Relier Pairs Week 9,10,11,12,13 AsepticVersion en ligne Final theory test par Audree Dulnuan 1 TPN catheters 2 Central Route 3 Crohn’s disease 4 Short bowel syndrome 5 Abnormal bowel function 6 TPN 7 Ischemic bowel disease 8 Peripheral route 9 TPN risks Inflammatory disease of the bowl that may cause pain, bowel narrowing, affects food intake, digestion, & absorption Present at birth, result of surgery that removed significant amount of small intestines, not enough bowel to absorbs nutrients May cause difficulties that reduced blood flow to the bowel. Hickman, Brovaic, PICC, triple lumen, double lumen, or single lumen catheters, and ports Delivered by venous catheter with the tip in central location. Used for long term nutritional support. Tenderness, infection, irritation, draining, swelling, redness and pain, liver disease & damage Total Parenteral Nutrition (PN) Used for partial or supplemental TPN. Short term, cannot exceed 12.5% dextrose or 3.5% amino acids risk of thrombophlebitis, no calcium Causes food to have trouble moving through intestines, prevents food intake. 1 K+ Potassium Ion 2 Amino acids 3 Fats 4 Phosphate 5 Water 6 Electrolytes 7 Ca++ Calcium Ion 8 mmol 9 Vitamins 10 Dextrose 11 Trace Ellement 12 Mg++ Magnesium Ion 13 Na+ Sodium Ion Enzyme activities influence Ca++ levels, act as a buffer to prevent changes in acid-base balance, & affect protein synthesis. Interstitial osmotic pressure, tissue hydration, acid-base balance, nerve impulse transmission, and muscle contraction. Carbohydrate (CHO) metabolism, protein synthesis, muscle contraction, and neuromuscular excitability. Measures concentration of electrolytes. Doses are adjusted based on blood test results to maintain balance. mmol/mL. Referred as protein, essential nitrogen for protein synthesis, growth & tissue repair. Strengths: 5%,7%,8.5%,10%, & 15% CHO metabolism, muscle contraction, cardiac function, & capillary & cell membrane permeability. Contain both fat- and water-soluble vitamins. Included are vitamins A, D, E, & K and the B complex vitamins. Lipids, sterile emulsions of vegetables, soy oils. Strengths: 10%,20%,30%. Essential for humans, which include the following metals: copper, chromium, iron, manganese, zinc, selenium, and iodine. Concentrated IV solution containing essential electrolytes such as sodium, potassium, magnesium, and calcium. It must be diluted before IV use and is used to maintain and replace electrolytes needed for normal metabolism and organ function Enzyme activities, neuromuscular transmission, muscle excitability, & new cell formation. Known as glucose, supplies carbs for energy, strengths: 50% or 70% Supplies fluid essential to extracellular & intercellular body fluids , maintaining fluid & electrolytes balance 1 Tonicity 2 Dilution for neonatal use 3 Ophthalmic solutions 4 Ophthalmic ointments 5 If patient have an allergic reaction 6 Desensitization 7 Viscosity 8 Ophthalmic suspensions 9 Order when injecting products 10 Drug allergies 11 Drug sensitivity Contains finely divided solid drug particles that are small enough to avoid scratching the cornea . Sterilized using a method other than filtration. Normal tension of the tissues by virtue of which the parts are kept in shape, alert, & ready to function in response to a suitable stimulus. Semisolid medications made with a non-aqueous base such as white petrolatum. Sterilized using a method other than filtration. Customized based on weight, BSA, and age. Small doses are often diluted to make them easier to measure and safely administer, while avoiding too much fluid. The immune system reacts to the medication and can cause serious reactions, including anaphylaxis. Must be free of particulate matter and is intended for instillation into the eye. Must prepared in a clean environment. Stop current infusion. Inform ICU physician and allergist on call. Do not give diphenhydramine, steroids, epinephrine unless reaction is life threatening cardiovascular collapse, acute respiratory distress Do not restart protocol until instructions from the allergist on call A physical property of fluids that determines the internal resistance to shear forces. The body reacts to a medication, but the reaction is usually less severe and has a low risk of anaphylaxis. Slowly increases a medication dose to help the body tolerate it despite an allergy. IV graded challenge is a faster, cautious way of giving increasing doses to patients with a low-to-moderate risk of allergy. 1. Any electrolyte containing phosphate 2. All other additives except calcium and multivitamins 3. Any electrolyte containing calcium 4. Multivitamins 1 Prefilled syringe advantages 2 Negative TST 3 Splash or spills 4 Positive TST 5 What is RSV disease 6 What is a TST? 7 Elastomeric Ambulatory Infusors 8 Synagis 9 Low Flow Continuous (Ambulatory) 10 High-Flow Continuous (Ambulatory) The Mantoux tuberculin skin test is a test to check if a person has been infected with TB bacteria. Ranges from 12 hours to 7 days of continuous infusion. It is designed for ambulatory medication therapies requiring slow, continuous infusion. Use sterile water for injection or irrigation followed by isopropyl alcohol to DISINFECT Given as a monthly injection in the thigh to help protect high-risk children from severe RSV. It is given every 28–30 days throughout RSV season, starting before the season begins. This means the person’s body did not react to the test, and that latent TB infection or TB disease is not likely. Accuracy, safety, shelf life, convinience, less overfilling common seasonal virus that spreads easily and usually causes cold-like symptoms. Can become serious when it spreads to the lungs, in babies with certain health conditions. Ranges from 30 minutes to 5 hours of continuous infusion. It is designed for ambulatory medication therapies requiring intermittent infusion Portable devices that continuously deliver medication over hours or days without an IV pump. They allow patients to receive treatment at home. Non-electronic, ambulatory, disposable infusion Additional tests are needed to determine if the person has latent TB infection or TB disease.
