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PNUR 102 IV therapy
Review of IV therapy terms for CSCC PNUR 102
55
Nursing
Undergraduate 1
08/10/2009

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Term
aldosterone
Definition
sectreted from the adrenal glands and affects fluid balance
Term
ADH (anti diuretic hormone)
Definition
sectreted from the pituitary gland and regulates the retention of water
Term
central IV therapy
Definition
infusion of fluids or medications directly into a large vein such as the superior vena cava
Term
sodium, potassium, calcium, chloride, phosphorus, and magnesium
Definition
electrolytes
Term
fluid outside the cell
Definition
extracellular fluid
Term
fluid that surrounds the cell
Definition
interstitial fluid
Term
inside the cells
Definition
intracellular
Term
into a vein
Definition
intravenous
Term
infusion of nutrients including amino acids, dextrose, fat, electrolytes, vitamins, and trace elements
Definition
parenteral nutrition
Term
introduction of fluids through a catheter for short-term therapy
Definition
peripheral IV therapy
Term
What kind of line is preferre for long-term IV therapy?
Definition
PICC or central lines
Term
The name of an externally placed central catheter?
Definition
Broviac catheter
Term
What is used to administer blood?
Definition
Y set
Term
An internally placed central catheter?
Definition
Port-a-cath
Term
Delivers 10 to 20 drops per milliliter?
Definition
macro drip set
Term
Delivers 60 drops per milliliter?
Definition
micro drop set
Term
Also known as an injection cap?
Definition
PRN adaptor
Term
This allows for more than one fluid to flow into an IV access device?
Definition
stopcock
Term
A common over the needle catheter?
Definition
angiocath
Term
Patient-controlled analgesia
Definition
PCA
Term
Which has a higher incidence of infection: implantable ports or PICC line?
Definition
PICC, because implantable are covered by skin.
Term
A solution that draws fluids from cells and tissues
Definition
hypertonic solution
Term
a chemical, physical, or therapeutic change that occurs when two or more medications or solutions are mixed
Definition
incompatibility
Term
the inadvertent infiltration of necrotizing solutions or medications into surrounding tissues
Definition
extravasation
Term
blood transfusion reaction caused by a donor/recipient incompatibility?
Definition
hemolytic reaction
Term
solution that moves across the cell membrane into surrounding cells and tissues
Definition
hypotonic solution
Term
inherited antigens found on the surface of red blood cells; the second most important system for determining donor/recipient compatibility
Definition
Rh system
Term
solution that does not affect the fluid balance of the surrounding cells or tissues
Definition
isotonic solution
Term
concentration of a solution; determines the direction of fluid shift between extracellular and intracellular compartments
Definition
osmolarity
Term
IV infusion of nutrients, including amino acids, dextrose, fat, electrolytes, vitamins, and trace elements
Definition
parenteral nutrition
Term
Blood grouping system based on antigens present on red blood cells and antibodies in the serum; the most important system for determining donor/recipient compatibity
Definition
ABO system
Term
What do plasma expanders do?
Definition
They increase the circulating volume.
Term
What causes the loss of therapeutic effects of a medication or solution?
Definition
Incompatibility
Term
inflammation of the inner lining of a vein associated with chemical or mechanical irritation or bacterial infection
Definition
phlebitis
Term
a medication or agent that produces blisters
Definition
vesicant
Term
redness of the skin resulting from inflammation
Definition
erythema
Term
leakage of a vesicant fluid from a vessel into the surrounding tissues
Definition
extravasation
Term
seepage of IV fluids into surrounding tissues
Definition
infiltration
Term
allergic reaction; response of the immune system to a medication, solution, or other substance
Definition
hypersensitivity reaction
Term
How do you determine if an IV has infiltrated ?
Definition
Apply pressure over the vein. If the IV continues to drip, it is probably infiltrated.
Term
Infiltration is indicated by?
Definition
swelling, coolness, or discomfort at the insertion site, blanching, tightness, or burning.
Term
What has osmolarity that is higher than that of the serum?
Definition
hypertonic solutions
Term
What has the same concentration that serum and other body fluids do?
Definition
isotonic solutions
Term
What has an osmolarity that is lower than that of serum?
Definition
hypotonic solutions
Term
What do hypertonic solutions do?
Definition
They reduce the risk of edema, stablize blood pressure, and assist in regulating urine output. They are used to treat fluid loss from diarrhea, vomiting, and NG suctioning. Also used to treat circulatory insufficiency and shock and fluid loss from burns. Ex. include D10W, D5NS.
Term
What do hypotonic solutions do?
Definition
They cause a shift of fluids out of the intravascular space and into the cells. Cells become hydrated, and circulating volume is DECREASED. Used when pts. are dehydrated due to diuretics. Most common is 1/2 NS. Ex. a pat is vomiting and dehydrated.
Term
What aretwo types of plasma expanders?
Definition
blood products and albumin
Term
What blood type is the Universal Recipient?
Definition
Type AB
Term
Which blood type does not carry antibodies?
Definition
Type AB
Term
Which blood type carries both A and B antibodies?
Definition
Type O.
Term
What happens if a medication or solution is infused too rapidly?
Definition
The pt. may experience s/sx of shock like dizzyness, flushing, headache, tightness in the chest, hypotension, and irregular pulse. it can be avoided by using a microdrip set, using an infusion pump, and close monitoring.
Term
What are the basic preporatory steps in the initiation of an IV order?
Definition
Verify doctor's orders, gather proper equipment, introduce self, ID pt, provide for privacy, position he pt., wash hands and put on gloves..
Term
Where do veins receive blood from?
Definition
Capillaries, after the exchange of oxygen and carbon dioxide has taken place. Veins transport waste-rich blood back to the lungs and heart.
Term
After an IV has been started, what must you write on the label?
Definition
date, time, length and gauge of cath, and initials.
Term
How oftern must gauze dressing be changed?
Definition
Every 48 hours.
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