carolina1985

Here is a senario, what type of interventions would you do? Cindy is a 60 year old who is a manager at a major company and underwent a left lung lobectomy 4 months ago for large-cell an aplastic carcinoma; up until one month ago, she had been feeling fine. At that time, Cindy began having right-sided headaches and increasing irritability, and during the past week, she has had difficulty concentrating and staying alert. Tody, during work she becomes so confused and drowsy that the nurse practitioner at teh conpany is called in. After a brief assessment, the nurse practitioner calls for an ambulance to transfer Cindy to a nearby Hospitial. Assessment: The admission assessment at the medical center reveals that Cindy is emaciated and lethargic, opens his eyes spontaneously, moves all extremitites on commonad (right side is stronger than left), and is oriented to person only. Both pupils are 3mm in diameter and demonstrate both direct and consensual reflex reactions to light. Testing of cranial nerves, III, IV and V reveals normal findings, except for decreased corneal reflex in left eye; testing of cranial nerves IX and X reveals a depressed gag reflex. Motor reflexes are normal on the right side; the left reflexs are hyperactive and who a positive Babinski reflex. CT scan of the skull demonstrates a large bifrontal mass with surrounding edema. Initial Orders: Admit to ICU O2 at 40% via mask Foley Catheter Mannitol 25% 150 GM IV over 30 minutes MEdrol IVP NS @ 50ml/hr Set up for epidural insertion at bedside for ICP monitoring. Prepared for possible frontal craniotomy for partial tumor removal this evening You are the team of ICU nurses asssigned to care for this client for the next 8 hours.

Thank you!

I am having a hard time figuring these out....please help. 1. Nipride 3mgc/kg/min has been ordered for a 192 lbs pt. The solution has a strengh of 50 mg Nipride in 250 mL D5W. What should you set the flow rate (ml/hr)? 2. Levophed 2-4 mcg/min has been ordered to maintain systolic BP>100mm. The solution being titrated has 8mg Levophed in 250 mL D5W. Calculate the flow rate for the 2 mcg/min and for 4mcg/min. Also the BP has stabilized at 5 mL/hr. How many mc/min is the pt. receiving. Calculate the mcg/min 3. Infuse Lidocaine 2 grams in 500 mL d5W at 60ml per hour. Titrate at 4mg per minure to control PVC's. Maximum safe dose is 600mg per hour. What is the titration rate in gtts per minute? What is the maximum safe dose rate in ml per hour? What is the titration rate in ml/hr? What is the titration factor in concentrate per gtt? What is the base rate in gtt per minute.