Intravenous Therapy Overview
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Questions and Answers

What are the indications for intravenous therapy?

Used to sustain clients who are unable to take substances orally, replaces water, electrolytes, and nutrients more rapidly than oral administration, provides immediate access to the vascular system for rapid delivery of specific solutions, and provides a vascular route for the administration of medication or blood components.

Which of the following factors influence the rate of fluid administration? (Select all that apply)

  • Type of fluid (correct)
  • Size of the vein (correct)
  • Age of client (correct)
  • Client’s medical history
  • What is the average maintenance fluid rate for intravenous therapy?

    2000 to 3000 mL over 24 hours, depending on body weight and client’s condition.

    Peripheral IV infusion sites are changed every 72 to 96 hours.

    <p>True</p> Signup and view all the answers

    Which of the following solutions are classified as isotonic? (Select all that apply)

    <p>D5W</p> Signup and view all the answers

    ___ solutions contain more water and less basic electrolytes.

    <p>Hypotonic</p> Signup and view all the answers

    What is a common concern when administering fluids to children via IV?

    <p>Children are very susceptible to rapid fluid shifts; cerebral edema may occur with infusion of D5W.</p> Signup and view all the answers

    What is the purpose of using infusion pumps in IV therapy? (Select all that apply)

    <p>To deliver fluids in controlled amounts to sensitive clients</p> Signup and view all the answers

    Study Notes

    Indications of Intravenous Therapy

    • Administers fluids to clients unable to digest substances orally.
    • Replaces water, electrolytes, and nutrients faster than oral options.
    • Grants immediate vascular access for rapid delivery of solutions without gastrointestinal absorption delays.
    • Provides a vascular route for medication or blood component delivery.

    Maintenance of Intravenous Infusions

    • Fluid administration rate influenced by fluid type, client's age, and response to treatment.
    • Cardiac and renal health, vein size, and catheter gauge affect IV therapy effectiveness.
    • Average maintenance fluid rate ranges from 2000 to 3000 mL over 24 hours, dependent on body weight and condition.
    • Peripheral IV sites are typically changed every 72 to 96 hours unless complications arise.
    • Monitor infusion rate using a roller clamp or infusion pump.

    Types of IV Solutions

    • Isotonic Solutions: Expand extracellular fluid (ECF) volume; maintain hydration.

      • Examples: D5W (5% dextrose in water), 0.9% NaCl (normal saline), Lactated Ringer's solution.
      • Can dilute medications or maintain an open vein.
    • Hypotonic Solutions: Higher water content, low electrolyte concentration.

      • Example: 0.45% NaCl (half-strength normal saline).
      • Used for cellular fluid replenishment; requires close monitoring for fluid loss and hypotension.
    • Hypertonic Solutions: Contain more solutes, pull water into intravascular space.

    Pediatric Considerations

    • Children are prone to rapid fluid shifts; careful monitoring essential.
    • Use saline (0.9%) and 5% dextrose solutions to prevent fluid shifts.
    • Infuse controlled amounts with volume chambers or infusion pumps to avoid rapid infusion risks.
    • Ensure infants and children void prior to IV infusion with potassium-containing fluids.

    Complications of Peripheral IV Therapy

    • Monitor for inflammation, irritation, or fluid extravasation; address complications promptly.
    • Maintain accurate intake and output records to assess fluid balance.
    • Familiarity with insertion and discontinuation procedures is crucial for effective nursing management.

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    Description

    This quiz provides an overview of intravenous therapy, including its indications, maintenance of infusions, and types of IV solutions. It highlights the importance of fluid administration and the factors that influence IV therapy effectiveness. Test your knowledge on key concepts related to IV therapy!

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