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cocolococna

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  1. I can't get onto any of these websites. They are either no longer in existence or the link is broken. The few that do open, I do not know what to click on to get what you say is there. I still don't see any "sticky".
  2. Forgive me, but I am clueless about a "sticky". Help!
  3. how do i get into the dosage calculations on this website (thepoint)? http://connection.lww.com/products/morton/documents/pdfs/pt0002.pdf - 90 iv rate calculation problems! and here are the answers to all 90 http://connection.lww.com/products/morton/documents/pdfs/ak0002.pdf fully worked out and shown to you by both dimensional analysis and ratio methods! the first website doesn't come up anymore either. i will keep trying the others. i know the testandcalc one works because i have used that already.
  4. your info. was extremely helpful. I sent the websites to my teacher to pass on to the class. I will let everyone know how it goes. Thanks!
  5. O.K. I get it. I don't know how the other group killed him, but they were the first to use the simulator. A good assessment head to toe is first. Knowing what to look for is helpful. Thank you. I will let you know how it goes with "Stan".
  6. I guess that is what our teacher is expecting. It sounds right on target.
  7. Sorry, typo. We have to do this scenario exercise on the simulator and this is the only info. we have. No vitals, lytes, no values. I don't know if he has edema or is anemic, either. The scenario is for acute renal failure which is what we are studying now. Thanks
  8. I guess you are right. What kind of IV fluid should be hung. What do you suggest is the nursing priority?
  9. I have a scenario from my teacher that we have to do acute renal failure on a state of the art very expensive simulator. He breathes, coughs, vomits, pees, poops, bleeds, has vitals, talks, etc. The info. follows: Location: Medical-Surgical Unit History/ Information: The patient is a 61 year old male with a history of hypertension and hyperlipidemia. His home medications include enalapril, atorvastatin and baby aspirin daily. He weighs 100 kg and smokes one pack of cigarettes per day. He is allergic to penicillin. The patient presented to the Emergency Department three days ago with complaints of abdominal pain and yellow skin and had an emergency open cholecystectomy for obstrictive jaundice. He was admitted to the Medical-Surgical Unit postoperatively. On the second postoperative day, his IV was converted to a saline lock and clear liquid diet ordered. On the third morning, he has nausea, vomiting, absent bowel sounds, urine output 250ml/12 hour shift, and low grade fever. He has not had a bowel movement. His surgical wound is positive for methicillin resistant staphylococcus aureus (MRSA), which is now being treated with vancomycin. He is in contact isolation. Healthcare Provider's Orders: Vancomycin 1g every 12 hours Enalapril 20 mg PO once daily Atirvastatub 10 mg PO once daily Hydromorphone 1-2 mg every 2-4 hours IVP prn pain Promethazine 12.5mg IV every 6 hours prn nausea Oxycodone 5mg/acetominophen 325mg 1-2 tabs PO every 4-6 hours prn mild pain Enoxaparin 40 mg SQ once daily Saline lock flush 0.9% NS every shift CBC, Electrolytes, BUN, Creatinine, Glucose in AM Incentive spirometer My husband is a nurse and says he should get immediate dialysis. What about fluids? He has Vanco q 12 hours piggyback, but piggyback to what? What do you think, anyone? The last group in our class killed "Stan". I don't want to do the same.

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