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- Discuss the significance of the three color zones identified with the use of the peak flow meter and related patient education required with each.A client is admitted with a hemothorax following a motor vehicle collision, and the surgeon inserts a chest tube that is attached to a chest drainage system with suction at 20 cm water pressure. The practical nurse (PN) observes that the suction chamber fluid level is at 15 cm. Which action should the PN implement to ensure effective functioning of the chest drainage system? A The chest tube should be irrigated with 20 mL normal saline to ensure patency. B Additional sterile water should be added to the suction chamber to the 20 cm level. C The tubing should be manipulated until the chest drainage collects in the chamber. D Suction at the wall unit should be increased to enhance the velocity of bubbling.How do you administer a direct IV or IV bolus? Is direct IV and IV bolus the same? And when you administer via direct IV, does the solution of the direct IV (i.e. ceftazidime, meropenem, etc.) affects the continuous infusion (i.e. Lactated ringer, KCl, NaCl)
- The nurse is administering an IV solution that contains potassium chloride to a patient in the critical care unit who has a severely decreased serum potassium level. Which action(s) by the nurse are appropriate? (Select all that apply.) a )Administer the potassium by slow IV bolus.b )Administer the potassium at a rate no faster than 20 mEq/hr.c) Monitor the patient’s cardiac rhythm with a heart monitor.d) Use an infusion pump for the administration of IV potassium chlorideIndicate whether peripheral vascular resistance or cardiac output is most directly impacted by the administration of each drug class. Please explain why. Angiotensin-converting enzyme inhibitors Beta-blockers Calcium channel blockers Loop diuretics Thiazideshttps://www.youtube.com/watch?v=t0IngUYN2OA https://www.youtube.com/watch?v=pPxnIh_WTb8 1) Identify three positions of the patient to obtain a BP. 2) What problems can result from high blood pressure Or (HYPERTENSION)? 3) What problems can result from low blood pressure OR (HYPOTENSION)? 4) What IS the effect of exercise on BP? How does the body benefit from this change in BP during exercise? 5) How would the BP of an anxious patient visiting a doctor be different than if the patient is calm? 6) In atherosclerosis, plaque builds up inside the arteries. How would this affect BP? Is this an example of hypertension or hypotension? Part 2: The circulatory system has 5 functions. · Highlight the statements below that are only functions of the circulatory system. It carries cells that help to fight diseases. It gives structure and support to the body. It carries waste products to the urinary system. It carries carbon dioxide from cells…
- A patient has frequent episodes of paroxysmal supraventricular tachycardia (PSVT). Which of the following drugs would be most suitable for outpatient prophylaxis of these events? Adenosine Lidocaine Nifedipine VerapamilPrescribed: Mesna 2,500 mg in 125 mL Normal Saline by IV to infuse at 250 mL/hr. On hand: vial containing Mesna 100mg/mL. How many mL of Mesna should be added to the 125 mL IV bag of D5W to prepare this IV infusion?c. What is the flow rate in gtts/min? The doctor orders 1000ml D5W IV to run over 12 hours. She also orders an IVPB with Gentamycin 80 mg in 60 ml NS to run over 1 hour QID. The stock supply is a vial with Gentamycin 100 mg/2ml. The drop factor for both IVs is 60gtts/ml a. What is the flow rate in gtts/min for the main IV? b. How many mls will you add to the IVPB for the correct dose? c. What is the flow rate in gtts/min for the IVPB? D C. 2 a. b. 0. The nurse practitioner orders 1000 ml NS to infuse over 12 hours. You hang the bag at 8am and by 1pm 500 mls have infused. The drop factor is 15. a. What is the infusion rate in ml/hr to infuse the remaining solution in the time left? a. C.
- A patient has tachycardia and has amiodarone infusing at 15 mL/h. The amiodarone concentration is 300 mg in 500 mL. At what rate, in mg/min, is the amiodarone infusing? Round to the tenth if applicable. A patient with a dysrhythmia has procainamide ordered at 2 mg/min. The concentration is procainamide 4g in 100 mL of D5W. How Many mL/h should the IV pump be programmed for? Round to the tenth if applicable. The patient is ordered to receive 16 units/h of regular insulin. Available is 200 units of regular insulin in 250 mL of 0.9% NS. At what rate in mL/h should the infusion pump be set at? Round to the tenth if applicable . Lanoxin Pediatric elixir is available 0.05 mg/mL. The ordered amount by the doctor is 45 mcg per dose two times per day. What is the amount in mL that the nurse will give per dose via oral syringe? Round to the tenth if applicable.If the patient was given amlodipine and metoprolol, which of the following would likely be true? The patient would likely experience an increase in HR The patient may have a decreased blood pressure The patient may experience significant tachycardia The patient may experience hypokalemiaGive Amikacin 800 mg IVPB, now Available: Amikacin 500 mg/2 ml Set and solution: D5W 150 ml bag and a drop factor of 15 gtt/ml set Instructions: Infuse over 60 min What is the correct dose? (mg in ml) What is the flow rate? (ml/hr) What is the drop rate? (gtt/min)