nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum
calIV and Drug Calculations for Busy Paramedics By Kent R. Spitler, MSEd, RN, NREMT-P EMS Educator Charlotte, North Carolina Introduction Medication calculations can cause frustration for EMS providers. Math and pharmacology can make it difficult to succeed on course exams, in the clinical setting, and in the field. There is a solution to make medication calculations easier. The answer to this problem is simple by showing students how to perform calculations using a simple process. While there are plenty of good drug and solution textbooks, study guides, and presentations available showing the methods of medication calculations, It seems that it much of it causes mathematical confusion often called “math mental blocks” for many EMS
rights, health, and safety of the patient.” This provision, identifying patients, medication safety are related because it is a nurse’s responsibility to protect the patient from harm and promote safety. Nurses are taught to use multiple checks before administering a drug and use two identifiers. These checks include checking the medication against the order when obtaining it, checking again when preparing the medication and the last check is done at the patient’s bedside prior to giving the medication. Also it is imperative to question any medication order that does not seem fit. The order should include a date, time, name of the medication, dosage strength, the route for
Catheter-associated urinary tract infections (CAUTI) may be “prevented or minimized with more However, there are additional guidelines in terms of assessing the patient for prolonged catheter use. There should be frequent assessment and evaluation of the patient’s need for continued use. It is important to note that in addition to determining the patient’s need for catheterization, prior to insertion the nurse should also complete the following:
Looking at an example, your medical control states you need to establish an IV on a cardiac patient complaining of chest pressure at a rate of 80 ml/hr using a 500 ml bag of Normal Saline solution. The drip set you choose is a 60 gtts/ml minidrip set. The formula is as follows:
Nurses are called upon to use math in their everyday jobs. In college, a nurse must take certain mathematics classes for preparation of the job. Firstly, a nurse must be able to perform basic calculations. This includes using addition, subtraction, multiplication, and division, as well as fractions and decimals on a daily basis. Furthermore, a nurse should be skilled in calculating conversions. They have conversion tables memorized, which allows them to convert measurements. Stoichiometry, a branch of chemistry, focuses on the concept of balancing chemical equations and conversions. Nurses use stoichiometry in drug calculations. College algebra is based on line equations, algebraic expressions, and polynomial functions, which is why many institutions
As a pharmacist I would ask them to determine if their doctor has an emergency after hour’s line that I can call for a prescription. I could also require the patient to bring their prescription bottle as verification for a few day supply emergency refill. Later, I would fax the doctor’s office for a new prescription. When I receive the prescription I would subtract the emergency supply from the quantity to fill.
Best Practices to adopt whenever administering medication Andrew Pfaff Nightingale College of Nursing Pharmacology 210 Mr. H 11/24/2017 Best practices to adopt whenever administering medication. Introduction Safe medication practices are key to every nurse since it results to safe medication administration. When medication is not administered correctly it results to adverse drug event which refers
G, This medicine uses a needle and syringe and the correct dose is drawn into the
* Monitor fluid and electrolyte status. Disturbances can have an adverse effect on ICP. Closely monitor IV fluids with the use of an accurate intravenous infusion
DeYoung, J., Vanderkooi, M., & Barletta, J. (2009). Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. American Journal Of Health-System Pharmacy, 66(12), 1110-1115 6p. doi:10.2146/ajhp080355
When I say this, however, most people would picture the nurse giving the wrong medication due to lack of focus on the tasks at hand. While this could happen, I have noticed during my time at hospitals that the doctor orders are still hand written for the most part. Consequently, they can be very hard to be read legibly much less correctly translated into proper medication dosages. The first suggestion I would give to an organization would be that they required all orders to be submitted securely, by the doctors, to the pharmacy be electronic means.
The intravenous dosage in this case is 0.5 - 1 mg/kg IV (range: 0.5 - 2 mg/kg).
Med-Surg Practice Test B Remediation Kirsten Lute Cancer Treatment Options: Safety Precautions for a Client who has a Sealed Radiation Implant (Therapeutic Procedure, RM AMS RN 9.0 Chp 92) Inform client of the need to remain in an indicated position to prevent dislodgment of the radiation implant. Instruct client to call the nurse for
The medical field is a very interesting career field. There are hundreds of different occupations within this field, including anything from saving a fragile newborn baby’s life to prescribing antibiotics to a relatively healthy adult. No two occupations are exactly alike, but each one is equally important.