NEW NURSE with a question!!!

TazziRN, RN · Jul 10, 2006

Hmm.....shouldn't be giving you the answer, but it's normal saline. Good luck on the test!

nurse~ashley · Jul 10, 2006

and why shouldn't you? im just reviewing...its not the actual question on the actual test. but thank you

weirdRN, RN · Jul 10, 2006

That was too easy. Normal Saline. Makes sure that your IV is a large bore... 14g is ideal.

nurse~ashley · Jul 10, 2006

alright thank you!

P_RN, ADN, RN · Jul 10, 2006

Do you know why it's the only thing?

tridil2000, MSN, RN · Jul 10, 2006

That was too easy. Normal Saline. Makes sure that your IV is a large bore... 14g is ideal.

you're mean!!!

op- blood can be given in a 20g catheter. make sure you have all vitals prior to administration. 2 rns must check blood bank info and wrist band. i have always stayed with my pt for the first 15 minutes. check vitals 5, 15 and 30 minutes INCLUDING temp! check vitals at the end as well. prbcs can go in over 2-4 hours for most pts. you can not draw an h&h during transfusion, it will be altered. some cardio compromised people require lasix after, as the volume and density can throw them into chf.

the most important thing with blood is to never let it stop dripping and cause it to stop flowing well, as well as REACTIONS! although rare, they can be deadly. monitor pt for rashes or trouble breathing closely for the first 15 minutes. if the temp rises above 1.5 degree we consider it a reaction. turn off the blood and notify the dr. anticipate benadryl, tylenol, o2 and fluids. return the blood to the blood bank and send a urine off as well (to assess any kidney damage.) chart the facts etc. follow up with an incident report as well.

nothing, but ns can mix with blood.

hth

weirdRN, RN · Jul 10, 2006

I am not sure but I'll take a stab at it.

B/c it is isotonic?

Hey, I have had flow problems with a 20g before, therefore, I personally prefer to use a larger bore IV catheter.

PANurseRN1 · Jul 10, 2006

and why shouldn't you? im just reviewing...its not the actual question on the actual test. but thank you

Because you should be reading and researching the answer yourself, instead of getting other people to do your homework for you.

(Waiting to be accused of "new nurse eating.")

TazziRN, RN · Jul 10, 2006

and why shouldn't you? im just reviewing...its not the actual question on the actual test. but thank you

You said you need to know this because you have a test tomorrow. Made it sound like it's on the test.

vampiregirl, BSN, RN · Jul 10, 2006

14g angio being mean? While there are more than type of patient that receives blood (and for some patients a 20g may be appropriate), a 14g angio is perfectly appropriate for a trauma patient.

(However, when I first started doing IV's years ago, I couldn't even imagine putting an 18g into a patient... I thought that was mean).

tridil2000, MSN, RN · Jul 10, 2006

14g angio being mean? While there are more than type of patient that receives blood (and for some patients a 20g may be appropriate), a 14g angio is perfectly appropriate for a trauma patient.
(However, when I first started doing IV's years ago, I couldn't even imagine putting an 18g into a patient... I thought that was mean).

i thought you were trying to get the student to go in to her class proudly announcing that blood requires a 14g... thus making the student look overzealous. :lol2:

traumas require large bores such as 14, 16 and even 18gs. but blood doesn't. i wanted the student to know a 20g is acceptable so s/he was aware.