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You received patient during your morning shifdt, lying on bed at supine position, conscious, coherent and oriented with ongoing IVF of D5LR 1000 ml over 8 hours in an IV set calibrated at 10 drops per ml inserted c. Lt. metacapal vein. Her vital signs. BP: 130/110 mmHg, Temperature: 36.5 degree Celsius, PN: 82 bpm; RR: 20cpm: SPO2: 99% on room air and RBS: 85 md/dl.
Mrs. Nadia Angeles, female, 32 years old, elementary teacher, G2P2 delivered Large-of-gestational Age baby via NSD. She is hypertensive and diabetic receiving maintenance medications 2 hours after delivery, she cried helplessly complaining of severe abdominal pain and sharp peri-anal pain at 10/10 pain scale. She became restless and agitated resulting her to hyperventilate.
What are the BUBBLE HED asssessment (state all abnormal findings) and its intervention?
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- You received patient during your morning shifdt, lying on bed at supine position, conscious, coherent and oriented with ongoing IVF of D5LR 1000 ml over 8 hours in an IV set calibrated at 10 drops per ml inserted c. Lt. metacapal vein. Her vital signs. BP: 130/110 mmHg, Temperature: 36.5 degree Celsius, PN: 82 bpm; RR: 20cpm: SPO2: 99% on room air and RBS: 85 md/dl. Mrs. Nadia Angeles, female, 32 years old, elementary teacher, G2P2 delivered Large-of-gestational Age baby via NSD. She is hypertensive and diabetic receiving maintenance medications 2 hours after delivery, she cried helplessly complaining of severe abdominal pain and sharp peri-anal pain at 10/10 pain scale. She became restless and agitated resulting her to hyperventilate. What is the nursing care plan? (state all the abnormal finding based on BUBBLE HED)* A patient is drinking ½ pint of orange every two hours. At this rate, how many quarts of orange juice will the patient drink in 1 week ? * The order reads 1000mL D5W in 8h start at 10 A.M. The IV was stopped at 4:00 PM for 45 minutes with 100ml remaining. Determine the new flow rate setting for the infusion pump in mL/mn so that the infusion finishes on time. * The prescriber ordered K-Lor 20mEq q8h. Each packet of K-Lor contains 40mEq. The direction state: add packet to 4 oz of juice. How many ml of K-lor would you prepare? * The prescriber ordered Cefotaxime 1200mg IM q12h. The directions for the 1 g vial state:” Add 3.2 ml of diluent to yield to yield an approximate concentration of 300mg/ml. The direction for 2g vial state: add 5 ml of diluent to yield an approximate of 330mg/ml.” How many milliliters will you administer?Ms. Cruz, 45-year-old vendor is diagnosed with hypertension, and her attendingphysician prescribes clonidine to be given sublingual as necessary for BP160/90 mm Hg and above. The patient is concerned about this drug on howit is given as instructed above. She states, “How will this medication helpcontrol my blood pressure?” How should you (as a nurse) respond to the question of Ms. Cruz? What information would you (as a nurse) need to include when doing healtheducation about this drug?
- * You obtain the vital signs: T 90, P 90, R 20 and BP 100/70.His weight is 130lb and BSA is 2.60 m2. After history and physical examination, the physician ordered an infusion. The order reads: a drug 100mg/m2 IVPB IN 250mL of Normal Saline infuse over 3hours.The drug is available in a vial labeled 60mg/ml. At what rate in mL/h should the pump be set? * Order: RL 375 mL over 3h. The tubing has a drop factor of 15gtt/ml. a) Calculate the initial flow rate in gtt/min. B)After 1hour, 170 have infused. Determine the adjusted flow rate so that the infusion can finish on time? * Michael weighs 220 pounds 5 ounces. What is his weight in miligram and kilograms?A client is prescribed 1 g potassium phosphate IV to be infused continuously over 6 hr. Available is 1 g potassium phosphate in 250 mL dextrose 5% water. The nurse should set the IV pump to run at how many mL/hr? (round to nearest whole number)An order for an ICU patient with a 2-L daily IV fluid limit, calls for the following medications: D5W to be given over 24 hours 65-mL IVPB antibiotic to be run alone over 30 minutes q6h Calculate the rate of D5W in mL/hr. Round to the nearest whole number.
- Upon the physical examination his body temperature is 39.6 degrees Celsuis,blood pressure is 95/70 mmHg,pulse rate is 75 beats/min regular and his respiratory rate is 18 breaths/min.What would be the rationale and interventions to the patient of his case scenario?A patient comes in complaining of nausea, vomiting and weakness. You obtain the vital signs: T 90, P 90, R 20 and BP 100/70.His weight is 130lb and BSA is 2.60 m2. After history and physical examination, the physician ordered an infusion. The order reads: a drug 100mg/m2 IVPB IN 250mL of Normal Saline infuse over 3hours.The drug is available in a vial labeled 60mg/ml. At what rate in mL/h should the pump be set?pathophysiology Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGs]: pH = 7.13, PaCO2 = 35 mmHg, HCO3- = 16 mEq/L, PaO2 = 89 mmHg, and oxygen saturation = 94%. Identify LS’s current acid-base disorder. What is the most likely underlying cause of the acid-base disorder LS is experiencing?
- The nurse is monitoring a patient -ho is receiving antithrombolytic therapy in the emergency department because of a possible MI. Which adverse effect -ould be of the greatest concern at this time? a )Dizzinessb )Blood pressure of 130/98 mm Hgc )Slight bloody oozing from the IV insertion sited )Irregular heart rhythmA patient is to receive 50 mg of morphine sulfate in 250ml of NS intravenously over 5 hour The infusion is started at 1000 After 90 minutes the patient pain intensifies and the physician increases the flow rate to 15mg/hr At what time will the infusion runoutA medication is ordered at 75 mg/m2 IVP over 2 minutes. The patient has a BSA of 1.67 m2. If the vial is labeled 25 mg/mL, A) How many mL should you administer? B) How many mL should you administer each 30 seconds? Round your answers to two decimal places.