nursingstudent_88

thanks!=) it could be that the answers they gave us are wrong

hi allnurses, so have a few questions regarding peds drug calc.the highlighted red are the questions i don't quite understand. -----doctors order: cefotaxime 600 mg iv q6h patient weight = 19 kg. safe dose range is 50‑200 mg/kg/24 hours the drug should be diluted to 20mg/ml and infused over 1 hour. the vial on hand contains 1000 mg/5cc a. what is the safe dose range? (10 points) low: ___950_____ high: ____3800____ __237.5_____/ dose __950____/dose b. is the order a safe dose? (2 pts.) __yes__ c. if safe, what is the fractional dose? (5 pts.) __3ml__ d. what is the dilution required? (2 pts.) _minimum 27ml__--why and how 27 ml?_ e. what is the time required to administer the drug? (2 pts.) _1hr___ f. what is the amount of flush required? (2 pts.) _depends on the tubing being used___ g. what is the rate of the iv pump (ml/hr) for the hour? (2 pts.) ___30ml/hr____ -----penny weighs 30 kg. she will receive two 240cc, by mouth, feeds on your shift. she will get one antibiotic, which requires 30cc of dilution and 20cc of flush during your shift. it will run for 60 minutes. a. what are penny's fluid requirements for (10 pts) 24 hours 1000+500+200= 1700___ for 8 hours? _567____ b. what is her po intake for your shift? (2 pts.) _240+240= 480 ml____ c. how much iv fluid will she need for medication administration on your shift? (2 pts.) _50ml___ -so we just add 20cc of flush plus 30cc of dilution,correct? d. what iv flow rate, on the pump, (ml/hour) will be needed to achieve maintenance when the antibiotic is not running? (5 pts.) __567-480-50= 37/7= 5.29_ i dont quite understand this question,is this always the case? -----anthony weighs 36kg. he usually takes two 120cc cups of juice, by mouth, during your shift. he has no iv meds scheduled for your shift. a. what are the fluid requirements for 2/3 maintenance for: (10 pts.) 24 hours? __1201.2ml________________ 8 hours? _400.37ml_____ how did they come up with this answer?i dont know how it becomes 400.37 b. what is anthony's po intake for your shift? (2 pts.) _240ml__ c. what iv flow rate, for the pump, (ml/hour) will be needed to achieve 2/3 maintenance fluids? (5 pts.) __160.37/8 = 20.05ml__ i have no clue where 160.37 came from. ----doctor's order: nafcillin 750 mg. iv q6h rose weighs 19.4 kg. safe dose is 150‑200 mg/kg/24 hours drug should be diluted to 20mg/ml and infused over 1 hour vial on hand contains 500mg/2cc a. what is the safe dose for rose? (10 pts.) low: _2910 mg_______ high: __3880 mg______ __727.5 mg______ __970 mg______ b. is the ordered dose safe? (2 pts.) _yes__ c. what is the fractional dose? (5 pts.) _3ml__ d. what is the dilution required in the volutrol? (2 pts.) _24.5ml_____ e. what is the time required to administer the drug? (2 pts.) _1hr___ f. what is the amount of flush required? (2 pts.) _20ml (volutrol tubing)___ g. what is the rate of the iv pump (ml/hr) for the hour? (5 pts.) __27.5m?/hr____

Hi allnurses, I am almost done with semester 2 of nursing school.whew! and my registration for classes is in 2 days.Now, I wanna know who's had their peds/maternity,which hospital and instructor. Any preference? I would appreciate your replies as this would help me decide who to pick/where to do my clinical rotation Thanks in advance

i learned that I need to be assertive, that I have to let RN's know what i can and can't do for them and the patients. i learned that i am still human and just like any other people,I have feelings. I get impatient,annoyed especially when i don't have enough sleep! BUT i try my best not to show it!:yawn: I learned that I cannot ,I REPEAT,cannot read all the freaking chapters assigned to me. I am not wonder woman and even if I am,I won't do it. lol. I learned that I could study a lot and still not get the grade I want. I still do my best to get the "whole picture" and think critically during exams. Nursing school somehow taught me to eliminate wrong answers and choose between the 2 "right answers" . I learned how NOT to be super sensitive and absorb negativity from other students or patients. it could be draining on my part,so why do it? I know not everyone is going to like me, who cares? I am not going to die if you don't want to be my friend/acquaintance. I have people who love me for me and that's what matters. i learned that people are different and sometimes during clinical,there are those people who would do everything to steal cool nursing procedures from you (even though they know THAT ONE IS YOUR PATIENT!) seriously? and sometimes, having 10 people in clinical doesn't help either! a few individuals HOG the instructor's time and when it is time for you to pass you meds, you WAIT,WAIT AND WAIT for them to be done so you could do what you have to do with your instructor!. i learned that nursing students get different experiences and sometimes it sucks when you can't rotate to the ER,OR,ICU. While some clinical groups do. I feel that nursing school should at least try to provide equal experiences for all the students.(although I know this is impossible! )LOL! I LEARNED THAT I AM STILL LEARNING AND I HAVE A LOOONG WAY TO GO BEFORE I GET TO BE A "REAL NURSE"=):) SO HELP ME GOD!

same here! i should be taking advantage of this thanksgiving week off to study BUT i just can't.lol.maybe over the weekend?? gooodluck!

i think that a regular BSN typically takes more than 4 yrs to complete(prereqs plus the actual nursing school) on the other hand,accelerated BSN means that you could finish in just a few months or up to a year.(how cool is that?) lol double check though:p

hi allnurses! This is my 2nd post of the night.been having random thoughts lately! share your stories on how you landed your job as a nurse, cna,pca,anything hospital related:D Did you know people inside the hospital who helped you get in?was it luck?was it because you had a fabuous resume?did a lot of volunteer? im interested on what you have to say :)

DO IIIITTTTTT:lol2: no harm in trying!remember, nursing isn't just about GPA. goodluck!

thanks for the feedback! keep 'em coming!=) @xtxrn: yes i am a 1st yr nursing student! lol. that is very cool they let you feed the baby=) i forgot to mention i used to volunteer on the acute floor,same hospital and i had fun! worked with patients at the recreational room,helped with arts and crafts!

Hello everyone! I looked at my calendar and this semester has gone by FAST! I only have a few more days of clinical ( i think 4 more) and I dont feel confident at all regarding what a a NURSE should really do. When I'm on the floor,most of the time I make beds,visit patients, talk with them,ask them if they need anything(water,crackers,anything!),vital signs,pass meds lol.I am happy that I have this opportunity to spend time with pts because I know once I start in the "real world" ,I won't be able to do it! But at the same time,i dont feel like I have applied any of the skills we practiced on our 1st semester (IV insertion, etc). So far I have done a wound care dressing, sub q injections ,witnessed glucose test,changing an IV dressing. I WANT TO THEM MYSELF THOUGH! the problem is,theres 10 of us in clinical with only 1 instructor!,can't administer meds without her.Basically if we need to do something to our pts,she has to be there! ANyways, I signed up to volunteer at CPMC,Davies campus . I am excited! orientation on nov 16th! I said on my application that I am interested in volunteering at nursing units, peds,womens center.First choice: peds/L&D then nursing units! reasons why I signed up: 1. I want to practice my nursing skills (if possible). I don't know if they would let me do it though, as a volunteer! 2. If they accept me as a volunteer on the peds floor,that would be a dream come true! I loveee lovee working with kids.:redbeathe. :redpinkhe:pI used to work at a preschool and i know the children that I worked with were healthy. I also know that if I become a peds nurse,the children I'D be taking care of are sick.Nonetheless, I would still like to experience working with them! I am also interested in L&D! =) 3. of course,I want to experience,see cool stuff and build up my resume.meet and interact with new people!:nurse::heartbeat MY QUESTIONS : ANYBODY KNOW if as volunteers,they would let you do "nursing procedures"?? Also, I know I would be placed on just one floor to volunteer!They would base my placement on the answers I give them on my interview! Did i make the right choice by saying i was interested in peds/l&d and nursing units? Should I request that they place me on a a med surg floor???I feel that I would learn more of the nursing stuff on this floor. as you could tell,I have a lot of questions in mind! I would love to make this volunteer a meaningful one:D:) for people who are volunteering or have experienced volunteering at CPMC, share your stories,suggestions!:redpinkhe:p

thanks!

Hi all nurses! I think i am about to go crazy!I have a test for medsurg this coming friday I am having trouble remembering what goes on with a pt who has: hyperkalemia/hypokalemia,hyponatremia/hypernatremia! i just feel like there is a lot to remember ,was wondering if anybody has tips?suggestions on how to study for this??out of all the topics,i am ok with immune system,oncology, periop nursing, neuro.But F& E? oh gosh:o

hi ahunt224 yes it gets crazy on the floor when all the nurses are passing out meds! i can't blame some of them for not wanting to be followed.lol i am about to volunteer in a few months and hoping i could practice skills when i do so..=)

thanks everyone! i just want to make it clear that I am not one of those people who take breaks every 15 mins. today,i didn't get to take my morning break because i was the last one to administer meds! but my pt refused,=( i was so ready to do it!administering meds via FT!me and my instructor asked him twice and he didn't want to( he has apahasia so can't really converse with us). in our clinical we have 10 students and only one instructor,whenever we have to pass meds,it has to be with our instructor and i could tell you right now,medsurg telemetry is really busy.nurses were in line for their 10am meds at 9am..i observed that and pts have minimum of 6-15 meds,which is crazy! i guess it depends on the day and what kind of patients the unit admits. anyways,i think the reason behind this rant is because not all of us are exposed to ER,OR, other interesting places! some clinical,they get rotated to ER,OR(THE REAL MEDSURG).we suggested to our instructor that she email the coordinator and i guess its not going to happen! lol we have 5 more meetings for the medsurg clinical and this semester is coming to an end! im excited about that:yeah: at the ends of the day I'm still thankful i get to see cool procedures and see hot it is really like to be a nurse.:rckn:

thanks for the input!