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Isotonic solutions
5% dextrose in water (D5W),
0.9% NaCL (normal saline),
Lactated Ringers Solution
Hypotonic Solutions
0.33 NaCL (1/3 strength saline),
0.45 NaCL (1/2 strength saline)
Hypertonic solution
5% dextrose in 0.45% saline,
10% dextrose in water,
5% dextrose in 0.9% NaCL
5% dextrose in water precautions
should not be used in xcess volumes bc it does not contain any Na thus the fluid dilutes the amount of sodium in the serum. Brain swelling or hyponatremic encephalopathy can develop rapidly unless it is not pronptly treated. Contains 150 cal/Land 50 g of glucose.
0.9 NaCL
not desirable as a routine mant dt na and cl being provided in excess.
How long do you have to initiate and infuse a unit of packed RBC ofter signing out of a blood bank?
30 minutes to initiate and 4 hours to infuse
What needs to be done before administering blood to a pt?
Two LICENSED individuals must check the label on the blood, AND blood slip against the pt armband before administering to pt.
What is a jehovah witness beleif on blood transfusions?
They will not even take a blood transfusion of their own blood, they beleive that once blood has left the body it should be disposed of and not used.
What is the only solution that should be ran with blood?
NORMAL SALINE, dextrose will cause bloode to lyse
What is the first thing a nurse should do if a pt co Chills, Back and chest pain during a blood transfusion?
Then asssess vital signs, notify physician, monitor color and amount of urine
What is used to access alterations in pt platelet functions?
bleeding times,  reflects the ability of small vessels to constrict, will show if there is decrease platelet aggregation
What does PTT access?
(Intrinsic factors)The prothrombin time (PT) and its derived measures of prothrombin ratio (PR) and international normalized ratio (INR) are measures of the extrinsic pathway of coagulation. They are used to determine the clotting tendency of blood, in the measure of warfarin dosage, liver damage, and vitamin K status. The reference range for prothrombin time is usually around 12–15 seconds; the normal range for the INR is 0.8–1.2. PT measures factors I, II, V, VII, and X. It is used in conjunction with the activated partial thromboplastin time (aPTT) which measures the intrinsic pathway.
Mrs. Adele Rose is a 33-year-old computer analyst who has been admitted to the hospital in preparation for a splenectomy for treatment of immune throbocytopenic purpura (ITP). Physician orders include platelet transfusions and administration of prednisone. The nurse identifies a nursing diagnosis of Risk for Impaired Tissue Integrity related to Medical Interventions. An appropriate nursing intervention that addresses the etiology of this nursing diagnosis is to
use an intermittent IV infusion device such as a heparin lock to provide venous access for platelet transfusions and medications.
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