3 essential nutrients in TPN Correct Answer fats, electrolytes
and carbohydrates
4 responsibilities of a nurse for IV therapy Correct Answer
Initiate
Maintain therapy
Monitor response
Discontinues therapy
A first indicator that your catheter has entered a vein Correct
Answer blood return
A unit of blood should not infuse for longer than 2 hours. True
or False? Correct Answer true
Acute Hemolytic Transfusion Reaction (AHTR) Correct
Answer Incompatible RBCs infused (incompatible blood was
given)
- Intravascular: ABO incompatibility. Hemolysis occurs in blood
stream (fatal)
- Extravascular: Rh incompatibility. Can lead to coagulation
issues
AHTR Nursing interventions Correct Answer STOP
INFUSION, Disconnect tubing from IV catheter, infuse fresh
saline, Notify provider and blood bank
AHTR S/S: Correct Answer Fever, +/- chills, Hypotension,
Lumber/flank pain, chest pain, flushing
, Air embolism prevention with IV insertion Correct Answer
observing the catheter for an uneven tip upon removing it from a
vein
Albumin and circulatory overload risk Correct Answer Occurs
with rapid administration of blood products such as RBC's or
25% Albumin
allergic reaction Correct Answer Cause by antibodies against
plasma proteins
response to histamines (Benadryl and Tylenol/ steroids for
fever)
autologous blood transfusion Correct Answer Use of a patient's
own blood
Low hemoglobin = no transfusion
Best and only fluid for blood transfusion? Hint: Never hang
Dextrose Correct Answer Normal saline
Best blood product for anemia Correct Answer Packed RBCs
Best candidate for autologous blood transfusion Correct Answer
hemoglobin of 14.2 g/dL
Best solution compliment for Fatty Acid Deficiency Correct
Answer lipids
Best solution to provide calories and reduces the metabolism of
protein Correct Answer Dextrose