8 month old baby dies because iv line could not be accessed

[ibnkoomson]

An 8month old baby was rushed into my ward with the complaints of diarrhoea and vomiting for 2days.on asssessment , the child was severely dehydrated and clinically pale.the rbs was 5.2mmol/l. temp 37.5,pulse 136bpm and spo2 98%.efforts were made to get an iv line on any part of the but it failed. an NG tube was passed n some fluid given through that route.but the iv line was still difficult to get .child finally passed away because of severe dehydration.assuming you were in my shoes what will u have done?

[Esme12, ASN, BSN, RN]

The lab value is telling they are not in the US.

[Anna Flaxis, BSN, RN]

As is the use of the term "ward" and the spelling of "diarrhoea".

[blondy2061h, MSN, RN]

The lab value is telling they are not in the US.

Yes, what IS RBS? I tried googling it but didn't find anything. Not familiar with that test.

[Anna Flaxis, BSN, RN]

RBS=Random Blood Sugar.

The value given was in International System of Units (SI).

The value was within normal limits, as the normal range is 3.8-5.8 mmol/L.

rbs was 5.2mmol/l

[PMFB-RN, RN]

As is the use of the term "ward" and the spelling of "diarrhoea".

True for diarrhea, but wards? What are med-surg units called in your hospital? We call them wards. So do some, but not all the other hospitals I have worked in. We often refer to the "ward nurse" in our notes as in "patient is newly confused per ward nurse" when referencing the patient's primary nurse.

[Anna Flaxis, BSN, RN]

We generally call an inpatient unit "the floor" (i.e. the med/surg floor, the tele floor, the neuro floor), and the primary nurse "the primary nurse".

[XB9S, BSN, MSN, EdD, RN, APN]

Yes what IS RBS? I tried googling it but didn't find anything. Not familiar with that test.[/quote']

Random blood sugar,

Just a little note the UK uses mmols, have wards and measures temperature in celsius we also spell diarrhoea, well like that

Maybe a UK nurse

[SoldierNurse22, BSN, RN]

As is the use of the term "ward" and the spelling of "diarrhoea".

We still use the term "ward" versus "unit".

[BrnEyedGirl, BSN, MSN, RN, APRN]

How does a child die, in a hospital, because no one could get an IV started? Really? I/O, central line,....how could you not get access??

[KelRN215, BSN, RN]

We generally call an inpatient unit "the floor" (i.e. the med/surg floor, the tele floor, the neuro floor), and the primary nurse "the primary nurse".

Agree. The non-ICU inpatient units are "the floors" and the ICU is "the unit."

[CodeteamB]

OP has listed herself as a pre-nursing student, gives precise number measurements but vague details and does not mention alternate routes of access at all... Homework question?

If not, sorry this happened. A physician should have been available to establish advanced access, and sometimes there is just really nothing you can do.

Fun fact for mmol/L. We say "4-8, feeling great, 4-7, you're in heaven" to outline the normal range for BGL. Nest time you read a Canadian or British post you can remember! If anyone has a similar trick for American values, I'm all ears... I always have to look it up.

[blondy2061h, MSN, RN]

OP has listed herself as a pre-nursing student, gives precise number measurements but vague details and does not mention alternate routes of access at all... Homework question?If not, sorry this happened. A physician should have been available to establish advanced access, and sometimes there is just really nothing you can do.Fun fact for mmol/L. We say "4-8, feeling great, 4-7, you're in heaven" to outline the normal range for BGL. Nest time you read a Canadian or British post you can remember! If anyone has a similar trick for American values, I'm all ears... I always have to look it up.

I've also heard "below 4, on the floor." I don't know any tricks for American numbers, but generally 80-120 is range. To get your numbers from ours, divide by 18.