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lpn
iv therapy final
116
Nursing
Graduate
08/25/2010

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Cards

Term
the plasma sodium concentration levels
Definition
135-145
Term
Serum potassium levels
Definition
3.5-5.5
Term
one way to to lower k+ level in a pt with hyperkalemia is
Definition
sodium bicarb insulin calcium gluconate
Term
normal hpo4 level
Definition
3.0-4.5
Term
chemical buffer system that maintain homeostasis
Definition
hemoglobin plasma protein bicarbonate
Term
pt is in metabolic acidosis the nurse must correct ---------- levels before giving NaHCO3
Definition
Potassium
Term
your pt CL level is low this in return can cause
Definition
Increase in HCO3
Term
the regulation of --------------is the key component of acid base balance
Definition
hydrogen
Term
mag level is norm
Definition
1.5-2.5
Term
high parathyroid hormone causes
Definition
calcium to be pulled from bone and phospate enters the bone
Term
Anti-diuretic hormone causes the kidneys to
Definition
reabsorb water
Term
the passage of a substance across a cell membrane by energy consuming process that permits diffusion to take place is
Definition
active transport
Term
fluid in the body have several important functions which inculde
Definition
diffusion osmosis Filtration
Term
the hormone nicknamed water conserving hormone
Definition
ADH
Term
these solutions do not dissolve and do not flow freely between fluid compartments
Definition
colloids
Term
key elements of parenteral solutions include
Definition
glucose water amino acids
Term
epidemiology
Definition
study of things that happen to people
Term
when washing hands
Definition
before touching pt wrist down to finger tips rub for 10-15 sec
Term
gloves,gown,goggles are examples of
Definition
ppe
Term
the reason that the equipment in a vre pts room stay in is cause
Definition
prevent exposure to and transmission of infectious organisms based on the type of contact expected
Term
according to cdc the iv cannula device for peripheral ivs should be changed how often
Definition
72-96 hours
Term
blood serves as a reservoir for what pathogens
Definition
hiv hbv hcv
Term
first line mechanism of defense include
Definition
complement cascade
Term
the presence of a microorganism in or on a host without the host experiencing signs or symptoms of infection is the definition of what
Definition
colonization
Term
a LPN may initiate peripheral iv infusions containing
Definition
0.45 sodium chloride lactated ringers calcium gluconate in normal saline
Term
this ultimately regulates the practice of nursing in Ohio
Definition
Ohio revised code section 4723
Term
Lpn can initiate antibiotics in peripheral vein between digits and anticubital region but no
Definition
no central veins no packed red blood cells
Term
failing to obtain consent before starting an iv is a example of
Definition
battery
Term
People with blood type A are more likely to develop
Definition
stomach cancer
Term
another name for HLA typing
Definition
tissue typing
Term
testing is done between recipients ----- and donors ------ to ensure compatibility
Definition
recipients plasma and donors rbc
Term
phosphate is added to blood to preserve blood as a buffer for
Definition
low ph
Term
the purpose of acute normovolemic hemodilution is to decrease the loss of----- during surgery
Definition
erythrocytes
Term
rbc are used to improve the oxygen carrying capacity in pt with
Definition
symptomatic anemia
Term
platelets live up to --- days
Definition
12
Term
platelets are infused in infants at a rate of
Definition
1ml/min
Term
picc line can be left in for up t
Definition
Term
the vena cava is referred to as the
Definition
great vein
Term
central catheters should never be placed in the
Definition
right atrium
Term
what was the first catheter material made from
Definition
polyvinyl chloride
Term
CRBSI stands for what
Definition
catheter related bloodstream infections
Term
most commonly used catheter material
Definition
polyeurathane
Term
first catheter for accessing central circulation was introduced in
Definition
1961
Term
per cutaneous catheters can be left in place for how many days
Definition
7
Term
most common site for per cutaneous catheter is
Definition
subclavian vein
Term
most difficult part of picc insert
Definition
threading
Term
most difficult part of picc insert
Definition
threading
Term
this method iS used for flushing a catheter
Definition
push pull
Term
t/f a qualified lpn may assemble and maintain a pt controlled analgesia device
Definition
false
Term
t/f a lpn may aspirate any iv line to maintain patency
Definition
false
Term
can a lpn preform reconstitution on all piggybacks
Definition
no
Term
can a lpn discontinue a iv on a peripherally inserted central catheter
Definition
no
Term
t/f a lpn may change tubing on a central line
Definition
flase
Term
can a lpn discontinue a iv on a peripherally inserted central catheter
Definition
no
Term
can a lpn change tubing on a central ine
Definition
no
Term
when dealing with mrsa you wear what
Definition
gown and gloves
Term
a cancer pt is considered to have a ---- immune system
Definition
compromised
Term
moment of organism from one host to another is
Definition
contact spread airborne dissemination
Term
which is not considered a central line picc port peripheral iv in hand tunneled catheter
Definition
peripheral iv in hand
Term
what med is incompatible with pvc tubes
Definition
nitro
Term
cns depression drowsiness lethargy
Definition
hyper-magnesia
Term
hyperirribability ,tremors,increase tendon reflexes
Definition
hypomagnesium
Term
ECG with flat or inverted T wave depressed St segment
Definition
hypokalemia
Term
carpopedal spasms,laryngeal spasms
Definition
hyocalcimia
Term
fatigue HA apprehension serum na 115
Definition
hyponatremia
Term
15 steps
Definition
her we go !!!!!
Term
order
Definition
wash hands
Term
prep equipment
Definition
assess/prep site
Term
SELECT/DILATE SITE
Definition
CHOOSE A NEEDLE
Term
PUT GLOVES ON
Definition
PREP SITE
Term
ENTER VEIN
Definition
STABLIZE CATHER... AND APPLY DRESSING
Term
LABEL
Definition
DISPOSE OF EQUIP.
Term
EDUCATE PT
Definition
CALCULATE RATE
Term

 

*DOCUMENT *

all done with your 15 steps

Definition
on to more note cards
Term
liable
Definition
legally responsible for damages ,answerable
Term
malpractice
Definition
negligent conduct of professional person
Term
JACHO
Definition
competency standards
Term
definition of standards of practice
Definition
activities and behaviors needed to achieve pt outcomes
Term
medical device related deaths are reported to ?
Definition
FDA
Term
private wrong doing by act or omission that can result in a civil action by the harmed person
Definition
tort
Term
movement of a microorganism from an indv. into immediate environment or movement from a confined site to the blood stream to other parts of the body
Definition
Dissemination
Term
complement system consist of 17 different
Definition
proteins
Term
cation
Definition
positive charged electrolyte
Term
a substance that forms a true solution and is capable of passing trough a semipermeable membrane
Definition
crystalliod
Term
a solution with osmolarity higher than plasma
Definition
hyper tonic solution
Term
a solution with osmolarity lower than plasma
Definition
hypo tonic solution
Term
hypotonic solutions
Definition
.45 normal saline d5w
Term
hypertonic soultions
Definition
draws water into extracellular space
Term
hypertonic solutions
Definition
draws water into extracellular space 5% dextrose 0.9 normal saline
Term
isotonic solutions are used to treat
Definition
fluid loss,dehydration,hypernatremia
Term
hyper tonic solution used treat
Definition
SHOCK
Term
FEVER,MALAISE
Definition
THROMBOSIS
Term
REDNESS AT SITE WARM TO TOUCH SWELLING INCREASE TEMP
Definition
PHLEBITIS
Term
COOLNESS OF SKIN AROUND SITE SLOW INFUSION RATE
Definition
LOCAL INFILTRATION
Term
PAIN BURNING SWELLING PROXIMAL AND DISTAL TO IV SITE BLANCHING AND COOLNESS OF SKIN SLOW OR STOPPED INFUSION RATE
Definition
EXTRAVASTION
Term
COLD SWEATS ,ABD PAIN, FEVER,TREMORS, ALTERD MENTAL SAT HYPERVENTILATION HYPO TENSION
Definition
SEPTICEMIA
Term
what are the signs of fluid overload
Definition
restlessness,ha,cough,high pulse,weight gain,crackles,d-neck veins
Term
phlebitis scale
Definition
1-nothing 2-red no pain 3-pain,streak palpable venous cord 4-red,edema,streak formation greater than 1in drainage
Term
what are the signs of fluid overload
Definition
restlessness,ha,cough,high pulse,weight gain,crackles,d-neck veins
Term
the 3 methods of weighing a child are
Definition
meter square,weight,caloric method
Term
local complications
Definition
phlebitis,ven spasm,hematoma
Term
most effective tx of extravation
Definition
prevention
Term
complication of dectran adm
Definition
fluid overload
Term
tube for infusing  fluid
Definition
cannula
Term
device to prvent retrograde flow
Definition
check valve
Term
hypotonic solution fluid goes in/out of
Definition
blood vessles
Term
electrolytes -----and non-electro-----
Definition
combine and seperate
Term
if sodium level is low h2o is
Definition
pulled into
Term
high phosphorus levels =
Definition
hypocalcemia
Term
3 buffers
Definition

hemoglobin

plasma protein

bicarb

Term
to correct metabolic acidosis
Definition

sodium bicarb

NaHCO3

Term
water from cells moves out and into the ECF
Definition
hypertonic
Term
functions of glucose
Definition

calories 4 energy

pvnt. (-)nitro bal

decrease catabol. of problem

 

not a vehicle for blood transfusion

Term
ideal PH
Definition
acidic 7
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