Practice for Adult III DSE Fall 2015
The physician orders ampicillin 1 g in 100 mL of D5W IVPB to infuse over 20 minutes.
Tubing drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute.
The physician orders heparin IV drip at 17
Calculation of Drugs given IV in Critical/Acute Settings
Some of these IV drugs are quite potent and are given in very small dosages that must
be carefully calculated.
These drugs must be administered via an IV pump to control administration and
Mrs. H. has been admitted with CHF and has an order for Dobutamine at 5 mcg/kg/min. The
Dobutrex has been prepared 250 mg/250 ml. Her admission weight is 75 kg. What should the IV
pump rate be set
resp acidosis: causes hypoventilation, seizures back to back, Tx:
do something to increase resp rate, if narcotics give antidote
Respiratory alkalosis: causes hyperventilation. Ex: anxious
metabolic akalosis: over production in kidneys, vomiting, loop diu
study these differences!
need to know tubing size so you can document wastes (fluid in tube)
back prime is the best way to prime tubing bc you're not wasting
tubing is good for how long? depends on facility
tubing should always be labeled
blind insertion, but it will not prevent aspiration.
these are good for blind insertion (may be used in the OR) it's for short term use it's good if they have been entubated
before and have pulled out their ET tube.
used for keeping the
6-9th intercostal space midaxillary
leave chest tubes in until it's reexpanded 2-5days approx
small leaks less than 24% may resolve on its on.
do xray to see how much air or fluid is in the space.
silk tape occlusive tape is needed, sterile water, precut
Community health - leach lecture
Changing demographics-people are getting older.
Nature prevalence of illness: certain core conditions that are being followed or high
degree with chronic problems - diabetes, chf, obesity (core measures)
oxygen is a drug you have to have a prescription for. expensive, side effects: fires, hypoxic
check flow meter on the wall to verify liters.
you can delegate helping them to go to the bathroom,
(taking off the oxygen to go to the restroom and then
NUR 1142: DRUG STUDY SHEET
DRUG/ DRUG CLASS