2017

I had a discrepancy the other day between my preceptor and a midwife about it fluid rates. My patient had one iv site with LR running at 125 cc/h and pitocin at 8miliunits. The patients glucose dropped so the midwife orderedto d/c the 125 LR and run d5LR at 50 cc/h and LR at 75cc/h along with the pitocin. My preceptor had told me that the only way I could do that would be if I started another line because they would be at two separate rates whereas the midwife said to set three separate pumps into one line. They ended up just agreeing to set the d5 LR at 125 but my question still is would we have to set a new line or could you run three pumps at a different rate into one line?

prophylaxis after a dehiscence of a below the knee amputation. I understand there is an increased risk of thrombus formation potentially causing a DVT, PE, stroke, MI etc. but I was unsure if there are any other complications other than thrombi

Hi! So I am writing a paper on an incident that occurred in my clinical the other day. My patient's continuous heparin drip was shut off by a nurse who did not have my patient because it was beeping. She forgot to tell either the primary nurse of the patient or myself. I luckily went in as she was exiting the room and I noticed the IV was no longer running. Are there more critical immediate complication than clotting? Thanks!

Hi! GBS meaning Guillian Barre Syndrome. I was more thinking the goals of medical management would be after treatment the patient being able to move from being dependence to independent while nursing goals would be more immediate in preventing complications, adequate ventilation, pain control, etc.

I have to answer two questions for a case study on GBS and I am not really sure what the difference is What are the goals of medical management in GBS? What are the overall goals of the nursing care for the patient at this time? so I guess my question is, is the medical management the overall goal of GBS in the patient? Thanks!

Hi all! I have tried to answer these questions multiple times and seem to be missing something and was wondering if you guys could help! KB. is a 16 year old who fell while skiing. She briefly lost consciousness but is now alert and oriented. She was transported down the hill by ski patrol after being stabilized and then was flown to the hospital. She has a fractured right femur and humerus. She will be admitted to your unit after an open reduction and internal fixation (ORIF) of the femur fracture and casting of her leg and arm. 1) You are taking report from the PACU nurse. KB is awake and taking ice chips. What information will you document on the patient admission form? - Parenternal access -Medications previously given -insurance information - pain assessment - vitals [so for this one I had answered insurance, pain, and vitals and it's saying that it is only a percentage right] 2) In order from least important (1) to most important (7) prioritize the physicians orders: -Vital signs per routine -Neurological checks q2h -turn, cough, deep breathe and incentive spirometer q2h while awake -ice pack and elevate right lower extremity and right upper extremity -IV fluids D5 1/2NS at 100ml/hr -Morphine sulfate 5mg IV q4-6h prn [my confusion is whether pain and fluids are prioritized above or below the ice packs and elevation]