspnea, JVD
, Gtt/min - use the drop factor
Hematocrit lab value male and female - Male: 42-52% Female: 37-47%
Hemoglobin (Hgb) lab value - 12-18
How does an elastomeric pump work - It is a balloon filled with medication that administers
medication with positive pressure
How oft A 16G needle is _____ than an 18 G - Bigger
en do you monitor the IV site if a non-vesicant is infusing - Q 2-4 hours
Hypertonic Solutions ( Shrink cells) - Increase BP: D5NS, D5LR, D5 & 1/2NS,TPN, Abumin 25%
Hypotonic Solutions ( Swell cell) - Decrease BP: 1/2 NS , 1/3 NS, 1/4 NS, D2.5W Not for IICP
patients
Hypovolemia ( FVD) S/S - Tachycardia, hypotension, tenting of skin, narrow pulse pressure, weight
loss, flat neck veins when supine, hemoglobin and hematocrit increased, increased urine specific gravity,
urine output is less than 30ml/hr
Interventions for Pulmonary Edema - O2 with nasal cannula, IM lasix, Fluid restriction
Isotonic Solutions - Increase BP: NS, LR, D5W, D5 & 1/4NS, Albumin 5%
Lactated Ringers - Preferred use for burns. Not for liver patientsWhy should you use a bp cuff on
an elderly patient - To prevent skin tears
Many PCA pumps now have what built in - Pulse-oximeter