Term
monitor abgs for increased ph after each __________ of sodium bicarb to avoid over treatment and __________ |
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Definition
50-100meq, metabolic alkalosis |
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Term
with magnesium sulfate asses for |
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Definition
decreased restlessness and irritability, decreased muscle tremors, control of convulsions |
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Term
drugs that increase renal excretion of water sodium and other electrolytes |
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Definition
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Term
the most common type of peripheral catheter used |
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Definition
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Term
the device insertion site should be assessed every ________at minimum |
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Definition
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Term
a ________ Gauge catheter is recommended for most infusions in adult patients |
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Definition
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Term
midline catheters are inserted peripherally into the upper arm into the: |
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Definition
basilic, cephalic or brachial veins |
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Term
recommendations for dwell time of midlime catheters at a particular insertion site vary from |
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Definition
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Term
replace mudline catheters only when there is a |
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Definition
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Term
CVADs require_________ after insertion and before use |
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Definition
radiographic confirmation of position |
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Term
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Definition
PICCs, nontunneled percutaneous central venous catheters, tunneled, central venous catheters, implanted ports |
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Term
PICCs are replaced only as |
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Definition
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Term
Indications for use of PICCs |
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Definition
administration of IV antibiotics for an extended period, infusion of parenteral nutrition, chemotherapy, continuous narcotic infusions, vescicants, hyperosmolar solutions, blood components, other specific medications and long-term dehydration |
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Term
nontunneled percutaneous central venous catheters are introduced through the skin into the |
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Definition
internal jugular, subclavian, or femoral veins |
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Term
catheters inserted via the femoral vein should have the disyal tip dwell in the _________ above the level of the ________ |
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Definition
thoracic inferior vena cava, diaphragm |
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Term
tunneled central venous catheter is tunneled in __________ under the skin |
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Definition
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Term
tunneled central venous catheter is initially sutured into place but after _______ sutures are removed |
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Definition
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Term
pts that have or experienced _________ will not be able to have an IV catheter placed on the impacted extremity |
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Definition
pt with hx of breast cancer w/same side surgical axillarly lymph node removal, pt with burns infections or traumatic injury to the extremity, pts with upper extremity arteriovenous fistulas or catheters for dialysis |
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Term
do not use ______ vein if another vein is available |
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Definition
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Term
pote tial venipuncture sites for pediatric patients |
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Definition
hand, forearm and upper arm below axilla |
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Term
Sites for. infants and toddlers |
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Definition
scalp and foot if not walking |
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Term
factors that may interfere with successful placement of a perphiral catheter |
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Definition
obesity, diabetes, increased patient age, hypovolemia, injection, drug use, the presence of multiple chronic diseases and/or multiple hospitilizations requiring iv acces |
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Term
an individual nurse should not make more than _________ attempts at vascular access placement when initiating venous access for a patient |
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Definition
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Term
liquids that should be given in a large vein |
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Definition
hypertonic solutions, those containing irritating medications, those administered at a rapid rate, and those with a high viscosity |
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Term
too slow a flow may result in a _________ because fluid intake is not balancing _______ or it may ________ the restoration of the balance |
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Definition
fluid volume deficit, fluid loss, delay |
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Term
Infusing IV too rapidly can lead to |
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Definition
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|
Term
complications of iv therapy |
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Definition
infiltration, extravasation, phlebitis, thrombophlebitis, infection |
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Term
inadvertent leakage of vesicant iv solution into surrounding tissue |
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Definition
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Term
those with enhance risk of iv r/t infection |
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Definition
neutropenic, transplant, burn, or critically ill |
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Term
Use of _______ solution is preferred for skin atisepsis, if there is a contraindication to ____________ solution, tincture of __________ an ______ or _______ alcohol may be used |
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Definition
>0.5% in alcohol, alcoholic chlorexidin solution, iodine, iodophor, 70% |
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Term
Use _________ with caution in infants under _______ months of age adn premature infants due to the risk of skin _________ |
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Definition
chlorhexidine, 2, irritation and chemical burns |
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Term
the use of ________ on insertion sites is not recommended because of their potential to promaote ______________ and ________ |
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Definition
topical antibiotic ointments or creams, fungal infections, antimicrobial resistance |
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Term
_____ commonly used to protect the insertion site |
|
Definition
transparent semipermeable membrane |
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Term
______ may be used over CVADs to reduce infection risk when the extraluminal route is the primary source of infection |
|
Definition
chlorhexidine-impregnated dressings |
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Term
perform site care and replace TSM dressings on CVADs every ________ and every ________ for CVAD sites with gauze dressing |
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Definition
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Term
acceptable disinfecting agents: |
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Definition
70% isopropyl alcohol, iodohors, >0.05% chlorhexidine in alcohol solutions |
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Term
recommended cleaning time frames include ______ when using alcohol and _______ using chlorhexidine with alcohol |
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Definition
5 to 60 seconds, 30 seconds |
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Term
attached to the venous access end cap, needleless connector and/or each access site on IV administration set tubing and is left in place between device accesses |
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Definition
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Term
needless connectors should be changed no more frequently than every |
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Definition
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Term
when a needless connector is used as part of a continuous iv infusion, the connector is changed when |
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Definition
the primary administartion set is changed |
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Term
short peripheral catheters are locked with |
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Definition
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Term
CVADs should be locked with |
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Definition
a heparin solution (10 units) or NS solution after each intermittent use |
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Term
Life threatening complications that occur with blood transfusions |
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Definition
severe allergic reaction, hemolytic reaction, transfusion-related acute lung injury, circulatory overload, transmssion of infections diseases |
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Term
the process of determining compatibility between blood specimens |
|
Definition
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|
Term
an inherited trait is determined by the type of antigens and antibodies present in the blood |
|
Definition
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|
Term
a substance that causes the formation of antibodies |
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Definition
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Term
an antibody that causes a clumping of specific antigens |
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Definition
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Term
ab blood types are called |
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Definition
universal recipients (because they have no agglutinins) |
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Term
group o people are often called |
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Definition
universal donors (because they have neither a nor be antigens) |
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Term
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Definition
chagas disease, hiv, hep b and c, human t-lymphotropic virus, syphilis, west nile virus etc |
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Term
prospective donors are questioned about |
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Definition
diseases, medical conditions, past surgeries, tattoos, body piercing, travel, sexual habits, and medication/drug use |
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Term
Patients that donate their own blood for transfusion |
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Definition
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Term
blood can be donated every _______ and up to________ business days before surgery is planned as long as the patient meets donation guidelines |
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Definition
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Term
fresh frozen plasma is particularly useful in emergencies that involve ________ because it will restore both ________ and |
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Definition
massive blood loss, coagulation factors, blood volume |
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Term
human albumin is used for |
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Definition
hypovolemic shock, albuminemia, liver failure |
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Term
cryoprecipitate is used to treat |
|
Definition
bleeding due to hemophilia, disseminated intravascular coagulation or depletion of coagulation factors |
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Term
gammaglobins, the antibody containing part of plasma |
|
Definition
used for gammaglobulin deficiencies |
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Term
blood or blood components may be transfused via _________ peripheral venous access device for an adult |
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Definition
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Term
when rapid transfusion is required a ______ size catheter gauge is recommended |
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Definition
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Term
transfusion for neonate or pediatric patients is usually given using ________ umbilical venous catheter or peripheral venous access device |
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Definition
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Term
parenteral nutrition is highly concentrated_______ that can be administered centrally through a central venous access device |
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Definition
hypertonic nutrient solution |
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