Podcast
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
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Phlebitis Risk Factors
Phlebitis Risk Factors
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Phlebitis Symptoms (light skin)
Phlebitis Symptoms (light skin)
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Phlebitis Symptoms (dark skin)
Phlebitis Symptoms (dark skin)
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Phlebitis Grade 0
Phlebitis Grade 0
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Phlebitis Grade 1
Phlebitis Grade 1
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Phlebitis Grade 2
Phlebitis Grade 2
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Phlebitis Grade 3
Phlebitis Grade 3
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Phlebitis Grade 4
Phlebitis Grade 4
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Phlebitis
Phlebitis
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Thrombophlebitis
Thrombophlebitis
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Air embolism
Air embolism
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Infiltration
Infiltration
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Extravasation
Extravasation
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Febrile Nonhemolytic Transfusion Reaction
Febrile Nonhemolytic Transfusion Reaction
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Symptoms of Febrile Nonhemolytic Reaction
Symptoms of Febrile Nonhemolytic Reaction
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Transfusion Reaction Interventions
Transfusion Reaction Interventions
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Prevention of Febrile Nonhemolytic Reaction
Prevention of Febrile Nonhemolytic Reaction
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Iron Deficiency Anemia Treatment
Iron Deficiency Anemia Treatment
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Ferrous Sulfate Dosage (Adult)
Ferrous Sulfate Dosage (Adult)
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Elemental Iron Dosage
Elemental Iron Dosage
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Iron Function in the Body
Iron Function in the Body
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Dietary Iron Sources
Dietary Iron Sources
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Iron Supplement Timing
Iron Supplement Timing
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Folate Sources
Folate Sources
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Folate's Importance
Folate's Importance
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Anemia Definition
Anemia Definition
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Anemia Causes
Anemia Causes
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Anemia Hemoglobin Levels (Men)
Anemia Hemoglobin Levels (Men)
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Anemia Hemoglobin Levels (Women)
Anemia Hemoglobin Levels (Women)
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Sympathetic Nervous System Signs in Acute Pain
Sympathetic Nervous System Signs in Acute Pain
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Nociceptive Pain
Nociceptive Pain
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Neuropathic Pain
Neuropathic Pain
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Opioid Side Effects
Opioid Side Effects
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Opioid Abuse/Addiction Concern
Opioid Abuse/Addiction Concern
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Postoperative Pain Control
Postoperative Pain Control
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Patient-Controlled Analgesia (PCA)
Patient-Controlled Analgesia (PCA)
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Tolerance (Opioids)
Tolerance (Opioids)
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Withdrawal Syndrome (Opioids)
Withdrawal Syndrome (Opioids)
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Pain/Emotional Stress (Post-Op)
Pain/Emotional Stress (Post-Op)
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Venous Thrombosis
Venous Thrombosis
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Arterial Clot
Arterial Clot
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Embolus
Embolus
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Stroke (Embolic)
Stroke (Embolic)
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Pulmonary Embolus
Pulmonary Embolus
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Hemorrhagic Stroke
Hemorrhagic Stroke
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GI Bleeding (Internal)
GI Bleeding (Internal)
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Renal Artery Thrombosis
Renal Artery Thrombosis
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Mesenteric Artery Thrombosis
Mesenteric Artery Thrombosis
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Polycythemia
Polycythemia
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Atrial Fibrillation
Atrial Fibrillation
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Dehydration
Dehydration
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Prolonged Sitting
Prolonged Sitting
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Study Notes
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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