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Terms in this set (166)
Name 5 common reasons for using 1. Maintain fluid balance / correct imbalance
Infusion therapy? 2. Maintain Electrolyte balance / correct imbalance
3. Administer Medications
4. Administer Blood Products
5. Nutrition
Name 4 priority concepts associated Fluid Electrolyte balance
with Infusion Therapy Tissue Integrity
Infection
Perfusion
What healthcare settings deliver Hospitals, clinics, Drs. Offices, Homecare, Dialysis
infusion therapy? Centers, Long Term care facilities
IV drugs provide rapid therapeutic ADE. Adverse Drug Events
effects but can lead to immediate
serious reactions known as:
What does the term VAD mean? Vascular Access Device
What are the two categories of VAD? PVAD (peripheral vascular) and CVAD (central
venous)
,What are the different kinds of 1. Short, over the needle catheter (most common -
common Peripheral Vascular Access 72-96 hours max - hand or forearm)
(PVA)devices? 2. Midline catheter (longer-term IV therapy -
veining upper arm, 1-4 wks, no blood draws - no
vesicant drugs)
3. Winged infusion catheter (generally for children)
What are the different kinds of 1. Non-tunneled Percutaneous CVC ( subclavian
common Central Venous Access vein in upper chest or jugular, short term, requires
(CVA) Catheter types? x-ray to confirm placement, used in emergency
settings)
2. Peripherally inserted central catheter (PICC) (x-
ray determines placement, Can be used longer
term, and for contrast injections, CVP monitoring.
3. Tunneled CVC (lies in subcutaneous tunnel, used
for long term infusion therapy, cuff of antibiotics to
reduce infection)
4. Implanted port (surgically implanted in upper
chest, long term, flushed after each use)
What types of patients veins can Mastectomy
NOT be used for Infusion Therapy? Axillary lymph node dissection
Lymphedema
Paralysis of upper extremities
Dialysis graft or fistulas
What does ISOTONIC mean? Has the same Solute concentration as that of
blood plasma
List common Isotonic (270- Normal Saline (NS/0.9% NS)
300mOsm/L) solutions? Lactated Ringers (LR)
Dextrose 5% in water (D5W) - (becomes hypotonic
as dextrose is taken up by cells)
(ISOTONIC= Same osmolarity as body fluid)
, List common Hypertonic solutions? Parenteral nutrition (TPN)
3%NS
5%NS
Dextrose 10% in water (D10W)
Dextrose 5% in 0.45% Normal Saline (D5 0.45% NS)
Dextrose 5% in 0.9% Normal Saline (D5 0.9%NS)
Dextrose 5% in Lactated Ringers (D5LR)
(HYPERTONIC= Higher osmolarity than body fluid)
List common Types of Hypotonic 0.45% Saline (1/2 NS)
Solutions? D5W (starts Isotonic -becomes hypotonic as
dextrose is taken up by cells
(HYPOTONIC =Lower osmolarity than body fluid)
What does Hypertonic mean? Hypertonic: (fluids > 300 mOsm/L)
having a greater concentration of solute than
another solution. Water moves across a
semipermeable membrane into a hypertonic
solution.
Why are isotonic solutions There is a greater risk of fluid overload because
contraindicated in patients with water does not move into or out of the body's cells
Congestive Heart Failure, HTN, with isotonic solutions.
Cardiac Disease and the Elderly?
What does Hypotonic mean? Hypotonic: (fluids < 270 mOsm/L)
having less concentration of solute than another
solution. Water moves across a semipermeable
membrane out of a hypertonic solution into the
other solution.