1. If you have a patient who has been diagnosed with asthma, and is currently

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• If you have a patient who has been diagnosed with asthma, and is currently

having an asthma attack, and a patient who is having chest pain who would you see first Answer> Chest pain patient should be seen first

• LPN's Scope of practice r/t IV therapy

Answer>Can hang first, and continue to hang bags of Isotonic, Hypertonic, Hypotonic solutions -Can hang first, and continue to hang bags of antibiotics -Can hang the 2nd bag of Vitamins/Electrolytes -Can stop and monitor for s/s of infections with Blood/PCA -Can place an IV antecubital or below -Needle cannot be greater then 3 inches in length -Patient must be an adult older than 18 years of age

• What can an LPN do for a Pediatric patient

Answer> -Check vitals -Get cultures -Can give IM injections -Can give suppositories -Can give oral meds -Can stop the IV if complications occur -Can assess/monitor the patient

• What are the steps and concerns when you D/C a PIV

Answer> No pressure at the

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site of injection until after the catheter is removed. Concerns for complications such as phlebitis can still occur even after the IV has been removed. Make sure to monitor site.

• How do you Prioritize which patient to see first

Answer> Airway Breathing Circulatio n (ABC's) and Critical thinking

• IV Complications

Answer> Hematoma -Infiltration -Extravasation -Phlebitis

7. Hematoma (What it looks like and Interventions):

Answer>Bruise around IV site D/C the IV, place ice on area, apply pressure

• Infiltration (What is looks like and

Interventions): Answer>Lump D/C IV, and elevate

extremity 9.

10. Extravasation (What it looks like and Interventions): Answer>Lump,

Could also have/get tissue damage Leave IV in, Give antidote, then D/C IV

**DO NOT ELEVATE EXTREMITY

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11. Phlebitis (What it looks like and Interventions):

Answer>Red, Warm, Red line, Palpa- ble cord (vein feels like a tendon) D/C IV, apply a warm compress

• At what stage of phlebitis is the palpable cord felt

Answer> Stage 3

• I&O with recommendations of what the patient needs (more or less fluid)-

Answer>If the output is greater than the input recommend increasing the fluids -If input is greater than output recommend a diuretic

• Albumin administration and your assessment

Answer>5% = Isotonic -20-25% = Hypertonic -Watch for fluid volume overload -Assess Lungs- Listening for any fluid buildup -Assess B/P- (HTN)

15. Acute Hemolytic Transfusion Reaction (AHTR):

Answer>ABO Incompatibility- The RBC's burst/lyse, which creates the brick red urine.Caused by getting the wrong type of blood S/S: Fever, Tachycardia, Chest pain, Back/flank pain, Flushed, Hypotension, Chills, Dark brick colored urine

• Isotonic Solutions

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Answer>0.9% NS- Given for Traumas -LR- Given for Burns -D5W -Increases the BP -Stays in extracellular space (stays where you put it) -Worry about FVE

• Hypotonic Solutions

Answer>0.45% NS

-0.225% NS

-0.333 NS

-Decreases the BP -Given to renal and cardiac patients -Leaves extracellular space and goes into the cell

• Hypertonic Solutions

Answer>

D5/0.9% NS

-D5/0.45% NS

-D5/LR

-Increases the BP -Goes from cell to extracellular/ vascular space -Increases circulation

• Dextrose (Why do we administer it and what are the side effects?)

Answer>Given to provide energy, and give SOME nutrients -Given if blood sugar is low, Anorexia, malnourished, dehyd