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- Case StudyAUTOMOBILE ACCIDENT VICTIMA 37-year-old woman is on a volume-cycled mechanical ventilator on a day when barometric pressure is 745 mm Hg. The patient is receiving an FIO2 of .50. The following clinical data are obtained:• Hb: 11 g%• PaO2: 60 mm Hg• SaO2 = 90%• PvO2: 35 mm Hg• Svo2 = 65• PaCO2: 38 mm Hg• Cardiac Output: 6 L/minuteBased on the information above, approximately what is the patient’s PAO2?1). 500 mL of sodium chloride 0.9% over 6 hours at SDF(standard drop factor) 15 drops/minA. State the principle for the determination of Hb using the haemoglobincyanide method. B. Given that the vol of blood taken is 20uL, and the vol of the diluting fluid is 5.0ml. Calculate the dilution factor.
- 2. Enumerate the conditions which result in Hyperchloremia and Hypochloremia. 3. List the methodologies available for measuring serum Chloride.Dextrose 5% with 20 mEq KCI Potassium Chloride Dextrose 5% CONTINUOUS INFUSION Tech: Made: 20 mL Single-dose For Intravenous u Potassium Chlori for Injection Concentrate, U 40 mEq/20 mL (2 mEq/ CONCENTRATE MUST BE DILUTED BEFORE USE Hospira, Inc, Lake Forest, 60045 USA RPh: Expires: 1000 mL 20 mEq 1000 mL RATE: 68 mL/hr 1. What volume of potassium chloride will you add? 2. Do you need to remove any of the D5W to account for the added volume of the KCI? Why or why not? 3. Assuming that the rate does not change, how long will this bag last for? 4. How many mEq of KCI will the patient receive in a 24 hour period?A patient is to receive Taxol . She weighs 90 pounds and is 5'2" tall. The Taxol is available, after reconstitution, in a concentration of 6 mg/mL. How many mL will be added to a 500 mL bag of NS for IV infusion?
- Explain how you monitor a patient for dehydration in the acute setting. You need a minimum of 3 pointsA physician orders an IV of 750 mL of D5NS 1. What is the weight of the dextrose found in the fluids? 2. What is the weight of the sodium chloride found in the fluids? 3. If these fluids were to be administered with a 60 gtt/mL drip set, how long would the fluids run if the patient receives 5 mL/min? 4. What would be the time for infusion in hours and minutes at 5 mL/min? 5. If the infusion has to be stopped after 20 minutes, how much volume of fluids did the patient end up receiving?1. The nurse is caring for Mr. Adrian, an 82-year-old man with CHF who has a past medical history of diabetes and renal insufficiency. He is prescribed digoxin (Lanoxin) 0.125 mg IV and then 0.125 mg PO daily.a. What are the therapeutic effects of cardiac glycosides?b. Is this patient at risk for digoxin toxicity? Explain.c. What are the adverse effects of digoxin?Discuss the nursing considerations for digoxin administration.
- Order: Pantoprozole 40mg IV q12h. According to the IV drug guide, you need to add the 40mg /10mL dose to a 100 mL minibag of 0.9% NS for administration. The recommended rate of infusion is 30 minutes. If you administer the pantoprazole using an infusion pump, you need to set an hourly rate. In order to infuse the 100ml minibag in 30 minutes, what hourly rate would you set on the pump?the order is for 300 mL of d5 normal saline to be administered IV o we a 6 h period. calculate the drop rate in drops per minute for a drop factor of 15.Agnes Bass is a 68-year-old woman who has lower-leg edema. She is being treated with furosemide 40 mg PO daily. a. Application of Understanding. 1. While caring for Ms. Bass, she tells you that she enjoys snacks like potato chips and pretzels. What response would you have? 2. Ms. Bass has spironolactone added to her treatment regimen to increase diuresis. Why was this added to her regimen instead of increasing her dose of furosemide?
