JeepAnnie

This patient is 62yr old, only medical hx of htn. No INR done. No Etoh... This is the BIG reason I HATE working with ... Residents.. and a very busy hospital... We have way to many patients with way to many issues to do enough research for patient safety... Thanks to everyone for replying.. I ask these questions at work.. And most of the nurses are very new and just do whatever is on the work list for the shift... they never think about the WHYs... Vit K... its a 'standard' in our banana bags.. I haven't had one without it yet!

I work at a level one trauma center and our banana bags always go for 3 days.. Yes I know the bag is only good for one day.. we get multiple bags depending on the rate.. we just send our pharmacy a message telling them that the bag is low and that we need a new one.. This particular patient just confused me b/c he NEVER had an etoh test.. yes the patient said he was drinking, but what if it was 2 drinks!... does that really warrant a 3 day supply of banana bags.. esp. w/ the vit. K?!?!

Hey guys.. I've got a question.. Hope I don't sound too dumb... Banana Bags.. the hospital I work at always does Etoh levels first, is this a must? I just didn't know if the level of alcohol has anything to do with what goes into each bag. Also, the rate... We normally hang the Banana bag at the rate the primary iv will be at when it is done (after 3 days). However the other day I had a patient with several different orderes 1. LR @ 83 2. Banana Bagx200ml/hr. 3. Banana Bag over 24 hours. Hello can you say confusing! The nurse prior to me had the rate at the 200ml/hr. However I changed the rate to 83 when I got the patient, and yes I know I should have called and asked what the doctor wanted. Also the combinations.. I know each banana bag is different.. Our is usually vit K, LR, thiamine, folic acid, mag sulfate... so if we would have ran the patients iv at 200/hr for the 3 days... would this have caused issued with blood clotting/vit k?