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nurs 405a exam 2 Study Guide Solutions what is the purpose of iv therapy - ANSWER-Replace Fluid & Electrolyte, give meds and blood products does the needle stay in the patients veins when they get an iv - ANSWER-no what is osmosis - ANSWER-Water moves across membrane from lesser concentration o...

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  • October 30, 2024
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nurs 405a exam 2 Study Guide Solutions


what is the purpose of iv therapy - ANSWER✔✔-Replace Fluid & Electrolyte, give meds and blood

products


does the needle stay in the patients veins when they get an iv - ANSWER✔✔-no


what is osmosis - ANSWER✔✔-Water moves across membrane from lesser concentration of solutes to

greater concentration


What is osmolarity? - ANSWER✔✔-Concentration of solutes in fluid


what are the different types of osmolarity - ANSWER✔✔-isotonic, hypotonic, hypertonic


what does a isotonic solute concentration equal - ANSWER✔✔-the same as plasma


what does a hypotonic solute concentration equal - ANSWER✔✔-less then the plasma


what does a hypertonic solute concentration equal - ANSWER✔✔-greater then the plasma


what are the two fluids that make up total body fluid - ANSWER✔✔-intra-cellular fluid and extra-cellular

fluid




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what falls underneath the extra cellular fluid category - ANSWER✔✔-vascular and interstitial


what is an example of a isotonic solution - ANSWER✔✔-0.9% sodium chloride (normal saline) and

lactated ringers


what is an example of a hypotonic solution - ANSWER✔✔-0.45% NaCl (1/2 normal saline)


what does a hypotonic solution do - ANSWER✔✔-causes cells to swell (rehydrates the cell)


what patient should we avoid giving hypotonic solutions to - ANSWER✔✔-neuro patients


what is an example of a hypertonic solution - ANSWER✔✔-D5/0.9% Sodium Chloride (5% dextrose with

Normal Saline) or 3% sodium chloride


what is the use for a hypertonic solution (3% sodium chloride) - ANSWER✔✔-Corrects hyponatremia,


Pulls fluid into vascular space,


HIGH ALERT FLUID


what should we ensure before administering iv push medication - ANSWER✔✔-patency of catheter


true or false we should flush pre and post med administration - ANSWER✔✔-true (agency policy)


what is does rind mean for iv medications - ANSWER✔✔-Rate to administer over


Incompatibility (Y-site compatibility)

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Normal dosage


Dilution


What are the 6 rights of medication administration? - ANSWER✔✔-Right patient,


medication, dose


time, route, and documentation


what is a complication of iv therapy with when giving hypertonic and isotonic solutions - ANSWER✔✔-

fluid overload


what are some other complications of iv therapy - ANSWER✔✔-air embolism, line sepsis, infiltration,

extravasation, phlebitis, and thrombophlebitis


what is an air embolism - ANSWER✔✔-When a large air bubble blocks blood flow from the right

ventricle into the pulmonary artery.


what can cause an air embolism - ANSWER✔✔-air in the iv line


what is phlebitis - ANSWER✔✔-inflammation of a vein


What is extravasation? - ANSWER✔✔-leakage of agents into tissues around IV site.


What is thrombophlebitis? - ANSWER✔✔-Inflammation of a vein with formation of a clot


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what patients are at highest risk for fluid volume overload - ANSWER✔✔-pt receiving hypertonic

solutions


How would you assess for this complication of fluid volume overload? - ANSWER✔✔-check and listen for

Crackles, edema, effort of breathing


what would we do if the patient is going into fluid volume overload due to receiving a hypertonic

solution - ANSWER✔✔-stop the infusion, then possibly give a diuretic


how do we prevent air embolisms - ANSWER✔✔-Prime tubing,


Air detection in IV pumps, and Maintain intact ports


what are some s/s of an air embolism - ANSWER✔✔-Dyspnea, hypotension, cyanosis, change in LOC, JVD

(jugular vein distention)


what are some interventions that can be done for an air embolism - ANSWER✔✔-Immediately clamp

line, then place pt on Left side in Trendelenburg position, give o2


What is the left side Trendelenburg position? - ANSWER✔✔-head of bed is lower then the foot of the

bed


what is the goal when putting the pt in the left trendelenburg position - ANSWER✔✔-prevent the air

from getting to the Right side of the heart




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