NUR 334- PHARM EXAM QUESTIONS AND ANSWERS A
+ GRADED
where are central lines placed
neck, chest, groin, arm
where are the end sites of central lines
SVC, Atrium, Cavoatrial junction, thoracic IVC
why do we use central lines
medication, fluids (osmolality >600), blood
long term: chemo, antibiotics, TPN, lab draw, dialysis
where does a port go
below clavicle into subclavian or jugular, special "Huber" needle
what are nurses supposed to do with dialysis catheters
ONLY dialysis nurses touch them, do not flush
when do claves have to be changes on a central line
every 96 hours
what size flush do you use on a central line
always use 10mL or larger
what is the proper flush method to use when flushing a central line
positive pressure, aspirate for blood prior to hanging IVF/meds
what should the nurse do if the catheter of a central line is hard to flush or does
not flush at all
DO NOT force; call IV resource
how fast do you push in an IV push
slowly, usually about 1-2 minutes depending on medication
what can happen if you IV push too fast
increases concentration in plasma, shock, cardiac arrest, euphoria
what does the nurse need to make sure they check before pushing a med IV
compatibility with other drugs and IVF
what are some examples of IV push medications
furosemide, diazepam, morphine/fetanyl/dilaudid, diphenhydramine, hydralazine,
ondansetron
where do you want to push medications on the tubing
the hub closest to the site
what do you do to treat respiratory alkalosis
rebreathe CO2 laden expired breath
what do you do to treat respiratory acidosis
infusion of sodium bicarbonate (can also be used for after cardiopulmonary arrest)
how do you treat metabolic alkalosis
solution of 0.9% NS and potassium
-helps the body compensate for too few H+
how do you treat metabolic acidosis
sodium bicarbonate
what are diuretics used for
HTN, HF, renal failure
+ GRADED
where are central lines placed
neck, chest, groin, arm
where are the end sites of central lines
SVC, Atrium, Cavoatrial junction, thoracic IVC
why do we use central lines
medication, fluids (osmolality >600), blood
long term: chemo, antibiotics, TPN, lab draw, dialysis
where does a port go
below clavicle into subclavian or jugular, special "Huber" needle
what are nurses supposed to do with dialysis catheters
ONLY dialysis nurses touch them, do not flush
when do claves have to be changes on a central line
every 96 hours
what size flush do you use on a central line
always use 10mL or larger
what is the proper flush method to use when flushing a central line
positive pressure, aspirate for blood prior to hanging IVF/meds
what should the nurse do if the catheter of a central line is hard to flush or does
not flush at all
DO NOT force; call IV resource
how fast do you push in an IV push
slowly, usually about 1-2 minutes depending on medication
what can happen if you IV push too fast
increases concentration in plasma, shock, cardiac arrest, euphoria
what does the nurse need to make sure they check before pushing a med IV
compatibility with other drugs and IVF
what are some examples of IV push medications
furosemide, diazepam, morphine/fetanyl/dilaudid, diphenhydramine, hydralazine,
ondansetron
where do you want to push medications on the tubing
the hub closest to the site
what do you do to treat respiratory alkalosis
rebreathe CO2 laden expired breath
what do you do to treat respiratory acidosis
infusion of sodium bicarbonate (can also be used for after cardiopulmonary arrest)
how do you treat metabolic alkalosis
solution of 0.9% NS and potassium
-helps the body compensate for too few H+
how do you treat metabolic acidosis
sodium bicarbonate
what are diuretics used for
HTN, HF, renal failure
