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mariok

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  1. My company policy doesn’t specify. That’s why I’m confused. We draw from the arterial line on a cvc. Would it be the same for a fistula and graft?
  2. I’m speaking on patients that have fistulas or grafts, not ports.
  3. I work in a dialysis center. We do routine lab collections. Before hooking the patient to the machine, we insert a venous and an arterial line. I’m just curious as to which line I’m supposed to be drawing from.
  4. With dialysis patients, when drawing blood, do you draw from the venous or the arterial line?
  5. mariok replied to mariok's topic in General Nursing
    Pt was getting the Bolus due to hypotension
  6. mariok posted a topic in General Nursing
    Giving an IV Bolus of NS with a pump, pt has a 20 gauge and is physically able to tolerate fluids well. What do you set the rate at? What do you set the volume to be infused at if it is a 1 L bag?
  7. He was an older gentleman who was very confused. He went home with his son. His son called several hours later about the IV and was very mad, saying he was going to administration about it. I'm just really nervous over this
  8. A pt of mine was discharged and their IV was never taken out. Has this ever happened to anyone else? What did you do? This is my 5th week of orientation. I've been a nurse since September and have not previously had experience with IVs as I was working in a SNF. I'm so embarrassed and don't even want to go back to work because of this mistake. I feel awful
  9. Thank you. Also I am having a hard time with when two of the values are high and two of the values are low. For example ph 7.48, paco2 50 mmhg, and hco3 36 mEq/l. I know that it is alkalosis. How do I determine if it is respiratory or metabolic since the paco2 and hco3 are both high?
  10. I'm currently learning about metabolic/respiratory acidosis/alkalosis. I'm confused about it and was wondering if someone was able to explain it to me. I understand how to determine is a person is acidotic or alkalitic. However, I don't understand how to determine if it is metabolic or respiratory. Thanks.
  11. I need help with these two math problems... The physicians order reads: 1000 ml 0.9% NS with 20 mEq KCL at 75 ml/hr. How many mEQ of KCL will the client receive each hour? The physicians order reads: 500 ml 0.9% NS with 100 units of insulin at 30ml/hr. How many units of insulin will the client receive each hour?
  12. Thank you so much.. I feel like such an idiot now.
  13. I'm currently in nursing school. Today at clinicals I had to give a heparin injection. The ordered dose was 7,500 units subcutaneous. I was supplied with two 5,000 unit 1 ml vials. When I did my math calculation I came up with that the patient would receive 0.75 units of heparin. However, my clinical instructor made me give 1 1/2 units of heparin. Can someone tell me why I had to give the 1 1/2 units and not 0.75 units?

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