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34 Cards in this Set
- Front
- Back
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Intravenous Nursing Society standards of practice recommend that primary continous adminstration sets be changed
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according to established policy, every 96 hours, whenever compromised
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The first step in heparin flush of a prn devise is to ?
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check patency
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Peripheral IV dressings should be changed ?
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at time of site change, according to institution policy, whenever compromised
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the symptoms of venous vasospasm are?
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sharp pain extends from IV site
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local complications associated with IV therapy include
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phlebitis venous spasm hematoma
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fluctuating fever profuse sweating and nausea and blood presure is lower thatn normal you should suspect?
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septicemia
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the nurse can avoid a thrombosis formation by
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not injuring vein wall, no multiple punctures, and no through and through punctures
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the organism responsible for most cases of septicemia related to infusion is?
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staff
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know the stages of phlebitis
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+ 2 pain, edema, redness
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The higher the risk for phlebitis is among patients are
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multiple IV lines, pt. on TPN, aumune suppressed, new borns and elderly
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80% of the patients receiving IV therapy develop the following complications
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phlebitis
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The formation or presence of a clot and the stop of circulation in the vein by the clot is refferred to as?
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thrombosis
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localized mass of blood outside of the blood vessel is?
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hematoma
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list two ways a catheter tip ma acquire bacteria
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1. poor skin prep 2. you touch it 3. contaminated solution
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the infusion slows on your patient what is the first step in checking on or managing the situation?
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check for kinks in tubing, then check site for kinked catheter
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list two prevention techniques for avoiding phlebitis
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good skin prep, aeseptic tech, dilute meds properly,hand wahing, using correct catheter size
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Give 2 nursing tips to decrease the risk of menatoma formation
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apply pressure, smaller needle, cool compress, don't use tourniquet on older pt.
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list 2 causes to thrombosis formation
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to slow iv, blood backing up in IV line, IV line running dry , trauma to vein wall
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use of hypertonic solutions increase the risk of phlebitis
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true
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The phlebitis criteria according to te INS has 4 stages
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TRUE
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To prevent local complications it is necessary to use a good aseptic technique when starting or maintaining an infusion
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TRUE
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What is the treatment for a hematoma?
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pressure at site elevate extremity cool compress
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list 3 signs and symptoms of infiltration
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swelling coolness pain, possibly no blood return
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list the treatment for infiltration
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discontinue, compress, cool or warm compress (whats appropriate) elevate
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list 5 signs and symptoms of fluid overload
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weight gain, rales /crackles SOB, edema, puffy eyes
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Notify the Dr. if you suspect fluid overload you should also (5 steps)
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slow IV, elevate head of bed, keep warm, check vitals, give oxygen as ordered
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a fast rate is considered more dangerous than a rate that is too slow
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TRUE
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use smaller veins for hypertonic solutions
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FALSE
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a .22 micron filter will remove air, bacteria, and harmful particles
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TRUE
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ecchymosis
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the escape of blood into tissues from ruptured blood vessels
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extravasation
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infiltration of medications into tissue
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speed shock
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a rapid introduction of medication into the body
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thrombosis
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formation of blood clot within blood vessel
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venous spasm
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painful narrowing of veins
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