Matching Pairs Week 9,10,11,12,13 AsepticOnline version Final theory test by Audree Dulnuan 1 TPN catheters 2 Crohn’s disease 3 Ischemic bowel disease 4 Abnormal bowel function 5 Short bowel syndrome 6 Peripheral route 7 TPN risks 8 TPN 9 Central Route 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 Causes food to have trouble moving through intestines, prevents food intake. Total Parenteral Nutrition (PN) Inflammatory disease of the bowl that may cause pain, bowel narrowing, affects food intake, digestion, & absorption May cause difficulties that reduced blood flow to the bowel. Used for partial or supplemental TPN. Short term, cannot exceed 12.5% dextrose or 3.5% amino acids risk of thrombophlebitis, no calcium Tenderness, infection, irritation, draining, swelling, redness and pain, liver disease & damage Delivered by venous catheter with the tip in central location. Used for long term nutritional support. 1 K+ Potassium Ion 2 Water 3 Na+ Sodium Ion 4 Trace Ellement 5 Electrolytes 6 Ca++ Calcium Ion 7 mmol 8 Fats 9 Amino acids 10 Phosphate 11 Mg++ Magnesium Ion 12 Dextrose 13 Vitamins Contain both fat- and water-soluble vitamins. Included are vitamins A, D, E, & K and the B complex vitamins. Referred as protein, essential nitrogen for protein synthesis, growth & tissue repair. Strengths: 5%,7%,8.5%,10%, & 15% Interstitial osmotic pressure, tissue hydration, acid-base balance, nerve impulse transmission, and muscle contraction. Lipids, sterile emulsions of vegetables, soy oils. Strengths: 10%,20%,30%. Enzyme activities influence Ca++ levels, act as a buffer to prevent changes in acid-base balance, & affect protein synthesis. Enzyme activities, neuromuscular transmission, muscle excitability, & new cell formation. Measures concentration of electrolytes. Doses are adjusted based on blood test results to maintain balance. mmol/mL. CHO metabolism, muscle contraction, cardiac function, & capillary & cell membrane permeability. 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 Known as glucose, supplies carbs for energy, strengths: 50% or 70% Essential for humans, which include the following metals: copper, chromium, iron, manganese, zinc, selenium, and iodine. Carbohydrate (CHO) metabolism, protein synthesis, muscle contraction, and neuromuscular excitability. Supplies fluid essential to extracellular & intercellular body fluids , maintaining fluid & electrolytes balance 1 Ophthalmic ointments 2 Tonicity 3 Drug sensitivity 4 Viscosity 5 Drug allergies 6 Order when injecting products 7 Ophthalmic suspensions 8 If patient have an allergic reaction 9 Dilution for neonatal use 10 Desensitization 11 Ophthalmic solutions A physical property of fluids that determines the internal resistance to shear forces. Contains finely divided solid drug particles that are small enough to avoid scratching the cornea . Sterilized using a method other than filtration. Semisolid medications made with a non-aqueous base such as white petrolatum. Sterilized using a method other than filtration. 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 The body reacts to a medication, but the reaction is usually less severe and has a low risk of anaphylaxis. 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. 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. The immune system reacts to the medication and can cause serious reactions, including 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. 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. 1 What is a TST? 2 Positive TST 3 What is RSV disease 4 Negative TST 5 Synagis 6 Prefilled syringe advantages 7 Low Flow Continuous (Ambulatory) 8 Elastomeric Ambulatory Infusors 9 Splash or spills 10 High-Flow Continuous (Ambulatory) Ranges from 30 minutes to 5 hours of continuous infusion. It is designed for ambulatory medication therapies requiring intermittent infusion Ranges from 12 hours to 7 days of continuous infusion. It is designed for ambulatory medication therapies requiring slow, continuous infusion. The Mantoux tuberculin skin test is a test to check if a person has been infected with TB bacteria. 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 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. 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 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. Additional tests are needed to determine if the person has latent TB infection or TB disease. Use sterile water for injection or irrigation followed by isopropyl alcohol to DISINFECT