Q1.A patient is to receive 1L Hartmann’s
Q1.A patient is to receive 1L Hartmann’s over 12 hours and the drip set delivers 15 drops per ml. Calculate the rate in drops/min. Q2. You are caring for a post-operative patient, David Muller. David has one peripheral intravenous cannula with a 3-way tap in situ, and it has a continuous Heparin infusion running through it. David is due for IV Frusemide as a bolus. IV Heparin and Frusemide are compatible via the Y-site according to the Australian Injectable Drug Handbook a) Aside from checking compatibility, what else about the administration of the IV Frusemide would you check from the AIDH before administration, so that you administer it appropriately? * You will need to give at least 2 examples of what you need to check from the AIDH b. Describethe steps that you would take to connect and administer the IV Frusemide. (Consider that Heparin is currently running) Q3. Mrs Kitchener has a history of congestive heart failure. She has a blood pressure of 95/55. Dr Lewis requests you give her a fluid bolus of 300ml of Normal Saline over 60 minutes. Mrs Kitchener has no dizziness, urine output is normal and she is warm and peripherally well perfused. Is this appropriate management for this patient? Give reasons to support your answer. Identify a potential complication Mrs Kitchener may experience if you were to follow Dr Lewis’ orders? List two (2) signs and symptoms that Mrs Kitchener may exhibit if the above complication occurred after administration of the fluid bolus. In your answer, identify the reasons/pathophysiology for these signs and symptoms. Q4. .For the following intravenous medications, identify the drug category and one clinical indication. Morphine Drug Category Clinical Indication Benzylpenicillin Drug Category Clinical Indication Diazepam Drug Category Clinical Indication Metoclopramide Drug Category Clinical Indication Digoxin Drug Category Clinical Indication Heparin Drug Category Clinical Indication Frusemide Drug Category Clinical Indication Amiodarone Drug Category Clinical Indication Q5. A bolus intravenous dose of Cephazolinhas been administered to Rupert Dowling. Describe two (2) cardiovascular signs or symptoms Rupert may exhibit if he is having an anaphylactic reaction to the medication. Include the pathophysiology of why these signs and symptoms are occurring in the anaphylactic reaction. Cardiovascular sign/symptom 1: hypotension Pathophysiology of this sign/symptom: Cardiovascular sign/symptom 2: Pathophysiology of this sign/symptom: Q6.When removing an active drain tube, what safety aspects must you consider? Q7.What safety considerations are there when removing staples? Q8.What happens if the wound dehisces whilst you are removing the staples?
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