A client is receiving a transfusion of packed red blood cell…
A client is receiving a transfusion of packed red blood cells. Time BP Apical HR RR Temp 0800 90/50 100 bpm 20 bpm 98.0⁰ F 0815 92/54 110 bpm 18 bpm 100.0⁰ F What is the nurse’s priority intervention based on the client’s above assessment?
Read DetailsYou are administering heparin and following the protocol bel…
You are administering heparin and following the protocol below for a client weighing 189 lbs. The order is to administer an initial heparin bolus IV followed by a titrated IV infusion. Round to the tenths place. HEPARIN PROTOCOL Initial bolus- 50 units/kg Initial rate – 18 units/kg/hr Obtain a PTT every 6 hours, and adjust dosage and rate as follows: If PTT is less than 35 secs: Repeat bolus with 80 units/kg and increase the rate by 4 units/kg/hr. If PTT is 36 to 44 seconds: Repeat bolus with 40 units/kg and increase the rate by 2 units/kg/hr. If PTT is 45 to 75 seconds: Continue current rate. If PTT is 76 to 90 seconds: If PTT is 76 to 90 seconds: Decrease rate by 2 units/kg/hr. If PTT is greater than 90 secs: Hold the heparin for 1 hour and decrease rate by 3 units/kg/hr. Available (for bolus) – heparin 1,000 units/mLAvailable (for infusion) – heparin 25,000 units in 250 mL D5W How many mL will the client receive for the repeat heparin IV bolus in response to the PTT of 40 secs?
Read DetailsA client is on neutropenic precautions following treatment f…
A client is on neutropenic precautions following treatment for acute lymphocytic leukemia and now presents with hypotension, tachycardia and an elevated temperature. The nurse notifies the HCP. Which order from the HCP would be the nurse’s priority intervention?
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