NURS 225 Lecture Notes - Lecture 4: Intravenous Therapy, Volume Expander, Glucose
14 Feb 2020
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Example - february 10th 2020: start 0. 9% ns at 125 ml/hr. Blood products or products that act like blood. Dextran 40: is the same osmolarity as blood, blood administration alternative. All can pass through a semipermeable membrane. 20% mannitol: used for head injuries to ensure there isn"t too much fluid build up. Monitor for water intoxication (n&v, confusion, disorientation, if untreated seizures, muscle weakness can occur) D5w is isotonic in solution but hypotonic in body. Critical to assess iv site as per site policy (ahs - every hour) Extravasation: when rough medications cause damage due to not entering veins. Pyrogenesis: infection at the site of the iv, can show as a red or yellow streak going up the arm. Phlebitis: damage to the inside of the vein due to iv mechanical stress or too small of a vein size. Hematoma: leaking of blood under the tissue during insertion, removal or patient movement. Air embolism: no amount of air is safe.
