IV flulids/solutions and WHY?? - Page 3

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  1. No problem, 1970 butterfly! Part of the purpose of allnurses is to learn from one another. I am still learning a lot, as well. Like, no matter how busy you are, always take the 2 seconds to check to be sure your IVF are running once you start them (because then you have to run back in since you forgot to unclamp the stupid line, and this is especially true when starting IVPB lol). And, even when there are critical things happening, I always take the 2 seconds to double check meds, concentrations even when there's no time to scan them into the computer. You can do this as you are priming the line, so no excuses, right

    And, the OP mentioned not asking the doctors questions, I ask the doctors questions if I have them. Like, for instance, "what's the plan of care for this patient?" And, I don't ask this in a snarky way, but if someone has been unresponsive for such and such a time, I want to know what our plan is so that I know, but also so that I can tell the family, and make sure that a patient didn't just fall under the radar as far as discussing withdrawal of life support with the family, etc. That's just part of patient advocacy, nothing wrong with discussing things with doctors (again, I do this briefly when I'm calling for something else, don't spend an hour talking to them lol).

    Or, if there is a lab they order that you're unfamiliar with, and you've already googled it, no harm in asking them what they're really looking for in the patient, etc. It definitely is a good thing for the nurse to know what is going on with the patient.
  2. Quote from ScottE
    LR contains lactate not lactose and there is a huge difference between the two.
    LR should not be given to patients with liver problems because of the inability to convert the lactate, resulting in lactic acidosis.