Bee2008

For example, if you have K+ 40mEq/1L infusing at 150mL/hr and 30mM of phosphorus with 44mEq of K+ in 500mL diluent infusing over 4-6 hours, then how much K+ is the patient getting per hour? for the problem above, will the pt then be getting about 13meq/hr of kcl (is my math right?) don't remember the details of the kphos order (may be 15mmols over 6hrs via peripheral iv) since it was written right before change of shift. so i just signed it off to the next shift & told them to check if too much k may be running if infused together

can kcl 40 meq in 1000ml @ 150/hr & k phos be ran together? or too much k at one time? please clarify. thanks.

I need input/info please. One of my pts had an episode of the "shakes"...thought it was a seizure but md was at bedside during the "attack" & said it was not. No injury occurred from this. MD informed of the pt's family over the phone. They said that they will be by later to talk to md. An hour after that, the same pt was found on the floor by another rn next to his bed with blood coming from a cut from his nose. All staff nurses & md on call were at the scene in literally 2 seconds. Pt was assessed & seemed fine, other than the cut on his nose. VS taken, tests ordered stat, pt assessed, & all were documented. This pt was at fall risk & fall precautions were already in effect prior to the fall. But pt did not have a sitter & bed does not have alarm. I charted that pt was taught to stay in bed, use call light, etc. throughout the day with a translator. Pt stayed in bed throughout the shift other than that time. Pt is on diaper but was changed q 2-3hrs. Although pt is >89yo, pt is alert/oriented, responds appropriately to questions & follows commands (even after the fall). Family came 1hr after incident & md informed them of what had happened. During one of my checking-in-on-the-pt, i saw the pt's son taking a picture of the pt's face/nose after the dressing was removed. I have informed the other rns in my ward about this & they said "lawsuit". I charted as much as i can & even had a senior rn review my charting & was told it was pretty good. Has anyone been through similar events? What happens next? What could i have done differently? What can i do to prevent this in the future? I've only been working as a nurse for 2 months & had just finished preceptorship. I'm really worried. Please help. Thanks in advance.