Relacionar Columnas Week 9,10,11,12,13 AsepticVersión en línea Final theory test por Audree Dulnuan 1 Central Route 2 Crohn’s disease 3 Ischemic bowel disease 4 TPN risks 5 Peripheral route 6 Short bowel syndrome 7 TPN 8 Abnormal bowel function 9 TPN catheters Tenderness, infection, irritation, draining, swelling, redness and pain, liver disease & damage Inflammatory disease of the bowl that may cause pain, bowel narrowing, affects food intake, digestion, & absorption Causes food to have trouble moving through intestines, prevents food intake. Total Parenteral Nutrition (PN) Hickman, Brovaic, PICC, triple lumen, double lumen, or single lumen catheters, and ports Present at birth, result of surgery that removed significant amount of small intestines, not enough bowel to absorbs nutrients Used for partial or supplemental TPN. Short term, cannot exceed 12.5% dextrose or 3.5% amino acids risk of thrombophlebitis, no calcium May cause difficulties that reduced blood flow to the bowel. Delivered by venous catheter with the tip in central location. Used for long term nutritional support. 1 Trace Ellement 2 Mg++ Magnesium Ion 3 K+ Potassium Ion 4 Amino acids 5 mmol 6 Na+ Sodium Ion 7 Ca++ Calcium Ion 8 Water 9 Electrolytes 10 Fats 11 Phosphate 12 Vitamins 13 Dextrose 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 Carbohydrate (CHO) metabolism, protein synthesis, muscle contraction, and neuromuscular excitability. Referred as protein, essential nitrogen for protein synthesis, growth & tissue repair. Strengths: 5%,7%,8.5%,10%, & 15% Measures concentration of electrolytes. Doses are adjusted based on blood test results to maintain balance. mmol/mL. Enzyme activities influence Ca++ levels, act as a buffer to prevent changes in acid-base balance, & affect protein synthesis. Supplies fluid essential to extracellular & intercellular body fluids , maintaining fluid & electrolytes balance Interstitial osmotic pressure, tissue hydration, acid-base balance, nerve impulse transmission, and muscle contraction. Essential for humans, which include the following metals: copper, chromium, iron, manganese, zinc, selenium, and iodine. Enzyme activities, neuromuscular transmission, muscle excitability, & new cell formation. CHO metabolism, muscle contraction, cardiac function, & capillary & cell membrane permeability. Known as glucose, supplies carbs for energy, strengths: 50% or 70% 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%. 1 Drug allergies 2 Drug sensitivity 3 Order when injecting products 4 Dilution for neonatal use 5 Ophthalmic ointments 6 If patient have an allergic reaction 7 Desensitization 8 Tonicity 9 Ophthalmic solutions 10 Ophthalmic suspensions 11 Viscosity 1. Any electrolyte containing phosphate 2. All other additives except calcium and multivitamins 3. Any electrolyte containing calcium 4. Multivitamins Must be free of particulate matter and is intended for instillation into the eye. Must prepared in a clean environment. Semisolid medications made with a non-aqueous base such as white petrolatum. Sterilized using a method other than filtration. The immune system reacts to the medication and can cause serious reactions, including anaphylaxis. 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. Contains finely divided solid drug particles that are small enough to avoid scratching the cornea . Sterilized using a method other than filtration. The body reacts to a medication, but the reaction is usually less severe and has a low risk of anaphylaxis. 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. 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. A physical property of fluids that determines the internal resistance to shear forces. 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 1 High-Flow Continuous (Ambulatory) 2 Prefilled syringe advantages 3 Low Flow Continuous (Ambulatory) 4 Positive TST 5 Synagis 6 Elastomeric Ambulatory Infusors 7 What is a TST? 8 What is RSV disease 9 Negative TST 10 Splash or spills Additional tests are needed to determine if the person has latent TB infection or TB disease. 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. The Mantoux tuberculin skin test is a test to check if a person has been infected with TB bacteria. This means the person’s body did not react to the test, and that latent TB infection or TB disease is not likely. Ranges from 12 hours to 7 days of continuous infusion. It is designed for ambulatory medication therapies requiring slow, continuous infusion. 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 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. Accuracy, safety, shelf life, convinience, less overfilling Use sterile water for injection or irrigation followed by isopropyl alcohol to DISINFECT
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