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WantingtheBest

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  1. So 2mg/ml. 1000/2=500 2ml/min 2x60min= 120ml/hr So the answers is 120ml/hr??
  2. So i looked it up and even though it is not mg/hr it can be calculated as mg/min? Did I happen to get the problems I answered correctly then?? Thank you for replying. I re did problem #1 on drug calculation practice questions. I got 2mg/min.
  3. Hello to all. My instructor sent out 2 pgs of practice problems and I am having a hard time figuring out the flow rates. I feel as if key items are missing (i.e. gtt/min or ml/hr and time to be infused) If someone could help anyone please do!!!! I am going crazy because we have the exam on thursday and she sent it with no answer key. I answered the first 2 of each section then stopped because honestly it does not make sense for me to answer them the way it is presented Drug Calculation Practice Questions Compute the flow rate for each of these medications administered by infusion pump. The patient has an order to receive Lidocaine (xylocaine) for PVC's. The pharmacy has sent you Lidocaine 2 grams IV in 1000 ml D5W at 4mg/min. What is the pump setting to deliver the desired dosage? 0.002mg/min??? A patient weighing 154 pounds is ordered to have Dopamine at 15 mcg/kg/min. The pharmacy has sent you Dopamine 800 mg in 500 ml NS. What is the rate of infusion? 0.65625mg/min= 0.66mg/min??? Your patient is ordered to have Tridil (nitroglycerine) for chest pain. The patient is to have 5 mcg/min. The pharmacy has sent 50mg in 500 ml of D5W. What is the rate of infusion? Your patient admitted with an exacerbation of asthma has an Aminophylline (theophylline) drip running at 6 ml/hr. The bag that is up is 500ml D5W with 2 grams of aminophylline. How much is the patient receiving? Your 220 pound patient has a dopamine drip running at 25 ml /hour. The bag that is hanging is 500 ml D5W with 900mg of dopamine. How much is the patient receiving? Medication Calculation Practice Questions Your patient is to start a dopamine drip due to severe hyptotension. The pharmacy has sent you a 250ml bag of NS with 400mg dopamine. What is the rate of infusion if the physician has ordered the following: 8mcg/kg for your client that weighs 186 pounds? 0.4227/hr??? How much would the patient be receiving if his pump was running at 11ml/hr? I got 17.6/hr??? You have a client that is in atrial fibrillation. The doctor has ordered procainamide (Procaine, Pronestyl) IV. The order reads to give the patient 2 mg/min. The pharmacy has sent you a 500ml bag of D5W with 3gm of procainamide. What is the rate of infusion? Hint: Milligrams/minute 6.6mg/hr??? If this patient's IV was running at 22ml/hr, how much medicine is he receiving? No more hints...you can do it. To use the calculation sheet do the following. Look at the way the medications is ordered (mcg/kg/min; mcg/min; ml/hr) Look at how much medication you are adding to the bag (is it ordered in mg or grams). Fill in the blanks based on your orders. Your patient has an Aminophylline drip of 500mg aminophylline in 250ml NS. How much if the patient receiving if his pump is running at 12ml/hr? Your patient is complaining of chest pain. The doctor has ordered Tridil (NTG) at 5mcg/min. You have a 500ml bottle of D5W with 50mg of Tridil added. What is the rate of infusion?
  4. Hello to all. My instructor sent out 2 pgs of practice problems and I am having a hard time figuring out the flow rates. I feel as if key items are missing (i.e. gtt/min or ml/hr and time to be infused) If someone could help anyone please do!!!! I am going crazy because we have the exam on thursday and she sent it with no answer key. I answered the first 2 of each section then stopped because honestly it does not make sense for me to answer them the way it is presented Drug Calculation Practice Questions Compute the flow rate for each of these medications administered by infusion pump. The patient has an order to receive Lidocaine (xylocaine) for PVC's. The pharmacy has sent you Lidocaine 2 grams IV in 1000 ml D5W at 4mg/min. What is the pump setting to deliver the desired dosage? 0.002mg/min??? A patient weighing 154 pounds is ordered to have Dopamine at 15 mcg/kg/min. The pharmacy has sent you Dopamine 800 mg in 500 ml NS. What is the rate of infusion? 0.65625mg/min= 0.66mg/min??? Your patient is ordered to have Tridil (nitroglycerine) for chest pain. The patient is to have 5 mcg/min. The pharmacy has sent 50mg in 500 ml of D5W. What is the rate of infusion? Your patient admitted with an exacerbation of asthma has an Aminophylline (theophylline) drip running at 6 ml/hr. The bag that is up is 500ml D5W with 2 grams of aminophylline. How much is the patient receiving? Your 220 pound patient has a dopamine drip running at 25 ml /hour. The bag that is hanging is 500 ml D5W with 900mg of dopamine. How much is the patient receiving? Medication Calculation Practice Questions Your patient is to start a dopamine drip due to severe hyptotension. The pharmacy has sent you a 250ml bag of NS with 400mg dopamine. What is the rate of infusion if the physician has ordered the following: 8mcg/kg for your client that weighs 186 pounds? 0.4227/hr??? How much would the patient be receiving if his pump was running at 11ml/hr? I got 17.6/hr??? You have a client that is in atrial fibrillation. The doctor has ordered procainamide (Procaine, Pronestyl) IV. The order reads to give the patient 2 mg/min. The pharmacy has sent you a 500ml bag of D5W with 3gm of procainamide. What is the rate of infusion? Hint: Milligrams/minute 6.6mg/hr??? If this patient's IV was running at 22ml/hr, how much medicine is he receiving? No more hints...you can do it. To use the calculation sheet do the following. Look at the way the medications is ordered (mcg/kg/min; mcg/min; ml/hr) Look at how much medication you are adding to the bag (is it ordered in mg or grams). Fill in the blanks based on your orders. Your patient has an Aminophylline drip of 500mg aminophylline in 250ml NS. How much if the patient receiving if his pump is running at 12ml/hr? Your patient is complaining of chest pain. The doctor has ordered Tridil (NTG) at 5mcg/min. You have a 500ml bottle of D5W with 50mg of Tridil added. What is the rate of infusion?
  5. I spoke with the assistant dean today and found out the results. Funny how the teachers or program director would not contact me but she was very timely every time I spoke with her or left a message. Anyways, my CP's were bad which I knew they would be since I was not given proper instruction that they were failing. But, she told me that she documented everything which makes me happy and in that way when this happens again to another student which Im sure it will since it has practically every semester (she has only been there for 5 now) it will not be the first time it and action will be taken. I want to switch schools but, this community college that I am attending is the most recognized in my whole area better than even 2 four year college programs at good colleges. At least now I will make an 'A' instead of a 'B'......you know pregnancy brain and all, and I will not be having her as a clinical instructor again. Also, when I do pass with an 'A' I can throw it in her face since she has told me to drop out...ha hows that. Oh and I plan on becoming very active in the Association of Student Nurses maybe be a fundraising officer since I was for Phi Theta Kappa. I want to thank you all for your responses and I learned my lesson......document everything no matter what and if going up only one part of the ladder of the chain of command does not work, keep going up until your voice is heard! Oh and by the way, I had my beautiful 6lb 12oz baby girl Erin on the 17th, 3 days before my scheduled c-section.....you can never time a baby coming though. Thank you and I will take care of myself and family and get my education and be in the field that I love soon.
  6. Thank you, a peer who is now the president of the Nurses Association is the one who was backing me and wanted me to go to the top because she was afraid to do something. She is the one who has backed down because of the threat that she is slandering the CI. I did just talk with the assistant dean and I feel like she was actually listening to me unlike with the director. The AD however did tell me she would not be able to change my grade that only the classroom teacher could do that. I told her I am still waiting and Im sure I failed since I was not given guidance nor was told on my mid term eval. She was schocked but, who knows maybe I didn't fail?? And if I didn't well than.......I think I should make a bigger stink out of this because this is just wrong lol Im litterally having my 2nd baby in 4 days and Im still waiting.......at least I talked to the AD :) Thank you Matties I think you know what my goal is even though I might have to take it over:nurse:
  7. That is the biggest mistake that I did was not writing it all down when it happened. Instead I wrote everything before my meeting with the director and CI. I used the help of a couple classmates since I blocked out some of what they thought were important details. The grievance letter turned out to be 6 pages typed. I did just get off the phone with the assistant dean and she said she would look into the matter and was sorry to hear about the situation, however, she would not be able to change the grade no matter what and that it is up to the classroom teacher to do this. I know my classroom teacher would have given me an extra care plan to do if they were that bad if she had been informed before class ended since she did that in the past. I just am at my witts end and am going up until something happens. I have been thinking of switching schools but, the one I am currently attending is the best and most well known for the nurses they produce in my whole area.....tough and now Im worried if I stay I will have some kind of bad label for speaking up, you know the nursing politics and all.
  8. I have and left a message this week because I have been waiting so long. I have wanted to speak with the Dean for some time but, got scared because she asked me if I was sure I wanted to meet with her before getting a response. Now that I am literally 4 days away from my c section I want some closure. I dont believe it is fair or 'right' that she can get away with being a 'bully' and teaching us wrong and so on. I just feel so hopeless that I am sooo smart and did great with my patients and yet can fail because a teacher did not like my personality. Im guessing and have already prepared myself that I will be repeating my first semester but, mainly want to make it known for other future students this may happen to.
  9. I took my first semester in Nursing and like most was super excited. I do not want to make this super lengthy so I will cut to the chase. I was belittled and humiliated during my whole clinical experience. This is not just my opinion, for my whole clinical group went to see our classroom teacher (1st step up in the chain of command) about how this clinical instructor treated us and they all made it a point to point out how she really focused on me. I also went to the classroom teacher by myself a handful of times to tell her the experiences I was having and that I wanted to be in a different clinical because I had a feeling she was going to fail me. I saw the director of a program at one point as well so she would know how I was being treated, in tears I might add. On the last day of clinical I was worried because I was told she did not know if she could pass me because of my care plans. She told me she would sit down with my classroom teacher to get her opinion then I would know. This was a week before classes were over. I immediately went to said teacher to let her know Everything that was written in my evaluation and that she would be coming to see her. My classroom teacher assured me that everything was fine and if I was in jeopardy of failing she would have known long ago and not to worry so much. I took my hesi on the last day of school and made an 85% (woot woot). I found out a week later that I failed from the classroom teacher even though she had not seen any care plans herself. I filed a grievance but, the clinical teacher had already left for vacation (to france) and would not be back till next semester. I spoke with the clinical teacher and the director of nursing in the beginning of the next school year (took the semester off because I am pregnant and am having a scheduled c section on 4-20-10). I looked at my final evaluation and noticed that the clinical instructor had written 5 more things in it after I had signed. I told the director but either she did not believe me or just did not care. The director said she would give my care plans to the classroom teacher to grade. I am still awaiting that response and it has been 4 months. I had no idea that my care plans were in bad shape because the clinical instructor did not tell me nor give me guidance on how to fix them. I only got to keep my first CP and did a 2nd that she kept, then told me to do one more a week before the last day of clinical which is when I needed to turn it in. I was the last to be seen on our final day and she then went over line for line my last 2 CPs. She never wrote on my mid term that my CP was bad and in the beginning of the year made me promise in front of our clinical group not to ask another question about how to do the CPs. Very humiliating. I had a fellow student write her observations and another wrote how I was in clinical (knowledgeable, prepared, etc..) The director said she did not care about that.......I am now trying to talk to the dean because of the unethicalness (if that is a word) about the whole situation. Should I get a lawyer? This clinical instructor has done this in the past, only told the classroom teacher knew before class was over and the students passed. one person it happened too, was behind me 100% but was then told she and I were using slander and should not be trying to help (by classroom teacher). This time the clinical instructor waited until classes ended and left the country. What the heck is the best plan of action?? By the way I would have made a 'B' and thats while pregnant and raising a 3 yr old. It totally bites to have this be my first 'F' and it not be just not to mention that she might be able to do this again. This instructor has had numerous complaints from all the classes she has taught and has done remediation with students because of her actions and yet because of a teach shortage can still teach? Let me know what you all think......so for it being lengthy but there is soooo much.
  10. I took my first semester in Nursing and like most was super excited. I do not want to make this super lengthy so I will cut to the chase. I was belittled and humiliated during my whole clinical experience. This is not just my opinion, for my whole clinical group went to see our classroom teacher (1st step up in the chain of command) about how this clinical instructor treated us and they all made it a point to point out how she really focused on me. I also went to the classroom teacher by myself a handful of times to tell her the experiences I was having and that I wanted to be in a different clinical because I had a feeling she was going to fail me. I saw the director of a program at one point as well so she would know how I was being treated, in tears I might add. On the last day of clinical I was worried because I was told she did not know if she could pass me because of my care plans. She told me she would sit down with my classroom teacher to get her opinion then I would know. This was a week before classes were over. I immediately went to said teacher to let her know Everything that was written in my evaluation and that she would be coming to see her. My classroom teacher assured me that everything was fine and if I was in jeopardy of failing she would have known long ago and not to worry so much. I took my hesi on the last day of school and made an 85% (woot woot). I found out a week later that I failed from the classroom teacher even though she had not seen any care plans herself. I filed a grievance but, the clinical teacher had already left for vacation (to france) and would not be back till next semester. I spoke with the clinical teacher and the director of nursing in the beginning of the next school year (took the semester off because I am pregnant and am having a scheduled c section on 4-20-10). I looked at my final evaluation and noticed that the clinical instructor had written 5 more things in it after I had signed. I told the director but either she did not believe me or just did not care. The director said she would give my care plans to the classroom teacher to grade. I am still awaiting that response and it has been 4 months. I had no idea that my care plans were in bad shape because the clinical instructor did not tell me nor give me guidance on how to fix them. I only got to keep my first CP and did a 2nd that she kept, then told me to do one more a week before the last day of clinical which is when I needed to turn it in. I was the last to be seen on our final day and she then went over line for line my last 2 CPs. She never wrote on my mid term that my CP was bad and in the beginning of the year made me promise in front of our clinical group not to ask another question about how to do the CPs. Very humiliating. I had a fellow student write her observations and another wrote how I was in clinical (knowledgeable, prepared, etc..) The director said she did not care about that.......I am now trying to talk to the dean because of the unethicalness (if that is a word) about the whole situation. Should I get a lawyer? This clinical instructor has done this in the past, only told the classroom teacher knew before class was over and the students passed. one person it happened too, was behind me 100% but was then told she and I were using slander and should not be trying to help (by classroom teacher). This time the clinical instructor waited until classes ended and left the country. What the heck is the best plan of action?? By the way I would have made a 'B' and thats while pregnant and raising a 3 yr old. It totally bites to have this be my first 'F' and it not be just not to mention that she might be able to do this again. This instructor has had numerous complaints from all the classes she has taught and has done remediation with students because of her actions and yet because of a teach shortage can still teach? Let me know what you all think......so for it being lengthy but there is soooo much.

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