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Review the types of IV fluids, how to put an IV in, and complications. (88 cards)
1
Q
What is intravenous therapy (IV therapy)?
ANSWERS:
It is giving fluids and other nutrients through a vein.
It is given to clients who can’t take fluids orally or when there is dehydration.
2
Q
What are the steps to insert an IV?
The nurse is using a translumination device to locate the veins.
A
1. Select site
2. Clean the site with disinfectant solution
3. Apply tourniquet
4. Insert needle
5. Check indicator of blood return
6. Advance catheter
7. Pull stylette back slightly, advance catheter into vein
8. Release tourniquet
, 9. Apply gentle pressure over the vein at the catheter tip and remove the
metal stylette
3
Q
What is the difference between a peripheral IV site and a central line?
ANSWERS:
Peripheral IV site: a short IV that goes into a vein into the arm.
Central line: an IV that also goes into a vein but is threaded much further
in so that the tip of the catheter site is closer to the heart for quicker
administration.
4
Q
What are the 3 types of IV solutions?
ANSWERS:
1. hypotonic
2. isotonic
3. hypertonic
5
Q
What is a hypotonic solution and what are some examples?
ANSWERS:
Hypotonic solutions are “more watery”. There is a lower concentration of
solutes compared to body fluids.
Examples: 0.45% saline, 1/2 normal saline, D2.5W, 0.33%NS
When given, HypOtonic fluids will first go into the vascular space then will shift
“Out of the vessels” and into the cells to replace cellular fluid.
, 6
Q
In what situations is a hypotonic solution given?
ANSWERS:
1. Fluid replacement for those with nausea/vomiting, burns or hemorrhage
for a client who has cardiac or renal disease
2. Hypernatremia
7
Q
Why is a hypotonic solution given for fluid replacement for clients with cardiac
or renal disease?
ANSWERS:
Clients with cardiac or renal disease cannot handle extra fluids too quickly.
A hypotonic solution prevents the client from receiving fluids too quickly
because it goes into the vascular space and then leaves quickly to go into the
cells.
8
Q
Why is a hypotonic solution given to clients with hypernatremia?
ANSWERS:
Because it will dilute the sodium in the blood.
9
Q
What is an isotonic solution and what are some examples?
ANSWERS: