This is a question from a MedMath test I just took. I think the correct answer is actually a med error. I just wanted to see what others thought.
"Your patient has a doctor's order for 1000mL of NS to run at 125mL/hr. How many mL will your patient receive after 24 hrs?"
I answered 1000mL but the correct answer was 3000mL.
If the doctor orders 1000mL and you give the patient 3000mL wouldn't you have to report to the doctor that you gave their patient 3X's the prescribed dose?
To me it doesn't matter that the 1000mL would be totally infused in 8 hrs. If the order is for 1000mL then the patient should only receive 1000mL.
Specializes in ICU, Paeds ICU, Correctional, Education.
Interesting. I would think that if the physician wanted the NSS to run constantly, the order would read "Normal Saline IV @ 125 mL an hour to KVO." The 1000 mL is a specific dosage.
But you know, sometimes the people writing this material are rather uninformed. Academia doesn't always display common sense.
:no:125mls/hr is not KVO by any stretch of the imagination. This is an unacceptable order. KVO means the smallest amount "To Keep the Vein Open" not FOP "Fluid Overload the Patient"!
:no:125mls/hr is not KVO by any stretch of the imagination. This is an unacceptable order. KVO means the smallest amount "To Keep the Vein Open" not FOP "Fluid Overload the Patient"!
We say TKO (to keep open). And 125 ml/hr is not a KVO/TKO amount.
Specializes in ICU, Paeds ICU, Correctional, Education.
we say tko (to keep open). and 125 ml/hr is not a kvo/tko amount.
thank you.
steph
who's we? most of the other posts "say" kvo, which i think is an accepted international standard. is "say" the same as "medical order"? my post indicated in quite easily understood english that 125mls was not a kvo volume.
thankyou
wendy
god claims credit for everything and responsibility for nothing
who's we? most of the other posts "say" kvo, which i think is an accepted international standard. is "say" the same as "medical order"? my post indicated in quite easily understood english that 125mls was not a kvo volume.
thankyou
wendy
i believe stevielynn was agreeing with you, wendy.
who's we? most of the other posts "say" kvo, which i think is an accepted international standard. is "say" the same as "medical order"? my post indicated in quite easily understood english that 125mls was not a kvo volume.
thankyou
wendy
god claims credit for everything and responsibility for nothing
i was agreeing with you wendy and thanking you.
the tko and kvo was just illustrative of different parts of the country doing different things.
The order is a little unclear, but the md is wanting you to hang a 1000 cc bag of NS to infuse @ 125cc/hr. So in 24 hours you would have infused 3000 cc. The doctors at my current facility write their IV orders like this. Most IV fluids come in 1000 cc bags.
Specializes in Critical Care, Emergency, Education, Informatics.
It's a perfectly clear, MATH WORD PROBLEM!!! not a nursing order or question. YOu have to learn to read a question for what it is or you'll have problems when you get NCLEX. Dont assume anything, don't add anything to the question, Just answer what it is asking for.
Specializes in ICU, Paeds ICU, Correctional, Education.
I was agreeing with you Wendy and thanking you.
The TKO and KVO was just illustrative of different parts of the country doing different things.
steph
My apologies, I have a very low tolerance for ethnocentricity... also be careful how you use emoticons and..... if you agree with something you can say "I agree".
My apologies, I have a very low tolerance for ethnocentricity... also be careful how you use emoticons and..... if you agree with something you can say "I agree".
Cheers
Wendy
"We" as in those who work in my local hospital.
The smilie . . . . .was in regards to 125 ml not being a tko/kvo rate . . . which was in agreement with you.
This is a question from a MedMath test I just took. I think the correct answer is actually a med error. I just wanted to see what others thought.
"Your patient has a doctor's order for 1000mL of NS to run at 125mL/hr. How many mL will your patient receive after 24 hrs?"
I answered 1000mL but the correct answer was 3000mL.
If the doctor orders 1000mL and you give the patient 3000mL wouldn't you have to report to the doctor that you gave their patient 3X's the prescribed dose?
To me it doesn't matter that the 1000mL would be totally infused in 8 hrs. If the order is for 1000mL then the patient should only receive 1000mL.
Can anyone explain this one to me? :nuke:
unless the order read 1000cc x1 i would have said 3000 as the 1000 is only the size of bag to hang and the order was the 125cc per hr over 24 hours. - i suppose in real life we could get a confirmamtion from the doc re do you want 1 bagor continuous iv ( whiuch some docs will write out either contiuos or for 24 hours or 8 hrs etc. )
What purpose is served by specifying an amount if the amount is irrelevant?
i think a lothas to do with knowing your doc and what they mean - does not excuse a doc who writes it that way and thinking onit has brought to my attention does not excuse ME ina court of law for assuming- as in my previous post i will now watch that one :) and clarify when needed. nice question! very thought provoking.
CO2emission
100 Posts
:no:125mls/hr is not KVO by any stretch of the imagination. This is an unacceptable order. KVO means the smallest amount "To Keep the Vein Open" not FOP "Fluid Overload the Patient"!