BURN question re: IV narcotics

Specialties Burn

Published

Hey all!

I was asked a question on the "Introductions" forum that kind of stumped me. I was hoping you could help us both out.

Here's the question:

"We had our review class for the licensure exams and they have this question:

A narcotic IV was orderd to control the pain of the client with burns. Why was the IV route selected?

a. Burns cause excruciating pain, requiring immediate relief.

b. Circulatory blood volume is reduced, delaying absorption form the subcutaneous tissues and muscle tissue

c. Cardiac function is enhanced by immediate action of the drug

d. Metabolism of the drug would be delayed because of decreased insulin production.

my answer was A, and I also came across this question on a review class. but when this question came up at our school review, their answer was B. My answer was still A, because B mainly refers to the IM and not IV.what do you think is the right answer. Two review instructors have different answer and i am confused. One question is important for me. can you please give some explanations on this or the rationale!!!! everybody is welcome!"

Thank you very very much for your help!

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
The most correct answer is B but I would argue the physiology underlying even that answer because it soooo depends on the size of the burn and the degree of resuscitation.

The most correct response would be interrupted/diminished blood flow to SC/IM sites.

Thanks, that is what I was thinking - if it was 3rd degree burns over a majority of the body, versus second degree over a small area, it would make a big difference.

Thanks for taking the time!

hate to throw this in, but copying a question in its entirety here, including all four of the answers, is against us copyright laws. that question belongs to who ever the author was, and without their permission, cannot be reproduced here.

please be careful with this.............:balloons:

http://www.cas.usf.edu/english/walker/papers/cyberprop.html

however, electronic mail and synchronous communication sites such as internet relay chat (irc) and various forms of muds (multi-user dungeons or dimensions)--sites which allow for "live" communication between users--are not protected under the copyright act. the report says:

a transmission, in and of itself, is not a fixation. while a transmission may result in a fixation, a work is not fixed by virtue of the transmission alone. therefore "live" transmissions via the nii [national information infrastructure] will not meet the fixation requirement, and will be unprotected under the copyright act, unless the work is being fixed at the same time as it is being transmitted.

fair use and abuse

infringement is infringement--the doctrine of fair use doesn't negate that; it is simply an "affirmative defense." but section 107 of the copyright act plainly says:

[t]he fair use of a copyrighted work, including such use by reproduction in copies of phonorecords or by any other means specified by that section, for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright. in determining whether the use made of a work in any particular case is a fair use the factors to be considered shall include -- (1) the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes; (2) the nature of the copyrighted work; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole; and (4) the effect of the use upon the potential market for or value of the copyrighted work

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
http://www.cas.usf.edu/english/walker/papers/cyberprop.html

[t]he fair use of a copyrighted work, including such use by reproduction in copies of phonorecords or by any other means specified by that section, for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright. in determining whether the use made of a work in any particular case is a fair use the factors to be considered shall include -- (1) the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes; (2) the nature of the copyrighted work; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole; and (4) the effect of the use upon the potential market for or value of the copyrighted work

thank you for that. so i am gathering that using the question in this way is all right? sorry i have a headache and transmisson of data is impaired.

i absolutely adore your "signature quote" - wow!

Specializes in Vents, Telemetry, Home Care, Home infusion.

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Specializes in Alzheimer's, Geriatrics, Chem. Dep..
The Admin Team has been contacted in the past by lawyers that articles/ original info copied from other sites is in violation of copyright laws. We ask that our members be judicious in their posts and be aware of the laws.

From our TOS found at the bottom of every page:

Copyrighted Material:

No "spreading of copyrighted Material": Please do not upload, attach or post anything that is copyright or licensed without prior consent of the owner. For example, if you want to post content from an online article, do not post the whole article, post a partial synopsis, and then a link to the source.

Karen would you please delete the thread if it is a problem? Thank you very much.

Karen would you please delete the thread if it is a problem? Thank you very much.

The Fair Use Law can be accessed at: http://www.benedict.com/info/Law/FairUse.aspx

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