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Setting up an infusion pump- confusion
I have a quick question when an order for a primary solution lets say NS that is ordered to be infused at 100ml/hr and the volume is 500 ml. When your setting up the infusion pump do you set it up exactly as prescribed or can you set the volume to be infused at 450ml and rate @ 100ml/hr. That would leave you enough time to get a new one right, but wouldn't the pump eventually shut off or doesn't it. I know some nurses during clinical would add a few ml to the rate, they said that the medication had to be infused, does the amount in the tubing allow us to change the rate? I'm confused on this topic.
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Hypoglycemic emergency protocols
I recently graduated with my BSN. What I learned in school was that when a person is unconscious due to hypoglycemia you do not give anything by mouth, you either give them glucagon or an amp of d50. When studying for the nclex, I heard on the Feuer review that if there was no glucagon and the patient as unconscious not in a hospital setting you could apply a sugary drink to there buccal mucosa. I never learned that and the first thought that comes to mind would be a risk for asspiration. But, if you we're to apply a thin coat just enough to be absorbed would that be ok.
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Ear documentation
WE have to document in paragraph form with subjective first then our physical finding (objective). I covered the eyes and would like any tips/pointers in making my documentation better and more coherent. Thank you. PS, Did I forget anything in the assessment. Client is a 20 year old female whom is alert and responsive to questions. She is very assertive and seems coherent. Ears: Client denies any hearing loss, exposure to load noises, pain, discharge, infection tinnitus, or vertigo. Ears are intact, 2 total, pinnae crosses EOL, bilaterally symmetrical, vertically attached, brisk elastic recoil, with piercing on both lobules, tan, with a ruby red cherry angioma behind left auricle without masses, deformities or discharge; External ear canal clear without swelling, lesions, discharge; Left and Right TM intact, pearly gray, with light reflex and landmarks clearly visible without perforations, erythema, lesions; Weber test: no lateralization. Rinne test: AC
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glossary terms
I need help in remembering the glossary terms. It seems if I just read and try to remember the terms they cant stick. Every week for client assessment we have anywhere from 70-100 terms to remember. Its overwhelming when you know you have a quiz over the terms plus last weeks content and you can barley remember the terms. I was thinking of making flash cards, and paraphrasing the definition.
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OLDCART
I am a new nursing student and need some help with documenting. Would you oldcart dry skin, cherry angiomas and nevi(moles), and if you do, can you put it in parentheses. For instance Dry hands and feet (OLDCART)
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Need help with documenting
Thanks for the help, I really appreciate it.
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Need help with documenting
I need help with documenting what is normal. Our lab instructor didn't give us any real direction on how to describe what normal is. She only told us to use very descriptive words instead of broad terms(normal, pink, symmetrical.) Our first assignment is due next week over the hair,head, face and nails only using inspection; I have no idea where to start. How do you describe the symmetry of a normal face(eyes, nose, lips.) What type of words would be good to use. Thank you.