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IV Therapy and Medication Administration
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IV Therapy and Medication Administration

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Questions and Answers

What is the first rule of medicine that should be kept in mind during treatment?

  • Maximize the use of advanced technologies.
  • Prioritize patient comfort at all times.
  • Do no harm. (correct)
  • Always consult with specialists before treatment.
  • What technique is essential for administering medications through IV therapy?

  • Consultation with pharmacy staff.
  • Digital tracking of dosages.
  • Proficiency in IV therapy and technique. (correct)
  • Overnight monitoring of patients.
  • Which of the following is NOT included in the rights of medication administration?

  • Right environment (correct)
  • Right time
  • Right dosage
  • Right patient
  • What is a primary consideration before administering a specific medication?

    <p>Assessment of the patient's condition.</p> Signup and view all the answers

    Which method of medication administration is considered more invasive?

    <p>Intravenous therapy</p> Signup and view all the answers

    Which of the following is NOT a consideration in IV medication administration?

    <p>Right color</p> Signup and view all the answers

    What is the primary function of agonists in pharmacology?

    <p>To bind to receptors and cause a response</p> Signup and view all the answers

    Which medication is commonly used for managing blood pressure and rhythm disturbances?

    <p>Beta Blocker</p> Signup and view all the answers

    What is an important consideration when administering potentially unfamiliar medications?

    <p>Use current, reliable medication reference source</p> Signup and view all the answers

    What does the use of naloxone primarily address?

    <p>It reverses opioid overdoses</p> Signup and view all the answers

    Which route of administration is commonly associated with nitroglycerin?

    <p>Oral tablets and paste</p> Signup and view all the answers

    What is an antagonist used for in pharmacology?

    <p>To counteract the action of another substance</p> Signup and view all the answers

    What rights are included in patient education regarding medication?

    <p>Right to refuse medication</p> Signup and view all the answers

    When evaluating an individual's response to medication, which aspect is crucial?

    <p>Assessing effectiveness and safety of the medication</p> Signup and view all the answers

    What is the primary purpose of a hypotonic solution in prehospital care?

    <p>To hydrate the cells without affecting vascular volume</p> Signup and view all the answers

    When is isotonic solution like 0.9% Normal Saline particularly indicated?

    <p>In managing diabetic ketoacidosis</p> Signup and view all the answers

    What is a significant risk associated with IV fluid administration?

    <p>Fluid overload that may lead to edema</p> Signup and view all the answers

    How does a hypotonic solution affect intracellular compartments?

    <p>It shifts fluid into these compartments</p> Signup and view all the answers

    Which statement correctly describes isotonic solutions?

    <p>They expand the intravascular compartment without fluid shifts elsewhere.</p> Signup and view all the answers

    What management goal is primarily associated with the use of isotonic solutions in dialysis patients?

    <p>To counteract dehydration caused by diuretics.</p> Signup and view all the answers

    Which condition may warrant careful use of isotonic solutions following fluid loss?

    <p>Diabetic ketoacidosis with high serum glucose</p> Signup and view all the answers

    What does careful monitoring during IV administration primarily aim to prevent?

    <p>Fluid overload leading to circulatory complications.</p> Signup and view all the answers

    What is the primary function of drugs in the body?

    <p>To modify existing functions of tissues and organs</p> Signup and view all the answers

    Which of the following is NOT a component to understand when administering a medication?

    <p>Cost of medication</p> Signup and view all the answers

    When considering IV crystalloids, which type is known to increase extracellular fluid volume?

    <p>Hypertonic solutions</p> Signup and view all the answers

    What should be done to ensure accurate handling of physician's orders?

    <p>Repeat the orders verbatim for verification</p> Signup and view all the answers

    Which type of fluid solution is primarily designed to provide maintenance of hydration without altering osmotic pressure significantly?

    <p>Isotonic saline solutions</p> Signup and view all the answers

    What is the incorrect action when inquiring about a medication allergy?

    <p>Assume the patient is not allergic</p> Signup and view all the answers

    Which type of medication is used to suppress the immune system?

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

    What might be a common misconception about isotonic solutions?

    <p>They increase intracellular fluid</p> Signup and view all the answers

    What is a characteristic of isotonic solutions?

    <p>They have a concentration equal to that of blood plasma.</p> Signup and view all the answers

    What is the primary use of Lactated Ringer solution?

    <p>For patients who have lost large amounts of blood.</p> Signup and view all the answers

    What is a potential danger of using hypertonic solutions like 3.0% saline?

    <p>They can cause a sudden fluid shift from cells.</p> Signup and view all the answers

    What is the defining function of osmosis in the capillary beds?

    <p>It moves water across the capillary membranes.</p> Signup and view all the answers

    In what scenario would D5W be considered an isotonic solution?

    <p>When it is stored in a bag.</p> Signup and view all the answers

    What type of transport does NOT rely on active energy expenditure?

    <p>Facilitated diffusion.</p> Signup and view all the answers

    What occurs as a result of high hydrostatic pressure in capillaries?

    <p>Fluid filtration out of the capillaries.</p> Signup and view all the answers

    What is a common misconception about isotonic IV solutions?

    <p>They can cause dehydration.</p> Signup and view all the answers

    Study Notes

    IV Therapy and Medication Administration

    • First rule of medicine: "First, do no harm."
    • Intravenous (IV) therapy is critical but invasive; proficiency is essential for advanced life support.
    • Administer only beneficial medications after thorough patient assessment.

    Key Medications Administered via IV

    • Oxygen, Oral glucose, Glucagon, IV dextrose (D50, D25, D10), Intravenous fluids (D5W, normal saline, lactated Ringer solution).
    • Additional medications: Epinephrine (IM/subcutaneous), MDI medications (albuterol), Nebulized medications (albuterol), Nitroglycerin (various forms), Naloxone, Aspirin.

    Medication Administration Rights

    • Follow the "rights" of medication administration: right patient, medication, dose, route, time, education, and documentation.
    • Right to refuse and evaluation response are essential in patient care.

    IV Solution Types

    • Hypotonic Solutions: Lower concentration of sodium than cells; hydrate cells, deplete the vascular compartment.
    • Isotonic Solutions: Nearly the same osmolarity as body fluids; used for patients with significant blood loss or hyperglycemic conditions.
    • Hypertonic Solutions: Higher osmolarity; must be used cautiously as they can cause sudden fluid shifts.

    Osmotic and Tonicity Considerations

    • Tonicity influences fluid movement: isotonic (0.9% saline), hypotonic (D5W), hypertonic (3.0% saline).
    • Active transport and osmosis are critical in fluid and electrolyte management, affecting drug movement through the body.

    Understanding Pharmacology

    • Familiarize with drug properties: onset of action, duration of action, and patient allergies.
    • Use a current and reliable medication reference source for unfamiliar medications.

    Physiological Considerations

    • Perfusion occurs in capillaries due to hydrostatic pressures and osmosis; essential for transporting glucose and oxygen to tissues.
    • A careful monitoring process is vital to prevent complications when using IV therapies.

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    Description

    This quiz focuses on the crucial aspects of IV therapy and medication administration, highlighting the importance of avoiding harm and ensuring patient safety. It covers key medications used in IV therapy, the rights of medication administration, and the types of IV solutions. Mastering this knowledge is essential for providing effective advanced life support.

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