IV Therapy Basics

False (B)

crystalloid solutions and colloidal solutions

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

<p>Colloidal solutions (D)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>albumin, dextran, and mannitol</p> Signup and view all the answers

<p>Packed Red Blood Cells (RBCs) = Increase oxygen-carrying capacity Platelets = Aid in blood clotting Plasma = Replace clotting factors and volume Albumin = Volume expansion and protein replacement</p> Signup and view all the answers

<p>Pink (D)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Use the most distal available and appropriate vein.</p> Signup and view all the answers

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

<p>14 (B)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>It is more difficult to stabilize the IVAD in these areas</p> Signup and view all the answers

<p>16 = Gray 18 = Green 22 = Blue 24 = Yellow</p> Signup and view all the answers

<p>IBM Micromedex© (B)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>IV catheter obstruction, venous irritation</p> Signup and view all the answers

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

<p>There is no significant net movement of fluid between cells and intravascular space. (A)</p> Signup and view all the answers

<p>Tunica Intima = Outermost layer providing support and containing nerve endings Tunica Media = Innermost layer composed of endothelial cells Tunica Adventitia = Middle layer containing smooth muscles</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>purpura, ecchymoses</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>To reduce the number of needle-stick injuries and exposure to blood-borne pathogens. (C)</p> Signup and view all the answers

<p>10-15 seconds</p> Signup and view all the answers

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

<p>Positive displacement feature (B)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Healthcare worker noncompliance with infection control policies and manufacturer instructions (C)</p> Signup and view all the answers

<p>Disinfecting the needleless system surface = Preventing microorganisms from entering the bloodstream Using disinfection/alcohol caps = Providing continuous disinfectant contact Ongoing nursing education = Addressing lack of knowledge about needleless connectors Following manufacturer instructions = Ensuring proper use of the connector</p> Signup and view all the answers

<p>They should not be used for solutions with osmolarity greater than 600 mOsm/L. (A)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>The tip of a midline catheter is placed in the peripheral vasculature, while the tip of a central venous catheter is placed in the central vasculature (superior or inferior vena cava).</p> Signup and view all the answers

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

<p>Midline Catheter = Longer than peripheral catheter, but not a central catheter Central Venous Catheter = Tip terminates in the superior or inferior vena cava Peripheral Catheter = Shorter catheter for short-term IV access</p> Signup and view all the answers

<p>They have separate fluid pathways allowing for simultaneous administration of incompatible solutions. (A)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Vesicant solutions, parenteral nutrition solutions, and solutions with a pH less than 5 or greater than 9 or osmolarity greater than 600 mOsm/L.</p> Signup and view all the answers

<p>Increasing the overall volume of blood available for transfusion (B)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>hemolytic transfusion reaction</p> Signup and view all the answers

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

<p>RBCs = Carry oxygen to the body's tissues Fresh Frozen Plasma = Contains clotting factors and proteins Platelets = Help with blood clotting to stop bleeding Albumin = Maintains blood volume and pressure</p> Signup and view all the answers

<p>To assess the patient's immune response to foreign substances and prevent transfusion reactions or organ rejection (A)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>HLA testing</p> Signup and view all the answers

A method of delivering nutrients or medications directly into the bloodstream via IV.

Special fluids ordered for infusion include crystalloid and colloidal solutions.

Electrolyte solutions in water, used for rehydration and nutrient delivery.

Fluid containing larger molecules that draw fluid into the bloodstream.

Concentration measure of a solution, defined as osmoles per liter (mOsm/L).

Measure of the number of particles in a kilogram of solution (mOsm/kg).

A healthcare provider's directive specifying IV fluids and additives for a patient.

IV-administered components like RBCs, platelets, and plasma.

The degree to which two or more medications can be safely used together without causing adverse reactions.

Mistakes related to intravenous medication administration, often due to incompatibilities, with a 25% incidence rate.

Isotonic IV fluids cause no significant fluid movement into or out of cells, maintaining balance.

Veins consist of three layers: tunica intima, tunica media, and tunica adventitia, supporting vital functions.

Veins return deoxygenated blood to the heart, aided by valves that prevent backflow and skeletal muscle compression.

Older adults may face issues with infusion therapy due to skin and vein changes affecting catheter use.

Placement can be affected by changes in skin thickness and decreased pain perception in older adults.

Skin conditions in older adults resulting from fragile blood vessels, leading to bruising and discoloration.

A device inserted into a vein using a needle, then the needle is removed, leaving the catheter in place.

A feature that fills with blood when a vein is accessed, confirming the catheter is in the correct place.

Protects against accidental needle sticks once the catheter is inserted.

System of color coding to identify different gauges of catheters, such as gray for 16 gauge and yellow for 24 gauge.

A catheter gauge suitable for trauma, surgery, and rapid fluid administration.

Used for continuous or intermittent infusions and blood transfusions.

A peripheral catheter ending distal to the shoulder used for therapies lasting 1-4 weeks.

Best peripheral veins for infusion include metacarpal, cephalic, basilic, and median veins.

Not suitable for certain irritating solutions and pH extremes.

When the IVAD tip ends in the central vasculature at the superior/inferior vena cava.

Catheters with several separate fluid pathways for simultaneous infusion.

Terms for the locations of different lumens on a multi-lumen catheter.

A device used to occlude venous blood flow during venipuncture.

Process includes verifying orders, cleaning, and puncturing a vein.

Most appropriate IVAD for prolonged antibiotic therapy in osteomyelitis patients.

Multiple tests ensure the blood is safe from diseases.

Blood can be separated into RBCs, plasma, platelets, etc.

Blood type determined by antigens on RBC surface.

Determines if blood is Rh-positive or Rh-negative.

Occurs when incompatible blood types are transfused.

Proteins on white blood cells important for immune response.

Requires careful labeling and dual identification for blood samples.

Matching blood components to patient's blood before transfusion.

A method for rapid central venous access during emergencies.

Devices designed to prevent needle-stick injuries and exposure to pathogens.

A mechanism used to connect syringes and IV sets securely.

A feature in certain connectors that stops blood from returning into IV catheters.

Crucial step to prevent infections before using needleless systems.

Caps used to maintain disinfectant contact on needleless systems.

Recommended 10-15 seconds cleaning before accessing a needleless connector.

Ongoing training for nurses regarding needleless connector usage is essential.