What are disadvantages of IV medication therapy? - ANSWER--Circulatory fluid overload is possible if the infusion is large or too rapid
-Immediate absorption leaves little time to correct errors
-Infiltration
-IVF administration can irate the lining of the vein
-Failure to maintain surgical ase...
What are disadvantages of IV medication therapy? - ANSWER--Circulatory fluid overload is possible if
the infusion is large or too rapid
-Immediate absorption leaves little time to correct errors
-Infiltration
-IVF administration can irate the lining of the vein
-Failure to maintain surgical asepsis can lead to local or systemic infection
Advantages of IV medication therapy - ANSWER-▪ Immediate action
▪ Precise Amount
▪ Constant therapeutic blood levels
▪ Allows use larger volume of fluid for meds
▪ Allow use of irritating meds (ex. Chemo)
1 mg = ? mcg - ANSWER-1,000 mcg
1 oz = ? mL - ANSWER-30 mL
1 tsp = ? mL - ANSWER-5 mL
1 kg = ? lbs - ANSWER-2.2 lbs
Complications of IV Fluid Therapy - ANSWER-o Infiltration
o Extravasation
Normal value of sodium - ANSWER-136-145
Normal value of chloride - ANSWER-98-106
Normal value of Bicarbonate - ANSWER-22-38
,Normal value of Calcium - ANSWER-9 - 10.5
Normal value of Potassium - ANSWER-3.5 - 5
Normal value of Phosphorus - ANSWER-3 - 4.5
Normal value of Magnesium - ANSWER-1.8 - 2.6
Manifestations of FVE - ANSWER-Cardiovascular Changes
● ↑ pulse (bounding pulse)
● Elevated BP
● Distended neck veins
● Elevated central venous pressure
● Weight gain
Respiratory Changes
● ↑ RR
● Shallow respirations
● Shortness of breath
● Moist crackles present on auscultation
Skin and Mucous Membrane Changes
● Pitting Edema
● Skin pale and cool
Neuromuscular Changes
● AMS
● Headache
Kidney
● Low specific gravity
● Decreased BUN level (indicates artificial dilution)
Manifestations of FVD in INFANTS? - ANSWER-Dehydration
, ▪ Dry mouth + Tongue
▪ Lack of tears when crying
▪
Interventions for FVD - stable and unstable patient - ANSWER-o Push fluids and manage symptoms
o IVF for those who are moderate to severe deficit or those who cannot take anything orally
o ***Nursing management:
▪ Assess Vital Signs and make it normal again
▪ Admit those who are in severe condition into ICU and monitor fluid
Na+ regulates - ANSWER--Renal reabsorption or excretion
-Aldosterone increases Na+ reabsorption in collecting duct of nephrons
Na+ function - ANSWER--regulates ECF volume/distribution
-Maintains blood volume
-transmits nerve impulses and contracting muscles
K+ regulates - ANSWER--renal excretion and conservation
-aldosterone increases K+ excretion
-movement into and out of cells
-insulin helps move K+ into cells; tissue damage and acidosis shift K+ out of cells and INTO ECF
K+ function - ANSWER--Maintains ICF osmolality
-transmits nerve and other electrical impulses
-regulates cardiac impulse transmission and muscle contraction
-skeletal and smooth muscle function
-regulates acid-base balance
Ca2+ regulation - ANSWER--redistribution between bones and ECF
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