makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her diabetic keto acidosis condition, and which are appropriate? Why? 1000 ml Lactated Ringer’s (LR) IV stat 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her diabetic keto acidosis condition, and which are appropriate? Why? 1000 ml Lactated Ringer’s (LR) IV stat 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
Essentials of Pharmacology for Health Professions
7th Edition
ISBN:9781305441620
Author:WOODROW
Publisher:WOODROW
Chapter23: Endocrine System Drugs
Section: Chapter Questions
Problem 1CRQ
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Question
he practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her diabetic keto acidosis condition, and which are appropriate? Why?
- 1000 ml Lactated Ringer’s (LR) IV stat
- 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
- CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and
parasites ; Clostridium difficile toxin, and C&S; serum lactate;ketone ; osmolality; ABGs on room air - 1800 calorie, carbohydrate controlled diet
- Bed rest
- Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
- Furosemide (Lasix) 60 mg IV push now
- Urinary output every hour
i. VS every shift
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