These orders are received from a doctor what is the order of completion to begin.

Published

Any help would be greatly appreciated. Thanks.

The patient is DX with CAP(Community Acquired Pneumonia)

Is Ceftriaxone appropriate for this patient.

Why would the doctor order a peak and trough level for a patient recieving an aminoglycoside antibiotic, such as vancomycin. What are the nursing responsibilities.

Is the D5 0.45NS an appropriate fluid for Mrs. J? Are there any concerns about the rate?

Describe how the order to titrate O2 to maintain an SaO2>90% would be carried out.

Regulatr diet

V.S with temp q4h

IV of D51/2 NS at 125cc/hr

Ceftriaone (Rocephin) 1Gm. IVPB q24h

6 L 02/NC, Titrate to maintain (SaO2)>90%

Stat ABGs

Sputum for Gram Stain

Sputum for culture and sensitivity C&S)x3

Draw blood cultures x2 sites for temp >102F

CBC W/DIFF

BMP

UA w/C&S on admission

CXR on admission and in the AM

Acetaminophen 650mg. po q4h for temp>101F

Up Vote Up Vote ×

This sounds like homework -- are you asking us to do your homework for you?

Up Vote Up Vote ×
Specializes in IMCU.

Yep sounds like homework to me. Why don't you post your answer and people can point out if you need to adjust it.

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.

this is the way i would order them:

  1. stat abgs

  2. 6 l 02/nc, titrate to maintain (sao2)>90%

  3. cxr on admission and in the am
  4. ua w/c&s on admission
  5. sputum for gram stain
  6. sputum for culture and sensitivity c&s)x3
  7. cbc w/diff
  8. bmp
  9. v.s with temp q4h
  10. iv of d51/2 ns at 125cc/hr
  11. ceftriaone (rocephin) 1gm. ivpb q24h
  12. regular diet
  13. draw blood cultures x2 sites for temp >102f
  14. acetaminophen 650mg. po q4h for temp>101f

Up Vote Up Vote ×
this is the way i would order them:
  1. stat abgs

  2. 6 l 02/nc, titrate to maintain (sao2)>90%

  3. cxr on admission and in the am
  4. ua w/c&s on admission
  5. sputum for gram stain
  6. sputum for culture and sensitivity c&s)x3
  7. cbc w/diff
  8. bmp
  9. v.s with temp q4h
  10. iv of d51/2 ns at 125cc/hr
  11. ceftriaone (rocephin) 1gm. ivpb q24h
  12. regular diet
  13. draw blood cultures x2 sites for temp >102f
  14. acetaminophen 650mg. po q4h for temp>101f

since i think this is the op homework, i won't answer the question. i just wanted to point out that you would draw bc before you hung an abx and that bc are a requirement for core measures for pneumonia whether the person has a temp or not.

Up Vote Up Vote ×

since this was posted in the STUDENT section..... i would have presumed homework and perhaps given a little steering.....the ones that aggravate me are the ones in general discussion forum....

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.
Since I think this is the OP homework, I won't answer the question. I just wanted to point out that you would draw BC before you hung an ABX and that BC are a requirement for Core Measures for pneumonia whether the person has a temp or not.

The blood cultures had a condition on them which is why I sequenced them toward the bottom. Core Measures are only something that a nurse working in a facility would have to be careful about observing. This was a nursing school question requiring critical thinking.

Also, these are admission orders. We don't know if the patient went through the ER and already had blood cultures drawn there.

Up Vote Up Vote ×
Specializes in VA-BC, CRNI.

I just wanted to chime in...

1) 6L O2 (ABCs they always hit Nursing students with the ABCs)

2) Vital Signs (New admits need to be assessed immediatly before anything else is done, VS are a part of assessment)

Up Vote Up Vote ×
+ Join the Discussion