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Questions and Answers
What occurs during infiltration of an IV catheter?
What occurs during infiltration of an IV catheter?
- The IV solution causes vein inflammation.
- The IV site becomes infected.
- The IV catheter becomes dislodged or a vein ruptures. (correct)
- The IV fluid enters the bloodstream directly.
Which of the following is a sign of phlebitis?
Which of the following is a sign of phlebitis?
- Tenderness along the course of a vein. (correct)
- Paleness of the surrounding tissue.
- Swelling of the entire limb.
- Coolness at the IV site.
What should be assessed immediately when infiltration occurs?
What should be assessed immediately when infiltration occurs?
- The duration of the IV therapy.
- The patient's history of IV use.
- The patient's level of hydration.
- The type of additives in the infiltrated fluid. (correct)
Which factor might increase the risk of developing phlebitis?
Which factor might increase the risk of developing phlebitis?
In case of extravasation, which treatment might differ according to the type of solution involved?
In case of extravasation, which treatment might differ according to the type of solution involved?
What is the most common type of transfusion reaction?
What is the most common type of transfusion reaction?
Which medication is commonly used to manage fever in transfusion reactions?
Which medication is commonly used to manage fever in transfusion reactions?
What is the primary treatment approach for a febrile nonhemolytic transfusion reaction?
What is the primary treatment approach for a febrile nonhemolytic transfusion reaction?
What is considered the adult dose of elemental iron when treating iron deficiency anemia?
What is considered the adult dose of elemental iron when treating iron deficiency anemia?
Why should aspirin be avoided in thrombocytopenic patients?
Why should aspirin be avoided in thrombocytopenic patients?
What is the mechanism of action of iron in the body?
What is the mechanism of action of iron in the body?
What should be monitored during a transfusion to identify potential reactions?
What should be monitored during a transfusion to identify potential reactions?
Which form of iron is most frequently used for oral supplementation?
Which form of iron is most frequently used for oral supplementation?
What is the importance of taking ferrous sulfate with 4 to 6 oz of water?
What is the importance of taking ferrous sulfate with 4 to 6 oz of water?
Which dietary sources are good for obtaining folate?
Which dietary sources are good for obtaining folate?
Why should a patient wait 2 hours before or after taking antacids when taking ferrous sulfate?
Why should a patient wait 2 hours before or after taking antacids when taking ferrous sulfate?
What is the best time to take ferrous sulfate for optimal absorption?
What is the best time to take ferrous sulfate for optimal absorption?
What is megaloblastic anemia primarily caused by?
What is megaloblastic anemia primarily caused by?
Which of the following is a symptom of anemia?
Which of the following is a symptom of anemia?
Which food group is considered beneficial for increasing iron intake?
Which food group is considered beneficial for increasing iron intake?
In men, what hemoglobin level indicates anemia?
In men, what hemoglobin level indicates anemia?
What condition commonly results from atrial fibrillation?
What condition commonly results from atrial fibrillation?
Which symptom is indicative of venous thrombosis?
Which symptom is indicative of venous thrombosis?
Which of the following is a common cause of excessive production of red blood cells?
Which of the following is a common cause of excessive production of red blood cells?
What complication can arise from a mesenteric artery thrombosis?
What complication can arise from a mesenteric artery thrombosis?
Which of the following is a recommended activity for patients at risk of increased clotting?
Which of the following is a recommended activity for patients at risk of increased clotting?
Which type of bleeding may occur as a result of impaired clotting ability?
Which type of bleeding may occur as a result of impaired clotting ability?
Which sign indicates the presence of purpuric lesions?
Which sign indicates the presence of purpuric lesions?
What should patients with decreased clotting ability do in case of unusual bleeding?
What should patients with decreased clotting ability do in case of unusual bleeding?
What indicates a phlebitis grade of 2 on the Phlebitis Scale?
What indicates a phlebitis grade of 2 on the Phlebitis Scale?
What is a dangerous consequence of phlebitis?
What is a dangerous consequence of phlebitis?
Which observation would indicate a phlebitis grade of 4?
Which observation would indicate a phlebitis grade of 4?
What complication is associated with bleeding at the venipuncture site?
What complication is associated with bleeding at the venipuncture site?
What is identified as a common cause of local infection during IV catheter insertion?
What is identified as a common cause of local infection during IV catheter insertion?
Infiltration occurs when IV fluid enters which area?
Infiltration occurs when IV fluid enters which area?
Which phlebitis grade indicates the absence of any symptoms?
Which phlebitis grade indicates the absence of any symptoms?
What is the primary reason to recognize and treat local infections early?
What is the primary reason to recognize and treat local infections early?
Which of the following is NOT a sympathetic nervous system sign associated with acute pain?
Which of the following is NOT a sympathetic nervous system sign associated with acute pain?
What is the primary difference between nociceptive pain and neuropathic pain?
What is the primary difference between nociceptive pain and neuropathic pain?
Which of the following is a common side effect of opioid administration?
Which of the following is a common side effect of opioid administration?
What kind of risks are associated with opioid use during pregnancy?
What kind of risks are associated with opioid use during pregnancy?
What condition may arise from the rapid cessation of opioid medication?
What condition may arise from the rapid cessation of opioid medication?
Which side effect is specifically related to long-term opioid use?
Which side effect is specifically related to long-term opioid use?
What is a key factor in providing effective pain control for postoperative patients?
What is a key factor in providing effective pain control for postoperative patients?
Which symptom is commonly linked to opioid side effects affecting the central nervous system?
Which symptom is commonly linked to opioid side effects affecting the central nervous system?
Flashcards
Infiltration
Infiltration
IV fluid leaking into surrounding tissue, often due to a dislodged or ruptured vein.
Extravasation
Extravasation
Infiltration with damaging additives causing tissue damage.
Infiltration Signs
Infiltration Signs
Coolness, paleness, and swelling at the IV site.
Phlebitis
Phlebitis
Inflammation of a vein, often due to IV fluids or medications.
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Phlebitis Risk Factors
Phlebitis Risk Factors
Acidic/hypertonic solutions, rapid IV rate, certain IV drugs, poor catheter placement, or poor hygiene.
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Phlebitis Symptoms (light skin)
Phlebitis Symptoms (light skin)
Heat, redness, tenderness along the vein.
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Phlebitis Symptoms (dark skin)
Phlebitis Symptoms (dark skin)
Careful assessment for subtle color changes at the IV site, as redness may not be visible.
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Phlebitis Grade 0
Phlebitis Grade 0
No symptoms of phlebitis at the IV site.
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Phlebitis Grade 1
Phlebitis Grade 1
Erythema (redness) at the IV site, possibly with mild pain.
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Phlebitis Grade 2
Phlebitis Grade 2
Pain at the IV site, along with redness and swelling (edema).
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Phlebitis Grade 3
Phlebitis Grade 3
Pain along the IV track, induration (hardening), and redness.
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Phlebitis Grade 4
Phlebitis Grade 4
Advanced phlebitis, with significant pain, redness, hardness, a cord-like vein, and possibly pus.
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Phlebitis
Phlebitis
Inflammation of a vein.
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Thrombophlebitis
Thrombophlebitis
Phlebitis with blood clots.
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Air embolism
Air embolism
Air entering a patient's vein.
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Infiltration
Infiltration
IV fluid leaking into surrounding tissue.
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Extravasation
Extravasation
Leakage of IV medication into the surrounding tissues.
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Febrile Nonhemolytic Transfusion Reaction
Febrile Nonhemolytic Transfusion Reaction
A common blood transfusion reaction caused by a reaction between white blood cell antigens and antibodies, triggering an inflammatory response.
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Symptoms of Febrile Nonhemolytic Reaction
Symptoms of Febrile Nonhemolytic Reaction
Symptoms can include fever, chills, nausea, headache, and anxiety, often appearing acutely and immediately.
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Transfusion Reaction Interventions
Transfusion Reaction Interventions
Stop the transfusion, change the administration set, maintain IV access, initiate a transfusion reaction protocol, and administer antipyretics as needed.
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Prevention of Febrile Nonhemolytic Reaction
Prevention of Febrile Nonhemolytic Reaction
Premedicate with antipyretics if there's a prior history of reactions, and utilize leukocyte-reduced blood products.
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Iron Deficiency Anemia Treatment
Iron Deficiency Anemia Treatment
Ferrous sulfate, a ferrous iron salt, is the most common treatment used for iron deficiency anemia.
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Ferrous Sulfate Dosage (Adult)
Ferrous Sulfate Dosage (Adult)
Typically 300 mg, two to three times daily, though common commercial products are 324 mg, and interchangeable. Dosage will vary on elemental iron content.
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Elemental Iron Dosage
Elemental Iron Dosage
The recommended adult dose of elemental iron is 50 to 100 mg, two to three times daily.
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Iron Function in the Body
Iron Function in the Body
Iron carries oxygen in hemoglobin and myoglobin, and is necessary for energy transfer.
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Dietary Iron Sources
Dietary Iron Sources
Meats, dark leafy greens, and fortified grains are good sources of dietary iron.
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Iron Supplement Timing
Iron Supplement Timing
Take ferrous sulfate with plenty of water (4-6 oz) on an empty stomach, if possible; wait 2 hours before or after taking antacids.
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Folate Sources
Folate Sources
Leafy greens, citrus fruits, beans, nuts, seeds, whole grains, and organ meats are good sources of folate.
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Folate's Importance
Folate's Importance
Crucial for preventing neural tube defects in pregnancy.
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Anemia Definition
Anemia Definition
A reduction in red blood cells, hemoglobin, or hematocrit.
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Anemia Causes
Anemia Causes
Dietary problems, genetic disorders, bone marrow disease, or excessive bleeding can cause anemia.
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Anemia Hemoglobin Levels (Men)
Anemia Hemoglobin Levels (Men)
Lower than 14 g/dL (8.7 mmol/L) indicates anemia.
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Anemia Hemoglobin Levels (Women)
Anemia Hemoglobin Levels (Women)
Lower than 12 g/dL (7.4 mmol/L) indicates anemia.
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Sympathetic Nervous System Signs in Acute Pain
Sympathetic Nervous System Signs in Acute Pain
Physical responses to acute pain, including nausea/vomiting, sweating (diaphoresis), increased blood pressure, respiratory rate, pulse, and pupil dilation.
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Nociceptive Pain
Nociceptive Pain
Pain resulting from damage or inflammation to skin or organs.
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Neuropathic Pain
Neuropathic Pain
Pain caused by nervous system issues, potentially without tissue damage.
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Opioid Side Effects
Opioid Side Effects
Unwanted effects of opioid medications, including constipation, nausea, sedation, respiratory depression, and potential for abuse/addiction, memory & thought changes.
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Opioid Abuse/Addiction Concern
Opioid Abuse/Addiction Concern
Risk of dependency and misuse associated with opioid use, especially for chronic pain.
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Postoperative Pain Control
Postoperative Pain Control
Managing pain after surgery, often through patient-controlled analgesia (PCA) and preemptive measures.
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Patient-Controlled Analgesia (PCA)
Patient-Controlled Analgesia (PCA)
Pain management technique where patients self-administer medication through a machine.
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Tolerance (Opioids)
Tolerance (Opioids)
The body's increased need for higher doses of opioids to achieve the same pain relief effect.
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Withdrawal Syndrome (Opioids)
Withdrawal Syndrome (Opioids)
Set of symptoms (e.g., rhinitis, chills, diarrhea,) experienced when opioid use is stopped or drastically reduced.
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Pain/Emotional Stress (Post-Op)
Pain/Emotional Stress (Post-Op)
Primary sources of discomfort in post-operative patients requiring preemptive/prevention strategies.
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Venous Thrombosis
Venous Thrombosis
Formation of a clot in a vein, often in the leg.
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Arterial Clot
Arterial Clot
Blood clot formation in an artery.
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Embolus
Embolus
Dislodged clot that travels through the bloodstream.
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Stroke (Embolic)
Stroke (Embolic)
Embolus travels to the brain, causing a stroke
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Pulmonary Embolus
Pulmonary Embolus
Occurrence when an embolus reaches the lungs.
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Hemorrhagic Stroke
Hemorrhagic Stroke
Internal bleeding in the brain causes this type of stroke.
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GI Bleeding (Internal)
GI Bleeding (Internal)
Bleeding occurring inside the gastrointestinal tract.
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Renal Artery Thrombosis
Renal Artery Thrombosis
Clot in the renal artery, causing kidney damage.
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Mesenteric Artery Thrombosis
Mesenteric Artery Thrombosis
Clot in mesenteric artery, leading to bowel issues.
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Polycythemia
Polycythemia
Excess red blood cell production, increasing clot risk.
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Atrial Fibrillation
Atrial Fibrillation
Irregular heartbeat, leading to blood pooling and potential clots.
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Dehydration
Dehydration
Insufficient fluid intake, increasing risk for clots.
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Prolonged Sitting
Prolonged Sitting
Extended periods of sitting, increasing clot risk.
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Metabolic Acidosis
- Occurs from an increase of metabolic acid or decrease of base (bicarbonate).
- Kidneys unable to excrete enough metabolic acids, which accumulate in blood or bicarbonate is removed from body.
- Blood HCO3− decreases, and pH falls.
- Conditions that cause removal of HCO3− also lead to decrease in blood HCO3−.
- Characterized by pH level less than 7.35 and bicarbonate (HCO3−) level less than 22 mEq/L.
- Lung compensation involves increasing rate/depth of ventilation (Kussmaul respiration) to remove excess carbon dioxide.
Underlying Causes of Metabolic Acidosis
-
Starvation ketoacidosis (inadequate caloric intake, prolonged fasting)
- What happens: absence of glucose, body uses fat stores for energy, keto-acids accumulate in blood
-
Diabetic ketoacidosis (Type I diabetes mellitus)
- What happens: glucose not transported into cells due to lack of insulin, body uses fat for energy, keto-acids accumulate in blood
-
Lactic acidosis (sepsis, cardiac arrest, trauma, seizures)
- What happens: lack of oxygen in cells, leads to anaerobic metabolism and lactic acid accumulation
-
Renal tubular acidosis (renal failure)
- What happens: kidneys unable to remove acids via urine acidification
-
Hyperchloremic acidosis (diarrhea, laxative abuse)
- What happens: gastrointestinal loss of bicarbonate (HCO3−)
Signs and Symptoms of Metabolic Acidosis
- Decreases level of consciousness (lethargy, confusion, coma)
- Increased respiratory rate and depth (compensatory hyperventilation)
- Abdominal pain
- Dysrhythmias (irregular heartbeats)
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