iv therapy
Terms
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- what can an lvn do with a central line?
- sterile dressing change ONLY
- what can an lvn do with a peripheral line?
- insert, access, flush
- what kind of bag can an lvn hang?
- blood/blood products, nutritional
- what CAN'T an lvn hang?
- medication, abx
- why are blood transfusions given?
-
to improve
1) o2 carrying capacity
2) immunity
3) clotting factors
4) volume - is consent required to receive blood?
- yes, but only 1 consent form is required in chart for entire stay.
- what items are included in the inspection process?
-
1) chart
2) iv site
3) bag and slip - not all blood products need to be run thru filtered tubing? t/f?
- false. ALL blood products must be filtered.
- what extra steps are taken with immunocompromised pt's?
- 2ndary filter - palls filter. filters wbc's.
- what needle size is used for blood transfusions?
- 18 or larger
- universal donor
- o
- universal recipient
- ab
- what about a and b
- accept their own and o only
- what is "whole blood"
- unprocessed blood
- what is ffp
-
fresh frozen plasma = protein rich fluid in the blood
draws water to itself -> improves volume - 1st s/sx of fluid overload
- respiratory crackles
- 2nd s/sx of fluid overload
- increased bp
- late sign of fluid overload
- peripheral edema
- actions req'd when pt has xfusion reaction
-
1) STOP xfusion
2) remove tubing
3) flush sl c ns
4) assess pt
5) ensure pt safety
6) notify dr & blood bank - what is plasmanate?
-
NOT blood product
no filter reqd
5% albumin
aka albuminate
considered nutrition -> lvn CAN hang