Term
| What methods are used to administer I.V medications? |
|
Definition
-continous
-intermittent
-I.V push |
|
|
Term
| If a route has not been prescribed, what administration route should you use? |
|
Definition
None!!
Call the physican!! |
|
|
Term
Using _________ technique and standard ___________
when preparing a admixture? |
|
Definition
|
|
Term
| Is it necessary to identify the expiration date on solutions and medications T/F? |
|
Definition
|
|
Term
| Who's guidlines should you follow for preparation and storage of the medications? |
|
Definition
|
|
Term
| Monitor the patient for _____ response to the medication? |
|
Definition
|
|
Term
| What three things di you need to check the label for to confurm appropriateness for I.V use? |
|
Definition
Drugs, Diluents, Solutions |
|
|
Term
| Why do you need to use a filtered needle when drawing I.V medications from ampoules? |
|
Definition
To eliminate possible pieces of glass |
|
|
Term
| Do you need to adequatley mix all drugs added to a solution T/F? |
|
Definition
|
|
Term
| Verify that all soultions containers are free from what three things? |
|
Definition
|
|
Term
| When monitoring temperature. Most medications tolerate variation in temperature from ____ to _____? |
|
Definition
|
|
Term
| Do you use a single dose vial for parenteral additives or medications T/F? |
|
Definition
|
|
Term
| After a soultion is mixed it needs to be clear or cloudy? |
|
Definition
|
|
Term
| What do pt with continous infusion usually have to maintain constant plasma levels? |
|
Definition
|
|
Term
| The nurses job when preparing a continous infusion is to have what four things? |
|
Definition
-correct solution
-the I.V site is patent
-infusing at the correct rate
-whether on a pump or not
|
|
|
Term
| How do you allow the staff to see if free flowing I.V's are infusing on time? |
|
Definition
| time tapes on the side of I.V bags |
|
|
Term
| What four factors affect the infusion rate of free flowing I.V's? |
|
Definition
-not on infusion pump
-insertion site 9 anticubital space tend to erratic)
-height of I.V bag (hung higher faster flow)
-infiltrating and thus going very slow |
|
|
Term
| What are three examples of intermittent infusions? |
|
Definition
ABX (Cefazol over 30 min)
Magnesium sulfate over 2hours
Potassium ride over 1hr |
|
|
Term
| If your not using a pump what do you need to know about the tubing so you can infuse at a proper rate? |
|
Definition
|
|
Term
| What is a simultaneously infusion? |
|
Definition
When the piggyback is attached closer to the pt I.V site |
|
|
Term
| What is the danger of simultaneously infusions? |
|
Definition
|
|
Term
| What is the advantage of delivering I.V medications? |
|
Definition
|
|
Term
| what are the nurses responsibilty when adminiserting I.V medications? |
|
Definition
-know affects of the drug
-rate of the I.V push
-compatability of drug |
|
|
Term
| why should you label the syringe with a medication in it? |
|
Definition
So you wont be confused with saline or heparin |
|
|
Term
| How do you make sure the I.V ia patent? |
|
Definition
| Aspirating on the line and then flushing with NS |
|
|
Term
| What four steps do you take in adminstering the PUSH medications? |
|
Definition
-Make sure I.V is patent
-push medication over recommended time
-flush again with normal saline (5ml) |
|
|
Term
continous subcutaneous infusions are used for? |
|
Definition
-pain control
-pt that cant swallow |
|
|
Term
| What rate should you administer contious subcutaneous infusions? |
|
Definition
|
|
Term
| How often should you rotate the site for continous infusions? |
|
Definition
Every 3 days
To prevent skin breakdown |
|
|
Term
| Intra ventricular access is attained through what type of shunt? |
|
Definition
|
|
Term
| The Ommaya shunt is used for what four things? |
|
Definition
- remove CSF
-administer chemotherapy
-pain meds
-ABX |
|
|
Term
| Intra Ventricular medication are delivered directly into what two places? |
|
Definition
|
|
Term
| When accessing the Intra ventricular reservoir do you need to wear sterile gloves, gown and mask T/F? |
|
Definition
|
|
Term
| Intra Ventricular should be monitered for what symptoms? |
|
Definition
-Nuerotoxicity
-Confusion
-disorentation
-seizures
-HA
-altered mental status |
|
|
Term
| With a Intra ventricular should you monitor BP and weight T/F? |
|
Definition
|
|
Term
| Epidural space is frequently used for what four things? |
|
Definition
-Post operative pt
-orthopedics pain control
-outpatient setting to adminster long term pain meds |
|
|
Term
| What are Four adavantages of epidural access? |
|
Definition
- alleviated pain quiclkly
-prolongs analgesia
-does not produce motor paralysis
-dosent produce hypotension |
|
|
Term
| Disadvantage of epidural? |
|
Definition
Accidential dislodgement and leaking |
|
|
Term
| Pt with a epidural what three assesments should be done Q2 hours? |
|
Definition
-Neuro
-Pain
-Respiratory rate |
|
|
Term
| What are implantable infusion pumps used for? |
|
Definition
|
|
Term
| Intra peritoneal is used to adminster what drug? |
|
Definition
|
|
Term
| Intra arterial are used to administer what drug? |
|
Definition
|
|
Term
| Should the RN's verify the pt height and weight before intra aterial infusion T/F? |
|
Definition
|
|
Term
| How long do pt need to stay bedrest after a intr aterial infusion? |
|
Definition
|
|
Term
| What two things should you monitor srictly after a intra arterial? |
|
Definition
|
|
Term
| Should you administer I.V prehydrationd before a intra arterial infusion T/F? |
|
Definition
|
|
Term
| Does your patient need to ly flat after a intra arterial infusion? |
|
Definition
|
|
Term
| How often should the site be checked on a intr areterial? |
|
Definition
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