ATI MED SURG Study Guide-2020.2021

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ATI MED SURG Study Guide-2020.2021Central Venous Access Devices - (2) o Cardiovascular Diagnostic and Therapeutic Procedures: Administering Medication Through a Nontunneled Percutaneous Central Cath ... eter (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 27) ▪ Insertion location: ▪ subclavian vein, jugular vein; tip in the distal third of the superior vena cava ▪ Indications: Short-term use only ▪ administration of blood, long‑term administration of chemotherapeutic agents, antibiotics, and total parenteral nutrition o Cardiovascular Diagnostic and Therapeutic Procedures: Removing a Peripherally Inserted Central Catheter (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 27) ▪ Length of use: up to 12 months ▪ Assess Picc line every 8 hrs ▪ Change tubes and caps every 3 days ▪ Follow facility protocol for dressing changes, usually every 7 days and when indicated (wet, loose, soiled). • Expected Actions/Outcomes - (1) o Electrolyte Imbalances: Effective Action of Magnesium Sulfate (Active Learning Template - Medication, RM AMS RN 10.0 Chp 44) ▪ IV route is used because IM can cause pain and tissue damage ▪ Oral magnesium can cause diarrhea and increase magnesium depletion ▪ Monitor Deep Tendon Reflex (DTR) hourly during administration of magnesium sulfate. ▪ IV magnesium sulfate is given via an infusion pump not to exceed 150 mg/ [Show More]

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