StandardDeviation

In the cases of many patients on our unit, nephrologists don't want to ruin a potential back-up site if their primary access is destroyed for one reason or another. Placement of PICC lines can ruin a perfectly fine potential fistula site. This is also true for your advanced CKD patients that are not on dialysis yet. So the first thing that should pop in your head, (and one the PICC nurse is going to ask you).... Is this patient a RENAL patient? What is his/her creatinine? Has this line been ok'ed by a nephrologist?

Thank you for your reply. I did have one other question. Since the two premixed bags are the same concentration and one is just smaller than the other, why not just use the one 1000ml bag? Does that matter really? I start back next week and hope to ask all these questions, but in the meantime, it's driving me crazy!

You are caring for a woman who has been admitted with PIH. An IV of LR at 125ml/hr has been started. Orders indicate the patient is to receive a 4 gram loading dose of Magnesium Sulfate (MgSO4) infused over 30 minutes. After the loading dose is given, you are to begin a 2 gram per hour infusion of MgSO4. You have available premixed MgSO4 40 gram to 1000ml of LR and premixed MgSO4 4gram in 100ml of LR. ************************** I have all the math worked out. What I was wondering is I have a question stating "Which line would you set up as your main line?" I have no idea on this and I have no information leading me in any direction. I was supposing that I would set the loading mag on primary, the continuous mag on secondary, and then the lactated ringer's after loading mag is done, but that makes me nervous because I wouldn't think you would want a mag to be your primary line? Any help is appreciated. Thank you.