dauphins3

I know that is the concentration, but it is also how it was written. That is why I am confused.

I am doing a peds rotation and have to do a care plan. I have to include the meds I administered and show dosage calculations. I can't seem to figure out/remember the calculation I used to verify an Rx. The order was written as dexamethasone 4mg/mL Q 6 hours x 3 doses IV. The dosage range is 0.08-0.3 mg/kg/day and the patient weighs 19 kg. No way I calculate it do I get that 4mg is a safe dose. What am I missing?

Drip rates should be rounded to the nearest whole number. In our Math for Nurses class, we learned that it depends what type of medications and route of administration you were calculating how you round it. So, some tablets can be scored and broken in half or quarters depending on what med they are. Many syringes take tenths of a milliliter so, you can round to the nearest tenth (we usually rounded up, our instructor's reasoning - if you are at 1.45 mL of Dilaudud, I want that extra tenth of a mL so round it to 1.5 mL, etc). HTH

I have a research paper due and am struggling with the etiology and pathophysiology of labor and childbirth. I guess I am having a problem wrapping my head around the idea that pregnancy, labor, & delivery are "disease conditions". I mean, do I start with the obvious preconception to conception to gestation to release of oxytocin to contractions to dilation and effacement to expulsion? Where is the line drawn between etiology and pathophysiology?

I have been told by my instructors to try to be able to remember as much as possible before stopping to chart, but also that this comes with practice and when you are not so nervous. At the beginning of the semester, we were given an assessment form and I still use that as a reference for each patient (saved to PC and print them out as needed). I record vitals on this sheet as I go, but save the rest for after I have fully assessed the patient and just use it as a checklist to make sure I did not miss anything. HTH!

You can repeat 1 semester, but you have to reapply and you are out for a whole year. There is no guarantee that you get to return if you are too far down the waiting list.