joaniekay

That was another question.. what meds would we give & list 7 lab/dx tests you would expect were drawn or conducted in ed & why.. I got those!

Thank You all!!

That was the whole scenario.. I fell like we really havent learned much about IV Fluids. SCARES ME!!

Hey All, I need a little assistance. In my last semester of a 2 yr RN program, in NY. We are doing an Angina Case study. here is the scenerio... RK is an 85yo woman who lives with her husband, 87.Last night she awoke with heavy substernal pressure accompanied by epigastric distress. The pain was reduced somewhat when she rolled onto her side, but did not completely subside. She has been hospitalized to R/O MI. Labs were drawn in the ED. O2 2l.min NC. Non-enteric coated ASA 325mg given. An IV was started. Hx: No smoking/alcohol use; good health except for osteoarthritis of hands and knees. Takes ranitidine, ibuprofen and "herbs" VS BP 132/84, 88. 18. 37.2 C. Weighs 52kg. Moderate edema of both ankles, positive peripheral pulses. Telemetry shouws premature atrial contractions, no ventricular ectopy. Denies discomfort at present. One of the questions is what kind of IV fluids & at what rate would you give?? 1st I thought Isotonic 0.9%NaCl - it will increase vascular & extracellular fluid volumes. then I thought D5NS - decreases edema, replaces electrolytes & shifts fluid from intracellular compartment into intravascular space, expanding vascular volume. Can someone let me know if I'm on the right path. As far a rate, i really have no idea. Thanks!! Joan

Thank You!! We just started this in class & UGH so confused!