Homework Answers
As the patient is having some signs of toxicity it is always best to stop the infusion assess the blood values and then restart in the much minimal or lower dose as maintainace dose which can prevent further toxicity .The level of more than 5mcg (0.005mg) per ml is a typical indicator for lidocaine toxicity in patients.
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8. Your patient has been receiving lidocaine at 2mg/L for Shr, and the arrhythmia is suppressed....
5-6. A 74-year-old retired mechanic is admitted with a myocardial infarction and a severe acute cardiac...
5-6. A 74-year-old retired mechanic is admitted with a myocardial infarction and a severe acute cardiac arrhythmia. You decide to give lidocaine to correct the arrhythmia. 5. A continuous intravenous infusion of lidocaine, 1.92 mg/min, is started at 8 AM. The average pharmacokinetic parameters of lidocaine are: Vd 77 L; clearance 640 mL/min; half-life 1.4 h. What is the expected steady-state plasma concentration? (A) 40 mg/L (B) 3.0 mg/L (C) 0.025 mg/L (D) 7.2 mg/L (E) 3.46 mg/L 6. Your...
A 60 kg asthmatic has been receiving aminophylline (S=0.8) by infusion at 50 mg/hr. A steady...
A 60 kg asthmatic has been receiving aminophylline (S=0.8) by infusion at 50 mg/hr. A steady state theophylline level is drawn and reported as 8 mg/L. The patient is still wheezing, but now is ready to take the medication orally. The physician wishes to use oxtryphylline (s=0.65, F=1) q6hrs and increase the average Cpss to 14 mg/L to improve the patient status a). What exact dose of oxtryphylline should be given? b). What actual dose of oxtryphylline should be given?...
Please help S.S a 63 years old white women with acute lymphocytic leukerimina, has been receiving...
Please help S.S a 63 years old white women with acute lymphocytic leukerimina, has been receiving chemotherapy on an out patient basics. She complain her third treatment 5 days ago and has been experiencing nausea and vomiting for 2 days despite using ondansentron (Zofran) S.S’s daughter bring her to the hospital, where she is admitted to the medical unit. As the admitting nurse, you perform a thorough assessment Subjective data . Complain of lethargy, weakness, dizziness, and dry mouth ....
Case Study, Chapter 8, Disorders of Fluid, Electrolyte, and Acid–Base Balance A nurse has just been...
Case Study, Chapter 8, Disorders of Fluid, Electrolyte, and Acid–Base Balance A nurse has just been assigned to care for three patients: A, B, and C. Selected lab work for each patient is listed below. Patient A Patient B Patient C Na+ 138 mEq/L 142 mEq/L 148 mEq/L K+ 5.1 mEq/L 6.1 mEq/L 3.8 mEq/L Ca+ 8.9 mg/dL 7.5 mg/dL 9.5 mg/dL Mg+ 1.3 mg/dL 0.9 mg/dL 2.1 mg/dL pH 7.40 7.32 7.42 PCO2 42 mm Hg 48 mm Hg...
1-12 please practice PATIENT CASE Mother's Chief Complaints "Our daughter has been vomiting and has had...
1-12 please practice
PATIENT CASE Mother's Chief Complaints "Our daughter has been vomiting and has had diarrhea for three days. She also has had a fever, but I've been giving her acetaminophen every six hours. The clear liquids and Pedialyte that she has been drinking don't seem to be helping much and she looks so sickly." HPI J.L. is a 4%-month-old Asian American female infant who was taken to the emergency room of a local hospital because her parents were...
Background Information: Alison is a 12 month old who has been vomiting for the past 12...
Background Information: Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has "not held anything down." It is now 5:30 PM and Alison's mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does...
Which clinical evidence indicates that cirrhosis has not developed in this patient as a result of...
Which clinical evidence indicates that cirrhosis has not
developed in this patient as a result of cystic fibrosis?
CASE STUDY CYSTIC FIBROSIS Berial mised o For the Disease Summary for this case study se the CD-ROM this PATIENT CASE cient lent Patient's Chief Complaints Provided by patient's mother: "I noticed a let-down in T's exercise tolerance level a week ago and the last couple of days his cough and sputum production have gotten much worse. When he started having breathing...
1. Oral acetaminophen has been ordered for a young child who has a fever. A liquid...
1. Oral acetaminophen has been ordered for a young child who has a fever. A liquid form has been obtained by the nurse to increase the chance of problem free administration. Prior to administration, the nurse is going through the rights of medication administration. When confirming the right dose, what term is the most appropriate? a. "160 mg" b. "one teaspoon" c. "one third of a tablespoon d. "SmL 2. A pregnant woman asks why she needs to take a...
NUR 254 Pediatric Case Study-Asthma-Student L.S. is a 7-year-old who has been brought to the emergency...
NUR 254 Pediatric Case Study-Asthma-Student L.S. is a 7-year-old who has been brought to the emergency department (ED) by his mother. She immediately tells you he has a history of ED visits for his asthma. He uses an inhaler when he wheezes, but it ran out a month ago. She is a single parent and has 2 other children at home with a babysitter. Your assessment finds L.S. alert, oriented, and extremely anxious. His color is pale, and his nail...
1. Focusing on only the inpatient care cost (i.e., ignoring operating room costs), what is the...
1. Focusing on only the inpatient care cost (i.e., ignoring
operating room costs), what is the cost of a TAH (non-oncology)
under each of the cost accounting systems? A tuboplasty? A TAH
(oncology)? What accounts for the differences?
Croswell University Hospital This report doesn't describe where our costs are generated. We're applying one standard to all patients, regardless of their level of care. What incentive is there to identify and account for the costs of each type of procedure? Unless...
1-12 please practice
PATIENT CASE Mother's Chief Complaints "Our daughter has been vomiting and has had diarrhea for three days. She also has had a fever, but I've been giving her acetaminophen every six hours. The clear liquids and Pedialyte that she has been drinking don't seem to be helping much and she looks so sickly." HPI J.L. is a 4%-month-old Asian American female infant who was taken to the emergency room of a local hospital because her parents were...
Which clinical evidence indicates that cirrhosis has not
developed in this patient as a result of cystic fibrosis?
CASE STUDY CYSTIC FIBROSIS Berial mised o For the Disease Summary for this case study se the CD-ROM this PATIENT CASE cient lent Patient's Chief Complaints Provided by patient's mother: "I noticed a let-down in T's exercise tolerance level a week ago and the last couple of days his cough and sputum production have gotten much worse. When he started having breathing...
1. Oral acetaminophen has been ordered for a young child who has a fever. A liquid form has been obtained by the nurse to increase the chance of problem free administration. Prior to administration, the nurse is going through the rights of medication administration. When confirming the right dose, what term is the most appropriate? a. "160 mg" b. "one teaspoon" c. "one third of a tablespoon d. "SmL 2. A pregnant woman asks why she needs to take a...
1. Focusing on only the inpatient care cost (i.e., ignoring
operating room costs), what is the cost of a TAH (non-oncology)
under each of the cost accounting systems? A tuboplasty? A TAH
(oncology)? What accounts for the differences?
Croswell University Hospital This report doesn't describe where our costs are generated. We're applying one standard to all patients, regardless of their level of care. What incentive is there to identify and account for the costs of each type of procedure? Unless...
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