D5ns Case Studies

2. The medical director makes rounds and writes orders to start an IV of D51/2 NS at 75 m/hr

Nursing considerations: Obtain baseline data (heart rate and rhythm, blood pressure, and electrolytes) before giving first dose. Dose is adjusted to patient's clinical condition and is monitored by serum levels of cardiac glycoside, calcium, potassium, magnesium, and by ECG. Check for symptoms of toxicity.

Dehydration should be corrected beginning with a 0.9% sodium chloride solution which will also help with deficits in body sodium. Maintenance needs calculated at 60mL/kg/day, as well as replacement fluids for ongoing losses and replenishment of fluids already lost should be figured up and started. As dehydration is corrected potassium levels will decrease rapidly so supplementation of potassium chloride, added to fluids is necessary, not to exceed 0.5mEq/kg/Hr, rechecking levels every 6-8 hours and adjusting supplement level accordingly. Phosphorous levels may also plummet after fluid therapy is started. Adding potassium phosphorous to fluids as a CRI of 0.01-0.03 mmol/kg/Hr. Recheck levels every 6-8 hours and adjust as needed. Hypomagnesium shouldn't become an issue if using 0.9% sodium chloride

6. The physician orders alendronate (Fosamax) 70mg/wk. what instructions should you give M.S. regarding alendronate?

• the dose to give and how often it may be repeated before referring to the resident’s doctor

An IV may be placed in your child's arm. The IV will deliver a cold, saltwater liquid (saline solution) through your child's

The intravenous dosage in this case is 0.5 - 1 mg/kg IV (range: 0.5 - 2 mg/kg).

An increase in microcirculatory flow is also produced by reducing erythrocyte aggregation. Proponents of dextran point to the reduction of edema in nonburned tissues as justification for its use. The edema-reducing properties are maintained for as long as the infusion is continued, but upon withdrawal and subsequent metabolism of the glucose, rapid loss of fluid occurs back into the interstitium if the capillary leak is still present. Demling and others have used dextran 40 successfully in the early postburn period (first 8 h) at 2 mL/kg/h along with RL solution before switching to some albumin or fresh frozen plasma plus RL solution combination for the second 18-hour

The emergency department physician inserts a central venous catheter via the subclavian vein and prescribes Lactated Ringer's solution at 1,000 ml/hr via infusion pump.

Which giving any IV medication, you have to dilute it properly or too much is pushed into the vein and any number of bad repercussions can happen. With a drip set of 60 gtts/ml we need to find out how many drops per ml of normal saline we can give this patient. The normal rate for lidocaine is 1-4mg per ml of solution (Olgin & Zipes, 2014). The doctor in charge at the time wanted 2g of lidocaine to be given with 1000ml normal saline (NS). So to figure out the amount of Lidocaine to NS we needed, we have to use math. For this problem, it is fairly easy; first make sure both the lidocaine and the NS are in milliliters and milligrams. We can’t have liters and milligrams as those are two different types of measurements. So converting takes math as well, 1g of lidocaine is equal to 1,000mg of lidocaine. 2,000mg of lidocaine divided by 1000ml of NS equals 2. Now we have the answer, 2mg of lidocaine per 1ml of NS, or 2mg per 60 drops of NS as we have the 60 gtts/ml set. (Spitler, RN, NREMT-P,

Take 250 g of bone-in lamb and equal amount of chickpeas (250 g), a medium-sized onion, and 20 g cinnamon sticks and mix with 10 glasses (2.5 l) of water, boil and cook on medium heat. Boiling of the sample should continue until about four glasses of fluid remain. Then the pre-washed rice was added and in the last 5 minutes, half a gram of dried saffron powder and some salt were added. After cooking is completed, in order to prepare the desired remedy, the remaining fluid was separated by a filter and stored in the glass in the refrigerator. The patient should have been drinking this fluid before eating anything, with an empty stomach, three times a day and 80 cm3 every time (a calibrated container was provided as a measure for the patients), and for the period of three minutes (according to the recommendations in the Persian

Dosages of the drug vary from one extreme to another based upon the patients needs.

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:

The use of intravenous therapy in the hospitals is now considered a routine therapy. In 2016, DeVries and Valentine stated that 70% to 80% of hospital patients have peripheral intravenous lines at some time during their stay. A peripheral intravenous (PIV) line is a small hollow tube (catheter) that is inserted into a vein and can be connected to special tubing. PIV line is commonly used to administer medications or fluids directly into the vein. The article “Intravenous Therapy: A Review of Complications and Economic Considerations of Peripheral Access,” states that the history of intravenous (IV) therapy dates back to the Middle Ages. Dr. Thomas Latta pioneered the use of IV saline infusion during the cholera epidemic and in the 20th century, two world wars established a role for IV therapy as routine medical practice (Dychter, Gold, Carson, & Haller, 2012).

The Domain Name System or DNS is an international address system developed to ensure that every computer connected to the Internet has its own address. DNS assigns addresses to Internet web servers [10]. However, in the DNS system, that address is actually a set of numbers like 173.194.39.78. This set of numbers is called the computer's Internet Protocol (IP) address.