Student Cheryl

Oh, now only i realized my misinterpretation. Thanks for the information. My staff nurse said the cloxacillin will be expired in 30minutes time after we prepared. What does she means?

In my country, Yes. Majority of the hospitals still using sharp to access the vials. In my university hospital, i didn't see any plastic device present. So, total how many needle will you use in my condition with reference to my question.

Pharmacy doesn't prepare the infusion for us in my hospital. Furthermore, cloxacillin half life is 30minutes to an hours only. Sometimes, i saw my staff nurse even left the antibiotic aside for quite a while.

Thanks :)

Here i am in my final year practical. Just started to serve medication. Yesterday, i found a technical problem in withdrawing the drugs from vials. Prescription: 2g IV cloxacillin available: 500mg per vail so, i open 4 vails to dilute each with 2ml water for injection each. NOw, i suppose to change my needle how many times? That day, i change 6 times. 4 needle for different vails. the last 5th one, i used to withdraw all diluted cloxacillin. THe last one i use to inject to the 100ml N/S. i doesn't feel good with the technique, am i doing it right or there is a better solution?

i am a student nurse. You know what, i was so unfortunately where my schedule for posting earlier than my clinical practice. That day, i weight a baby with his buttock sticking with **** on the weighing scale. Oh god, i just not prepare to do it... my clinical lecturer saw it and scolded me very loud in-front of every students and baby. oooh... it just so embarrassing. However, without that, i couldn't have learned.

awesome

:loveya: oh yes. thank you very much.

i am preparing for my neurology examination... having come across to this question. Why increase ICP will cause vomiting? is it because it will press on the vomit control center or what? please help!!!!!

Thanks for helping me in solving my problem.

ooh...now i am much clear with the situation. Thanks. Another question: 1. as for my client, he got 156ml aspirated residual. Then i stop giving feeding with formula but still giving him the medication. Will it influence the absorption of the medication? i am feeling so insecure with it, cause i already aspirated out all his gastric juice and residual without putting it back and then still give him the medication with water..... i find it really wrong...it might cause irrigation to his stomach right? i think i should have instill back the gastric juice in... what would you do, if you are in my situation?

Thanks for the website given.... it's very informative.

Thanks for answering my question. i appreciate it very much.

"You check for placement via air auscultation with an empty syringe, never one with water in it? Or did I misunderstand your question?" It is like that actually. Normally after feeding, we will not let the air go in to the the tube right? so, our last feeding is flush with water and left the water content inside the external tube. There will have no air bubbles or the formula left at external tube. So, since the water is there already...when it is my turn to do feeding, i must check the placement. Then if i instill some air inside, the water along the external tube will go in right? will i cause any harm to my client?

"I have no idea why she didn't allow you to check for placement with air, but I would guess because of the excess residual. Did you ask her?" No. i practice to check for placement with air first. so, if i started aspirate(as she asked), then i will not go back to the procedure to check the placement...(actually should i check again?) "I was taught to aspirate contents first, then reinstill and check for placement with air." With reference to the above, may i ask, if we aspirate first and then reinstill it back, then only check for placement , isn't this flow lacking something? what if the location is in other location? what will happen? and if i choose to instill air first to check for placement, the water which left in the tube (external) will go in right? what would happen and is there any risk? thank you for your concern and giving me answer.:) i am just too anxious with my quality of care for patient. You pull back on the plunger until nothing comes back. I'm surprised you were able to get 156ml. We use 100 ml syringes. Did you have to switch the syringe? Yes, i changed to the syringe which we use for feeding as the nurse asked to. "Generally, you reinstill the aspirated contents. This is to prevent metabolic losses. " i have read in the book that some hospital policy need to instill back the juice, but in my hospital, we din practice it. I think it is good to reinstill it back because we need gastric juice to digest food. but i saw my hospital here practice different. ..i wonder whether the nurse work here really think about it or not...