1,000 mL NS infusing at 110 mL/hr. Started at 5pm, when will it be complete? Correct Answer-0205
750 mg Vancomycin and 225 mL NS infusing over 90 min, drop factor is 10 gtts/mL. Find gtts/min. Correct Answer-150 mL/hr
Type 1 diabetic comes into the ER with the following symptoms: nausea, vomiting
and their blood sugar is 550. Their pH is 7.30 CO2 is 29 and HCO3 is 19. What is the blood gas and is there any compensation? Correct Answer-metabolic acidosis, partially compensated
pH 7.49 CO2 47 HCO3 29, what is this blood gas and is there any compensation? Correct Answer-metabolic alkalosis, partially compensated
You have to get a guaiac, what specimen would you obtain? Correct Answer-stool
You have 100 mL NS with 1,000 mg of Ampicillin infusing over 40 min, drop factor is 15 gtts/mL, find gtts/min. Correct Answer-38 gtts/min
You have an IVPB that will hang for 85 min, it has 250 mL of NS with 750 mg of Vancomycin, drop factor is 20 gtts/mL. Find the mL/hr. Correct Answer-176 mL/hr
How would you know that Atropine (lomotil) is working? Correct Answer-no more diarrhea How would you educate your patient on how to care for their new colostomy? Correct Answer--wafer should be cut 1/16in away from the stoma
-stoma should be beefy red
-to avoid gas, do not eat: beans, cabbage, spicy foods -burp the bag
-empty when 1/3 full -colostomy can be irrigated to regulate the bowels
Your patient is very anxious, using their accessory muscles, their O2 sat is in the 80's, what are you going to do? Correct Answer-give oxygen
How do we prevent ventilator-associated pneumonia? Correct Answer--oral care with chlorahexidine -use sterile technique -suction no more than 10 sec
-hyper-oxygenate
-elevate HOB 35-45 degrees -antibiotics
-histamine 2 blockers
Acetylcysteine (Mucomyst) Correct Answer--antidote for acetaminophen
-thins mucous up
-may need suction machine
What medication do we use for oral surgery? Correct Answer-Metaxolone
-monitor: respiratory rate, BP, LOC- lethargic