PICC Pharmacology & Medication Administration Flashcards
6 cards from real PICC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 PICC Pharmacology & Medication Administration flashcards as text
A patient receiving lipid emulsion via PICC develops fever, chills, and back pain shortly after starting the infusion. The nurse should first suspect:
Answer: Hypersensitivity or infusion reaction to lipid emulsion
Acute fever, chills, and back pain during lipid emulsion infusion are classic signs of a hypersensitivity or infusion reaction, requiring immediate infusion cessation and provider notification.
What is the maximum hang time for lipid-containing parenteral nutrition (3-in-1 admixture) administered via a PICC per INS guidelines?
Answer: 24 hours
Per INS guidelines, 3-in-1 TPN admixtures containing lipids should be infused within 24 hours of compounding to prevent lipid destabilization and microbial growth.
Which filter size is required when administering lipid emulsions through a PICC to prevent particulate matter from reaching the patient?
Answer: 1.2-micron filter
A 1.2-micron filter is required for lipid-containing solutions because the smaller 0.22-micron filter would remove the lipid particles from the emulsion.
A nurse is administering vancomycin via PICC and the patient develops flushing, erythema of the neck, and hypotension. This presentation is consistent with:
Answer: Red man syndrome due to rapid infusion rate
Red man syndrome is a non-allergic infusion reaction to vancomycin characterized by flushing, erythema, and hypotension that typically resolves by slowing the infusion rate.
When co-administering two IV antibiotics through a dual-lumen PICC simultaneously, what is the most important nursing action?
Answer: Verify compatibility of both antibiotics before simultaneous administration
Before simultaneous infusion through a multilumen PICC, the nurse must verify drug-drug compatibility to prevent precipitation, inactivation, or patient harm.
Which electrolyte additive in IV solutions via PICC requires a nurse to use a filter and careful infusion rate monitoring due to its cardiac toxicity potential?
Answer: Potassium chloride
Potassium chloride is cardiotoxic if infused too rapidly and requires careful rate monitoring; standard practice mandates maximum infusion rates and concentration limits via central access.