1. Tom morrow is a 55 lbs, 2 year old boy admitted to your hospital with dehydration. what is the most appropriate Starting total daily fluid volume requirement for this patient? 2. If a patient’s PN formula contains 510ml of dextrose 70%, how many calories will this patient receive from dextrose?
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- 12. Metabolic acidosis caused by fixed acids is present when the anion gap is greater than A. 9 mEq/L B. 14 mEq/L C. 20 mEq/L D. 25 mEq/LThe formula for fluid overload is% Fluid overload=((total fluid in−total fluid out)/admission body weight×100) How would you know the total fluid out? Is it through laboratory results? How many ml of fluids can the patient tolerate?A young woman us found comatose, having taken an unknown number of sleeping pills at an unknown time before. An arterial blood sample yields the following values: pH 6.90, HCO3 – 13meq/litre, PaCO2 – 68mmHg. This patient’s acid-base status is most accurately described as
- The doctor ordered Ancef 225mg IM every 8 hours. You have on hand a 1 gram vial with the instructions that read: add 2.5ml of sterile water for injection, provides an approximate volume of 4ml. How many ml will you administer?An unconscious patient is delivered to emergency room. His blood gases are obtained: pH = 7.09, HCO3- = 15 mEq/L, pCO2 = 50mmHg. What type of acid-base disorder this patient has? Why is he unconscious?The doctor ordered Ancef 225 mg IM every 8 hours. You have on hand a 1 gram vial with the instructions that read: add 2.5 mL of sterile water for injection, provides an approximate volume of 4mL. How many mL will you administer?
- You are a nurse who frequently cares for post-surgical patients in your hospital unit. Most of the medical-surgical patients have IV fluids infusing during their admission. Due to the frequent use IV fluids on your floor, understanding fluid balance and electrolyte function is primary to your nursing practice. 1. Which conditions can result in third-space fluid shift?I. Give concentration in units of mg/ml for the following solutions. 50 g/liter 0.5 g/ml 5mg/ml 500 mg/liter Show your workThe electrode of a pH meter is placed in a sample of urine, and a reading of 7.9 is obtained. Is the sample acidic,basic, or neutral? What is the concentration of H3O+ in the urine sample?
- A 25 year old male patient requires a 5 mL injection of sodium valproate 200 mg/mL. The displacement volume for sodium valproate is 0.56 mL/g. What volume of water for injections in millilitres should be added to the patient’s dose of sodium valproate for it to be correctly reconstituted? State your answer to 2 decimal places. units= mlYou are asked by the pharmacist to add 45 mEq of Ca Gluconate in an IV bag of D5W 1000mL. You have a concentrated vial of Ca Gluconate 4.4 mEq/mL, 50 mL. How many mL of this concentrated vial needs to be added to the IV bag?A patient suffers from hypokalaemia, and is prescribed an intravenous infusion of 0.15% potassium chloride (KCl) to correct this imbalance. She is to receive 50 mL 0.15% KCl over 4 hours. How many mmol/hour of potassium is she receiving? (0.15% KCl contains 20 mmol potassium per litre)