Beneficence
Doing good for all patients
Gauge
Size of cannula opening; standard of measurement
PICC
Peripherally inserted central
... [Show More] catheter. (LPN's can monitor but cannot flush)
Micro drip
Administration set that delivers small amounts of I.V solutions; Drop factor of 60 gtt/ml
Filter
A special porous device used for eliminating certain elements, as in particles of a certain size in solution.
Fidelity
Obligation to be faithful
Drip Chamber
Area of intravenous administration set usually found under the spike where the solution drips and collects before running through the tubing.
Veracity
Truthfulness
Autonomy
Right of self determination independence
Justice
Obligation to be fair to patients
PCA pump
Patient controlled analgesia (Pain pump) only the patient can push the button.
Radiopaque
Material used in IV catheter identified by radiographic
Non-Maleficence
Avoidance of harm
Confidentiality
Protecting privacy
What do you need to do to a nitroglycerine bottle before administering?
Vent the bottle
Where is an IVPB( Iv piggyback) located ?
Above primary infusion, also called secondary bag
Which line is longer, primary or secondary ?
Primary is much longer
What is a gravity hook? What is it used for?
Used to hang IVPB, looks like a coat hanger
Back Filter purpose?
Prevents IV fluid from traveling backwards
Stop gauge/ Stop cock purpose?
Stops IV fluids.
When do you change blood tubing, TPN, and Lipids?
24 hours
What is priming the line?
Removing air bubbles from line to decrease the chance of air embolism
What is the standard IV changing time?
72 hours
5 reasons that the IV pump alarm would be going off?
1. Air in line
2. occlusion
3. Infusion complete
4. dead battery
5. kinked
What does NS stand for?
Normal Saline
IV 1000ml of LR (lactated ringer) infused over 12 hours, gtt factor is 20gtt/ml. what is the ml/hr?
83 ml/hr
3 goals of parenteral therapy?
1. Replacement
2. maintenance
3.restore electrolytes
A pt has low potassium and getting 20meq K+ IV, someone with burns?
Look at cardiac, look at veins. Check IV site, check tissue integrity around site
Doc orders D5W, IV is way behind, Pt did not get required amount. What do you do ?
Check IV site, Check pump, Call doc and explain
Solution ordered to replace fluid loss?
Lactated ringer
Pt with IV running at 125ml/hr, begin to experience SOB, pulse of 91%. What do you do?
Slow down IV and Call doc
Pt with a PCA pump, respirations 8 and still dropping what do you do?
STOP Iv and call doc.
Pt 17 years old comes through the ED, RN asks you to start an IV, what do you say?
NO , pt is to young
During spiking and priming, your finger touches the spike, what do you do?
Change everything
Micro drip
Little wire, small drips around 60gtt/ml
MAcro drip
No wire, easy to see drops, drops around 15-20 gtt/ml
The UAP can do what when it comes to IV pump?
Tell LPN when pump alarm is alarming
Searching for scope of practice, where do you look?
Ohio board of nursing (OBN)
What is Y tubing?
Blood tubing, we do not use this.
IVPB or primary tubing is how long?
30-36 inches
MOST COMMON NEEDLE?
Over the needle catheter
Autonomy means..
You are responsible for any med given by you.
What health care law give the pt the right to chose if they want to have surgery or not?
Patient determination
Which needle gauge is smaller, 28 or 18?
18 gauge
If not familiar with an electronic infusion pump, what should you do?
Look up instructions in manual, ask RN for directions
1. put in IV and got blood flash back, 2. advance catheter and release tourniquet, 3rd...?
TAKE THE NEEDLE OUT**
4 NPSG (National patient safety goals)
1. Identify pt correctly before med/IV (2 identifiers)
2. Improve staff communication
3. Use meds safely
4. Prevent infection
Malpractice
1. Duty to Pt
2. Pt suffered actual hard
3. casual relationship between care
4. breech of care was established
What are 3 purposes of the Electro metric pump, metric infusion system?
1. Antibiotic therapy
2. Chemo
3. Analgesic
Back check valve (Function and Location)
Prevents backflow of solution, located on primary line of drip chamber
The percentage of fluid in total body weight in men?
60%
The percentage of fluid in total body weight in women?
50-55%
The 2 main electrolytes in the body ?
Na + and K +
Electrolyte that retains fluid, causes CHF?
Sodium [Show Less]