Please help me with a few nursing Q's I have

[raindrop]

1) If any of you know what these vent settings mean, please explain - tidal volume, peep, FIO2. Any others you can think of?

2) I know a CVP = central venous pressure. Yeah. Who gets these and why - what is the point/reason behind getting a CVP read q 4 hours? How do you do it?

3) What do you do if someone has to have an antibiotic run thru an IV, but they aren't on any primary fluid. Can I run it by itself on a primary line, as long as I set the VTBI at just that.

4) If somone has all their peripheral and/or l centralines running with *important* drugs, but you REALLY have to give another important drug hung - can I get a separate pump, hang it via primary line of course, but attach it to another primary line so that all lines are flowing as primary, instead of piggybacking?

5) tell me if I have this calc right. If a drug is ordered like: give 2 mcg/kg/hr.... would I do the calc like this (for example)...2mcg x 86.9 kg divided by 60? Then round my answer off.

6) When piggybacking secondary tubing to primary, you should always attach the secondary at the port highest up on the primary, and not the 2nd port which is lowest?

[bellarosa]

1) If any of you know what these vent settings mean, please explain - tidal volume, peep, FIO2. Any others you can think of?

2) I know a CVP = central venous pressure. Yeah. Who gets these and why - what is the point/reason behind getting a CVP read q 4 hours? How do you do it?

3) What do you do if someone has to have an antibiotic run thru an IV, but they aren't on any primary fluid. Can I run it by itself on a primary line, as long as I set the VTBI at just that.

4) If somone has all their peripheral and/or l centralines running with *important* drugs, but you REALLY have to give another important drug hung - can I get a separate pump, hang it via primary line of course, but attach it to another primary line so that all lines are flowing as primary, instead of piggybacking?

5) tell me if I have this calc right. If a drug is ordered like: give 2 mcg/kg/hr.... would I do the calc like this (for example)...2mcg x 86.9 kg divided by 60? Then round my answer off.

6) When piggybacking secondary tubing to primary, you should always attach the secondary at the port highest up on the primary, and not the 2nd port which is lowest?

Here's a few answers.

#3- yes, you can run an antibiotic by itself w/o fluids.

#4- yes, you can do this if the drugs are compatible that are attached together.

#6- Yes, attach the secondary high (above the pump). Remember to hang the secondary bag higher than the primary bag too.

[raindrop]

Here's a few answers.

#3- yes, you can run an antibiotic by itself w/o fluids.

#4- yes, you can do this if the drugs are compatible that are attached together.

#6- Yes, attach the secondary high (above the pump). Remember to hang the secondary bag higher than the primary bag too.

Thank you, thank you and thank you

[jmgrn65, RN]

1) If any of you know what these vent settings mean, please explain - tidal volume, peep, FIO2. Any others you can think of?

2) I know a CVP = central venous pressure. Yeah. Who gets these and why - what is the point/reason behind getting a CVP read q 4 hours? How do you do it?

3) What do you do if someone has to have an antibiotic run thru an IV, but they aren't on any primary fluid. Can I run it by itself on a primary line, as long as I set the VTBI at just that.

4) If somone has all their peripheral and/or l centralines running with *important* drugs, but you REALLY have to give another important drug hung - can I get a separate pump, hang it via primary line of course, but attach it to another primary line so that all lines are flowing as primary, instead of piggybacking?

5) tell me if I have this calc right. If a drug is ordered like: give 2 mcg/kg/hr.... would I do the calc like this (for example)...2mcg x 86.9 kg divided by 60? Then round my answer off.

6) When piggybacking secondary tubing to primary, you should always attach the secondary at the port highest up on the primary, and not the 2nd port which is lowest?

Fi02 is the amount of o2 being delivered, peep= positve end expiration pressure, tidal volume is the volume of air being delievered into the lung. Really this things need to be studied a little beyond what i have said here, i suggest looking them up.

CVP you have to have a central venous catheter in place or a swan, usaully they are looking to see volume in the patient whether they are depleted or hypervolume.

Why are needing all these answers, are you in school or starting in an ICU? I really think they should be looked up or take a hemodynamics course.

[zacarias, ASN, RN]

Just a quick note on #4:

Make sure that when you are concurrently hanging two drips/IVs that the total fluid volume isn't super high. If this person is easily affected too much fluid then the combo could overload them.

[sparkplug]

I gotta tell you that to me this is just having nurses do your homework for you. I am all for helping people and guiding you in the direction you need to go in but I really do not think it helps to give you answers. Part of nursing is knowing where to find your resources, when you are on the unit dealing with a crisis you will not be able to post and wait online for an answer.