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level: Level 1

Questions and Answers List

level questions: Level 1

Question	Answer
A sealed hub on an administration set designed for sterile access to the IV fluid	Access port
Tubing that connects to the IV bag access port and the catheter to deliver IV fluid	Administration set
Small glass containers that are sealed and the contents sterilized	Ampules
The anterior aspect of the elbow	Antecubital
A substance that prevents blood from clotting	Anticoagulant
Chemicals used to cleanse an area before performing an invasive procedure, such as starting an IV line; not toxic to living tissues; examples include isopropyl alcohol and iodine	Antiseptics
A method of cleansing used to prevent contamination of a site when you are performing an invasive procedure, such as starting an IV line	Aseptic technique
Pertaining to the ear	Aural
A special type o macrodrip administration set designed to facilitate rapid fluid replacement by manual infusion of multiple IV bags or IV blood replacement combinations	Blood tubing
A term used to describe “in one mass”; in medication administration a single dose given by the IV or IO route; may be a small or large quantity of the drug	Bolus
A spring loaded device that is used for inserting an intraosseous needle into the proximal tibia in adult and pediatric patients	Bone injection Gun (BIG)
Between the gums	Buccal
A rigid, hollow, venous cannulation device identified by its plastic wings that act as anchoring points for securing the catheter	Butterfly catheter
The insertion of a catheter, such as into a vein to allow for fluid flow	Cannulation
Occurs wen a needl is reinserted into the catheter, ad it slices through the catheter, creating a free-floating segment	Catheter shear
A scale for measuring temperature where water freezes at 0 degrees and boils at 100 degrees	Celsius scale
Solutions that contain molecules (usually proteins) that are too large to pass out of the capillary membranes and, therefore, remain in the vascularcompartment	Colloid solutions
The total weight of a drug contained in a specific volume of liquid	Concentration
The puncturing of an emergency care provder’s skin with a needle or catheter that was used on a patient	Contaminated stick
Solutions of dissolved crystals (for example, salts, or sugars) in water; contain compounds that quickly dissociate in solution	Crystalloid solutions
An intravenous solution made up of 5% dextrose in water	D5W
Depletion of the body’s systemic fluid volume	Dehydration
The amount of a drug that the physician orders for a patient; the drug order	Desired dose
The shift of a long bone	Diaphysis
A solution (usually water or normal saline) used for diluting a mediation	diluent
Chemicals use on non living objects to kill organisms; toxic to living tissues	disinfectants
Gentle downward or lateral traction on the skin	Distal traction
The area of teh administration set where fluid accumulates so that the tubing remains filled with fluid	Drip chamber
Injecting sterile water or saline from one vial into another vial containing a powdered form of the drug	Drug reconstitution
A fluid solution, possibly containing supplemental medications, that can be administered recalls to aid in a variety of GI complications	Enema
Medication administration that involves the mediation passing through a portion of the GI tract	Enteral medicaitons
The growth plate of a bone; a motor site of bone development during childhood	Epiphyseal plate
The ends of a long bone	Epiphyses
Large neck vein that is lateral to the carotid artery	External jugular vein
A handheld, battery powered driver to which a special intraosseous needle is attached; used for insertion of the IO needle into teh proximal tibia of children and adults	EZ IO
A scale for measuring temperature where water freezes at 32 and boils at 212	Fahrenheit scale
Manual sternal intraosseous devices used in patents age 12 and older; include an infusion tube, subcutaneous portal, an introducer, a target/strain relief patch, and a protective dome	First access for shock trauma (FAST) devices
The area of an IV catheter that fills with blood to help indicate when a vein is cannulated	Flash chamber
Tubes that are commonly inserted in patients in the prehospital setting to decompress the stomach; can also be used to administer certain enteral medications	Gastric tubes
The internal diameter of an IV catheter or needle	Gauge
A unit of measure that indicates drops	gtt
An accumulation of blood in the tissues beneath the skin; a potential complication of IV therapy	Hematoma
The body’s natural blood clotting mechanism	Hemostasis
A solution that has a greater concentration of sodium than does the cell; the increased osmotic pressure can draw out water from the cell and cause it to collapse	Hypertonic solution
A solution that has a lower concentration of sodium than does the cell; the increased osmotic pressure lets water flow into the cell, causing it to swell and possibly burst	Hypotonic solution
Devices that are implanted in surgery, sutured under the skin, for the purpose of long term medication administration, total parenteral nutrition, chemotherapy, blood product adinistration, and venous blood sampling; an arteriovenous fistula is an example	Implanted vascular access devices
The escape of fluid into the surrounding tissue; the result of vein perforation during intravenous cannulation	infiltration
A mechanical device that infuses a precise intravenous volume programmed by the clinician	Infusion pump
Breathing into the lungs; a medication delivery route	Inhalation
Into a muscle; a medication delivery route	Intramuscular IM
Within the nose	Intranasal
Within the bone	Intraosseous IO
A technique of administering fluids, blood and blood products, and medications into the intraosseous space of a long bone, usually the proximal tibia	Intraosseous infusion
The spongy cancellous bone of the prophesies and the medullary cavity of the diaphysis, collectively	Intraosseous space
Within a vein	Intravenous IV
Cannulation of a vein with an IV catheter to access the patient’s vascular system	Intravenous therapy
The amount of charged particles found in a particular area	Ionic concentration
Intravenous solution that does not cause a fluid shift into or out of the cel; examples include normal saline and lactated ringer solutions	Isotonic crystalloid solutions
A solution that has the same concentration of sodium as does the cell. In this case, water does not shift, and no change in cell shape occurs	Isotonic solution
A sterile isotonic crystalloid IV solution of specified amounts of calcium chloride, potassium chloride, sodium chloride, and sodium lactate in water	Lactated ringer (LR) solution
Reactions that occur in a localized area; a potential complication ofIV therapy	Local reaction
Administration sets named for the large orifice between the piercing spike and the drip chamber; allow for rapid fluid flow into eh vascular system; allow 10-15 gtt/mL, depending not he manufacturer	Macro drip sets
A term applied to the practice of preventing contamination of the patient by using aseptic technique	Medical asepsis
A pressurized canister that delivers a specific dose of a medication; commonly used for beta-agonist bronchodilators	Metered- dose inhaler MDI
A decimal system based on tens for the measurement of length, weight, and volume	Metic system
Administration sets named for the small needle like orifice between the piercing spike and the drip chamber; allow for carefully controlled fluid flow and are ideally suited for education administration; allow for 60gtt/mL	Micro drip sets
A single vial divided into two compartments by a rubber stopper; methylprednisolone sodium succinate (soul-medrol) is stored this way	Mix-o-vial
A device that attaches to the end of a syringe that is used to spray (atomize) certain medications via the intranasal route	Mucosal atomizer device (MAD)
A device for producing a fine spray or mist that is used to deliver inhaled medications	Nebulizer
A spring loaded device that contains neither drill nor battery, usd for inserting an intraosseous needle into the proximal tibia of an adult patient	New intraosseous (NIO) device
Devices that have been inserted by direct vein puncture through the skin directly into a selected vein, for the purpose of Lon term medication administration, total parenteral nutrition, chemotherapy, and venous blood sampling; peripheral inserted central catheters and central venous catheters are examples	Nontunneling devices
A solution of 0.9% sodium chloride; an isotonic crystalloid	Normal saline
Blockage, usually of a tubular structure such as a blood vessel or IV catheter	Occlusion
Pertaining to the eye	Ocular
The ability to influence the movement of water across a semipermeable membrane	Osmolarity
A congenital bone disease that results in fragile bones	Osteogenesis imperfecta
Inflammation of the bone and muscle caused by infection	Osteomyelitis
An increase in the body’s systemic fluid volume	Overhydration
A teflon (plastic) catheter inserted over a hollow needle	Over the needle catheter
A route of medication administration that involves any route other than the gastrointestinal tract	Parenteral route
A type of surgical drain often used as a constricting band	Penrose drain
Through the skin or mucous membrane	Percutneous
A technique in which a cannula (tube) is inserted into veins of the peripheral areas, that is, veins that can be seen and/or palpated. Examples of peripheral veins include those of the hand, arm, and lower extremity and the external jugular vein	Peripheral vein cannulation
The hard, sharpened plastic spike on the end of the administration set designed to pierce the sterile membrane of the IV bag	Piercing spike
Medication syringes that are prepackaged and prepared with a specific concentration	Profilled syringes
A sleeve that is placed around the IV bag and inflated to force fluid to flow front he IV bag and into the tubing	Pressure infuser device
A blood clot or foreign matter trapped within the pulmonary circulation	Pulmonary embolism
A reaction characterized by an abrupt temperature elevation (as high as 106 degrees with severe chills, back ache, headache, weakness, nausea, and vomiting; a potential complication fo intravenous or intraosseous therapy	Pyrogenic reaction
Feature of an IV catheter (or any other object) that allows it to appear on a radiograph	Radiopaque
Special types of IV devices that eliminate the need to hang a bag of IV fluid; aka a buff cap or INT (intermittent); commonly used for patients who do not require fluid boluses by may require medication therapy	Saline locks
Any contaminated item that can cause injury; includes IV needles and catheters, broken ampules, vials, or anything else that can penetrate or lacerate the skin	Sharps
The destruction of all living organisms; achieved by using heat, gas, or chemicals	Sterile
Into the tissue between the skin and muscle; a medication delivery route	Subcutaneous
Under the tongue; a medication delivery route	Sublingual
A drug mixed in a firm base that melts at body temperature and is shaped to fit the rectum	Suppository
Fainting; brief losses of consciousness caused by transiently inadequate blood flow to the brain	Syncopal episodes
Reactions that affect systems of the body	Systemic complications
The shifting f fluid into the tissues, creating edema	Third spacing
Inflammation of a vein	Thrombophlebitis
The visible scars from repeated cannulation of a vein; commonly associated with illicit drug use	track marks
Across the skin; a medication delivery route	Transdermal
A solid boring needle	Trocar
A cylindrical device that attaches to an 18 or 20 gauge sampling needle; accommodates self-sealing blood tubes when blood samples are being obtained	Vacutainer
Veins on the leg that are large, twisted, and rope like and can cause pain, swelling or itching	Varicose veins
The development of a stationary blood clot in the venous circulation	Venous thrombosis
Small glass or plastic bottles that contain medication; may contain single or multiple doses	Vials
The aunt of fluid you have on hand, such as the amount of fluid in an IV bag or the amount of fluid in a vial of medicaiton	Volume on hand
A special type of micro drip set that features a 100 or 200mL calibrated drip chamber; used for fluid regulation in patint’s prone to circulatory overload, such as pediatric and older patients; aka a buretrol	Volutrol