Calculate this
1000 mL of D5 1/2NS with 20 mEq KCL over 8 hours. What rate should the pump be set at?
125 mL/hr
This cardiac serum lab test detects heart injury and is the best indicator of an MI
Troponin
Bonus Question: What does BNP measure?
Tube that goes from the nose to the stomach
Nasogastric (NG) Tube
Check tube position before each bolus feeding and every 4 hours for continuous feedings to avoid this problem
Vomiting
What is included in a "bowel prep"?
Full liquid or low residue diet +
Drink polyethylene glycol (GoLytely) as ordered
Diabetic patient's BG is 256. How much regular insulin should be give per the sliding scale?:
BG <150=0 units | BG 151-200=2 units
BG 201-250=3 units | BG 251-300=4 units
BG 301-350=6 units | BG 351-400=8 units
4 units regular insulin, subQ
ph 7.32 PC02 50, O2 saturation 90%
Respiratory Acidosis
The most accurate way to confirm NG tube placement is...
Xray Confirmation
Outdated feeding tube formula can cause this
Diarrhea
When using an interpreter, the nurse should always look at...
The patient. Not the interpreter.
"Give antibiotic in 30 mL D5W over 15 minutes". What rate should the pump be set at?
120 mL/hr
Chest pain protocol typically includes...
MONA: Morphine, Oxygen, Nitrogylycerin, Aspirin
Bonus Questions: If chest pain is 1/10, should more morphine be administered?
What dose of ASA should be administered? How?
(True or False) An NG tube is only meant for feeding
True
If this happens, decrease rate or change formula
Diarrhea
Instructions the nurse should give an interpreter includes (5 tips):
1) Encourage interpreter to ask for clarification when needed.
2) Speak directly to the patient (not interpreter).
3) Speak slowly (not loudly) and pause for interpretation.
4) Direct your body language towards the patient.
5) As patient to summarize important information to ensure that it is understood.
1 L of NS is to infuse over 8 hours. After 4 hours, there is 600 mL remaining in IV bag. What rate is the fluid currently running?
100 mL/hr
A diagnosis of chronic stable angina can be confirmed when...
Chest pain goes away after a nitroglycerin tablet.
Salem Sump is...
This is used for suction during short term, has a larger, more rigid rube. NEVER access blue vent.
How much fluid intake should be given for the constipated feeding tube patient (if not contraindicated)?
30 mL/kg of body weight
The 6 early signs of sepsis are:
Shivering, fever, or very cold
Extreme pain or general discomfort
Pale or discolored skin
Sleepy, difficult to wake up, confused
"I feel like I might die"
Short of breath
1 L of NS is to infuse over 8 hours. After 4 hours, there is 600 mL remaining in IV bag. Is this the correct rate?
No! It should be 125 mL
Bonus Question:
What should the rate be changed to so that the 1 L of NS can be administered over 8 hours as scheduled?
Patients with COPD are at risk of developing C02 retention which in turn cause this..
Respiratory Acidosis
A surgically placed feeding tube includes...
PEG tube or Button Tube
Patient safety for the feeding tube patient includes these 4 things:
(1) HOB elevated to 30-45 degrees
(2) Aspiration Precautions
(3) Check placement before feedings/meds
(4) Assess regularly for complications (e.g., aspiration, diarrhea, ABD distention, hyperglycemia, fecal impaction)
#1 priority problem immediately after colonoscopy is...
What is ineffective breathing pattern?