CRNI: Infusion Therapies 100% Verified

CRNI: Infusion Therapies 100%
Verified
A.MPainMmanagementM(AnesthesiaM-MLocal)M-MAnswerM-
LidocaineM(Buffered,Mhydrochloride,MLidocaine-prilocaineMmix

-RoutinelyMusedMforMPICCMorMCVCMinsertion



A.MPainMmanagementM(AnesthesiaM-MEpiduralMuses)M-MAnswerM-
BlockMforMsurgeryM(LowerMbody)

-OB



A.MPainMmanagementM(AnesthesiaM-MEpiduralManalgesia)M-
MAnswerMDoseM=M1/10thMofMIVM

-MorphineM=MLongestMonset/duration

-MethadoneM=MShortestMonset/duration

-HydromorphoneM=MIntermediateMonset/duration

-FentanylM=M10MminutesMonset,M4-6MhourMduration



A.MPainMmanagementM(AnesthesiaM-MIntrathecalManalgesia)M-MAnswerM-
DoseMshouldMbeM1/10thMofMepiduralMdose

-MayMbeMforMacute,MshortMorMlongMtermMpainMmanagement



A.MPainMmanagementM(AnalgesiaM-MopiateMagents)M-MAnswerM-
morphine,MalsoMfentanyl,Mdliaudid,Mmethadone,Mdemerol,Metc

-Severe,MacuteMorMmoderate-severeMpain

-DoseageMvariesM

-
SideMeffects:MConstipation,MrespiratoryMdepression,McirculatoryMdepressionMandMhypersensi
tivity

-CautionMwithMheadMinjuriesMorMincreasedMICP,MimplementMbowelMregimen



A.MPainMmanagementM(AnalgesiaM-MopiateMantagonists)M-MAnswerM-NarcanM(Naloxone)

-indication:MOpiateMOD

-DoseM=M0.2mgM-M0.4mg

,-SidMeffects:MN/V,MhypotensionMorMHTNMreversalMofManalgesia



A.MPainMmanagementM(PediatricM-MProcedural)M-MAnswerM-
PhysiologicMchangesM=MIncreasedMHR,MdecreasedMO2MSaturation

-FacialMcuesM=Mgrimacing,McryingMandMbodyMmovements



A.MPainMmanagementM(PediatricM-MAnalgesiaM(nonpharmacolgical))M-MAnswerM-
SwaddlingM(Neonate/infant),MsucroseMwater,MmodificationMofMenvironmentM

-ToddlerM=MReassurance,MparentsMprovideMsupport,McalmMsoothingMvoice

-PreschoolerM=MDiversionalMactivityMandMparentalMsupport

-SchoolMageMchildM=MDistractionMandMparentalMsupport



A.MPainMmanagementM(PediatricM-MAnalgesiaM(Pharmacological))M-MAnswerM-
RequiresMorder

-OpioidsM=MReserveMforMmoderateMandMsevere/prolongedMpain



B.MCardiacMInfusionMtherapiesM(SympatheticM-Dopamine)M-MAnswerM-
Indications:MHypotension/shock

-DoseM=MWeightMbased,Mtitration

-ModeM=MContinuousM

-
MajorMSE'sM=MectopicMbeats,Mhyper/hypotension,Mvasoconstriction,MwidenedMQRS,Maberra
ntM

-NursingM=MMonitorMUoP,MBP,McentralMpressure,MuseMCVAD,MantidoteMisMphentolamine



B.MCardiacMInfusionMtherapiesM(SympatheticM-Mnorepinephrine)M-MAnswerM-
IndicationsM=MHypotension/Shock

-DoseM=MweightMbased,MusualMtitrateMtoMgoalMBP

-ModeM=MContinuousM

-
SideMeffectsM=MBradycardia,MchestMpain,Mvomiting,Mphotophobia,MtissueMnecrosisMwithMe
xtravisation

-
NursingM=MMonitorMBPMqM2MminsMuntilMstable,MthenMqM5Mmins,MuseMCVAD,MAntidos
eMisMphentolamine,MelectronicMpump

,B.MCardiacMInfusionMtherapiesM(SympatheticM-MDobutamine)M-MAnswerM-
Indications:MShortMtermMinotropicM,Mlong-
termMwhileMwaitingMheartMtransplant,MpalliativeMcare

-DoseM=MWeightMbased,M2-20MmaxMofM40

-ModeM=McontinuousM

-SE'sM=ManginalMchestMpain,Mpalpitations,MheadacheMandMnauseaM

-NursingM=MMonitorMHR,MBP,MUoP,MelectronicMdevice



B.MCardiacMInfusionMtherapiesM(SympatheticM-MEpinephrine)M-MAnswerM-
IndicationsM=MAnaphylacticMshock,McardiacMarrest

-DoseM=M0.1MtoM0.25mgMofM1:10,000Msolution

-ModeM=MPush

-SE'sM=MAnxiety,Mvertigo,Mpalpatations

-NursingM=MadministerMwithMcaution,McheckMBPMeveryM5MminutesMtoM1Mhour



B.MCardiacMInfusionMtherapiesM(SympatheticM-MIsoproterenolMHydrochloride)M-MAnswerM-
IndicationsM=MAtrioventricularMheartblock

-DoseM=MbolusMandMinfusion

-ModeM=MPushMorMcontinuous

-SE'sM=MAngina,Mflushing,Mpalpatations,MsweatingMandMnausea/vomiting

-NursingM=MMonitorMrateMofMinfusionMandMtitrateMtoMHR/rhythm,MelectronicMdevice



B.MCardiacMInfusionMtherapiesM(CardiotonicM-MDigoxin)M-MAnswerM-
IndicationsM=MHeartMfailure,MAflutter/Fib

-ModeM=Mpush,MPO

-SE'sM=MColorMvisionMchanges,Mdiarrhea,MN/V,Manorexia

-NursingM=MMonitorMdigMlevel,MlytesM(Hyperkalemia)



B.MCardiacMInfusionMtherapiesM(CardiotonicM-MMitrinoneMlactate)M-MAnswerM-
IndiactionsM=MCHFM(shortMterm),MheartMtransplantM(longMterm)

-ModeM=MPush,McontinuousM

-SE'sM=MVfib/Vtach,Mhypotension,MchestMpain,MheadacheMandMpainMatMIVMsite

, -NursingM=MCautionMw/MrenalMandMhepaticMdisease,MmonitorMBp/HR



B.MCardiacMInfusionMtherapiesM(AntiarrhythmicMagentsM-MQuinidine)M-MAnswerM-
IndicationsM=MMalaria,McardiacMarrhythmias

-ModeM=Mcontinuous

-SE'sM=MCramps,MN,Mhypotension,MQTMprolongation,Mapprehension,Mrash,Mtinnitus

-
NursingM=MCautionMwithMHeartMblockMorMhepaticMdysfunction,MmonitorMBP/heartMrhyth
m,MelectronicMdevice



B.MCardiacMInfusionMtherapiesM(Anti-ArrhythmicMagentsM-MProcanimide)M-MAnswerM-
IndicationsM=MVentricularMarrhythmias,MwideMcomplexMtachy,MuseMofMlidoMcontraindicate
d

-ModeM=MPush,MintermittentMcontinuous

-SE'sM=DrugMinducedMlupus,Mhypotension,Mvfib/vtach,Masytole

NursingM=MonitorMECG/VSMcontinuously



B.MCardiacMInfusionMtherapiesM(Anti-ArrhythmicMagentsM-MLidocaine)M-MAnswerM-
IndicationsM=MVentricularMarrhythmiasM

-ModeM=MPush,MContinuous

-SE'sM=MBlurredMvision,Mvertigo,Mtwitching,Mvomiting,Mhypotension,Mbradycardia,Mseizures

-
NursingM=MCautionMinMrenal/hepaticMfunction,Mhypovolemia,MheartMblock,MelectronicMdev
ice



B.MCardiacMInfusionMtherapiesM(Anti-ArrhythmicMagentsM-MIbiutilide)M-MAnswerM-
IndicationsM=MAfib/Flutter

-ModeM=MPush,MintermittentMinM10MminMinjection

-SE'sM=MQTMprolongation,Mhypertension,MN/V,Mpalpitations

-NursingM=MAssessMbaselineMECG,MandMQTMinterval



B.MCardiacMInfusionMtherapiesM(Anti-ArrhythmicMagentsM-MAmiodarone)M-MAnswerM-
IndicationsM=MVentricularMandMSupra-ventricularMArrhythmiasM

-ModeM=MIntermittent,McontinuousM