OK I know this sounds stupid but I have a friend that gets really freaked out before big tests like finals, HESI, NCLEX, and usually we get together and a few days before I start throwing out random facts at her. On 2 different tests she said the only way she got several questions was from the random facts that I threw at her that she never would have thought of!
SOOOOO..... I thought that if yall wanted to do this we could get a thread going and try to throw out 5 random facts or "things to remember". NCLEX is coming and the more I try to review content the more I realize that I have forgotten so......here are my 5 random facts for ya:
OH and BTW these came from rationales in Kaplan or Saunders no made up stuff:
1️⃣ A kid with Hepatitis A can return to school 1 week within the onset of jaundice.
2️⃣ After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine.
3️⃣ Hyperkalemia presents on an EKG as tall peaked T-waves
4️⃣ The antidote for Mag Sulfate toxicity is ---Calcium Gluconate
5️⃣ Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact.
Oh, ohh, one more...
? Vasopressin is also known as antidiuretic hormone
the answer is d. although the assistant can technically count
respirations per minute, the infant's initial respiratory rate of 64 indicates a need for further
respiratory assessment that only the RN can perform
Thanks dayo! I was not sure about my answer..this type of question is particularly difficult for me for the question said the least appropriate to delegate. I chose the opposite to what the question is asking. Thanks for the clarification. Saunders 4th edition page 369 says that an infant's respiratory rate is 30-60 breaths/min which makes your answer right; further investigation is required and that is beyond the scope of what a nursing assistant can do. Thanks once more, dayo. :wink2: feliz3
speaking about acidosis and alkalosis...could anybody answer my question if pt. with hyperemesis gravidarum suffers with acidosis from ketosis ( using fat as an alternative to glucose - vomiting ) or alkalosis from loss of hydrogen from prolonged vomiting. There are assessments findings: metabolic acidosis, fruity breath. In diagnostic evaluation is: ABG analysis reveals alkalosis, urine ketone levels are elevated. I don't know to find the connection... Thanks
I do not understand what is it what you want to know feliz3
Guyz can anyone help me i'm confuse with this: After receiving extensive abdominal surgery, He has 1000 ml of LRS infusing via a central line. The Dr. orders the i.v fluid to be infused at 125 ml/hour plus the total output of the previous hour. The drip factor of the tubing is 15 gtt/minute and the output for the previous hour was 75ml via foley cat., 50 ml via ngt, and 10 ml via jackson prat tube. for how many drops per minute should the nurse set the i.v flow rate to deliver the correct amount of fluid? Answer in a whole number.
answer ____gtt/min.
Can someone answer it and i will compare on my answer, seems confusing, please include the solution. thanks.
I think you are confused because you have information in there that you do not need in order to solve this problem. You do not need the output information at all. Information you need: total volume=1000ml, rate of the IV prescribed=125ml/hr and drop factor=15gtt. That is all yo need.
This formula is taken from Saunders 4th edition page 203 Box 17-11: Flow Rates= Total volume X drop factor/time in minutes=drops per minute
1000ml/125ml/hr (the mls cancel out and you are left with) 1000/125 hr X 15gtt you need to convert the hour into minutes for your response is in drops/min. To do that you use the conversion factor 1 hr=60 min
1000ml/125hr 15gtt X 1hr/60 min, the hr cancel out and you are left after doing the multiplication
with 15,000gtt/7,500min=2 gtt/min = total volume to be infused multiplied by drop factor divided by time in minutes as the formula above says.
I think you are confused because you have information in there that you do not need in order to solve this problem. You do not need the output information at all. Information you need: total volume=1000ml, rate of the IV prescribed=125ml/hr and drop factor=15gtt. That is all yo need.
This formula is taken from Saunders 4th edition page 203 Box 17-11: Flow Rates= Total volume X drop factor/time in minutes=drops per minute
1000ml/125ml/hr (the mls cancel out and you are left with) 1000/125 hr X 15gtt you need to convert the hour into minutes for your response is in drops/min. To do that you use the conversion factor 1 hr=60 min
1000ml/125hr 15gtt X 1hr/60 min, the hr cancel out and you are left after doing the multiplication
with 15,000gtt/7,500min=2 gtt/min = total volume to be infused multiplied by drop factor divided by time in minutes as the formula above says.
I hope this help you. feliz3
Feliz, thanks for the reply but it's wrong, the above post which is 65ggt/min is right, I got this one wrong too because i included 1000ml. 1000ml/125ml/hr = 8 hrs, i was getting how many hours will that 1000 to be infuse in 125ml/hr. then i added 1000ml plus 50ml + 75ml+15ml, so the total = 1135ml. this would be my total input, so
1135ml x 15 = 31ggt/ml.. this was my fourmula coz i was calculating for the 8hrs.. so i'm wrong also!
8x60
I was reading it over and over i can't seem to figure out till i notice that the Dr.'s order is 125ml/hr plus 75ml,50ml,and 10ml. You should not include the 1000ml.. so 260/60x15=65..
This is tricky for me.. I got this question in nclex 4000..
the funny thing is i solved it very fast, trying to be confident about it..then when i reviewed it..it was wrong..ehhee!
This formula is taken from Saunders 4th edition page 203 Box 17-11: Flow Rates= Total volume X drop factor/time in minutes=drops per minute
1000ml/125ml/hr (the mls cancel out and you are left with) 1000/125 hr X 15gtt you need to convert the hour into minutes for your response is in drops/min. To do that you use the conversion factor 1 hr=60 min
1000ml/125hr 15gtt X 1hr/60 min, the hr cancel out and you are left after doing the multiplication
with 15,000gtt/7,500min=2 gtt/min = total volume to be infused multiplied by drop factor divided by time in minutes as the formula above says.
I hope this help you. feliz3
______________
one more thing feliz, on the saunders that u referred regarding flow rates, the formula u have given me is wrong, totally wrong, the formula is
Total Volume x dropfactor = drops per minute
time in minutes
you showned me 1000ml/125ml/hr(mls cancel out.. You can't do this! You suppose to divide 1000ml/125ml/hr = 8 hrs. This would be your Time in minutes, so if this is ur formula, the solution would be:
1000ml/125ml/hr (cancel ml, left out with 8 hrs
1000ml x 15(dropfactor)
8hr x 60(min)= 480mins. = 31.25 or 31gtts/min.
your answer was 2gtts/min, this will be unrealistic and very slow, blood drip is even faster than 2 gtts for 1000ml+ , to be infuse.. :-)
ok so its late and im exhausted but this thread is great. i haven't read through all 100 replys but i have sort of a silly saying!! hope you enjoy. it has stuck in my head maybe yours as well!!
This formula is taken from Saunders 4th edition page 203 Box 17-11: Flow Rates= Total volume X drop factor/time in minutes=drops per minute
1000ml/125ml/hr (the mls cancel out and you are left with) 1000/125 hr X 15gtt you need to convert the hour into minutes for your response is in drops/min. To do that you use the conversion factor 1 hr=60 min
1000ml/125hr 15gtt X 1hr/60 min, the hr cancel out and you are left after doing the multiplication
with 15,000gtt/7,500min=2 gtt/min = total volume to be infused multiplied by drop factor divided by time in minutes as the formula above says.
I hope this help you. feliz3
______________
one more thing feliz, on the saunders that u referred regarding flow rates, the formula u have given me is wrong, totally wrong, the formula is
Total Volume x dropfactor = drops per minute
time in minutes
you showned me 1000ml/125ml/hr(mls cancel out.. You can't do this! You suppose to divide 1000ml/125ml/hr = 8 hrs. This would be your Time in minutes, so if this is ur formula, the solution would be:
1000ml/125ml/hr (cancel ml, left out with 8 hrs
1000ml x 15(dropfactor)
8hr x 60(min)= 480mins. = 31.25 or 31gtts/min.
your answer was 2gtts/min, this will be unrealistic and very slow, blood drip is even faster than 2 gtts for 1000ml+ , to be infuse.. :-)
I am sorry probably it's the way I express myself in English. I've found two opposite findings in HG. one is acidosis ( from ketosis ), but ABG analysis reveals alkalosis ( loss of hydrogen from vomiting ) . for me it's confusing to find both at the same time. thank you Feliz3
speaking about acidosis and alkalosis...could anybody answer my question if pt. with hyperemesis gravidarum suffers with acidosis from ketosis ( using fat as an alternative to glucose - vomiting ) or alkalosis from loss of hydrogen from prolonged vomiting. There are assessments findings: metabolic acidosis, fruity breath. In diagnostic evaluation is: ABG analysis reveals alkalosis, urine ketone levels are elevated. I don't know to find the connection... Thanks
You can differentiate hyperemesis gravidum from only morning sickness by looking is it acidosis or alkalosis. If this is hyperemesis gravidum women have not just vomiting, she can't eat, so she going in starvation and starting use fat for metabolism to get glucose, so she will have a lot ketones in her blood stream.So, she will have ketoacidosis. If she still can eat (she did not use fat as alternative source of energy)and only vomiting, so she losing acid from gastric secretion, she will have alkalosis (no ketones in blood stream).
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yes, you are right and it is partially compensated for the PCO2 is abnormal, but the pH and HCO3 are close to being normal. feliz3