1. Introduction Mass casualty situations are common with most of the natural disasters like earth quake, tsunami, flood, avalanche, explosion, accidents, building collapse, military operations and terrorism. Injuries and wound infections are very common in such disasters that need immediate management; otherwise it may lead to morbidity and mortality. Medical management is very difficult at that situation as the access to hospital sector would be either not possible or difficult. Autoinjectors are
time and date the medication was initiated. Question 5 An intravenous bolus is relatively a large volume of fluid or dose of a drug or test substance given intravenously and rapidly to hasten or magnify a response, in radiology, rapid injection of a large dose of contrast medium to increase opacification of blood vessels. Question 6 Total parenteral nutrition (TPN) is given through a vascular access device such as a Peripheral Intravenous line, midline or most preferably a central line. The central
It was a very busy night on M10, call bells ringing non-stop for pain medication, or toileting needs, IV pumps alarming, concerned family members coming to the nursing station, numerous patient admissions from urgent care and PACU. I received nursing handoff on all my patients from the day shift, gave handoff to my patient care technicians, and we had our nightly nursing huddle in the station. After hearing everyones concerns about their high risk patients, I wanted to get out on the floor as early
“I am a nurse. I Am a nurse. I’m a Nurse!” I had finally made it to my career goal in life. As soon as I got licensed, I submitted my application to a few dialysis companies, more than several times, to increase my chances of getting my online application noticed. Sure enough, the hours and hours of applying day and night paid off and I began my journey as a hemodialysis (HD) nurse in 2015. I have been in this specialty for over two years now and I still get asked, “Why are you a dialysis nurse?
Drug administration is a fundamental part of every day in nursing profession. No medication is completely safe and protected in this manner. Therefore, nurses need to have an intensive and broad knowledge of the medications and its method of organization in the compelling treatment of patients whose life lies in her grasp (Satoskar, Bhandarkar, 2005) Emergency Nursing is a special type of nursing in which nursing staff look after patients in the crisis or basic period of their disease. In conventional
Pt requires 20 gauge IV for _______. 20 gauge catheter inserted to the right anterior forearm, first attempt. Flushed with 10 cc normal saline. Stat lock in place, covered with transparent dressing. Pt tolerated well with no complaints of pain or irritation upon flushing, no visible swelling or bruising. Sharps placed in approved container, patient’s bed lowered as far as possible and assisted to comfortable position. Reassessed in 5 minutes for bleeding , none noted. Pt requires IV discontinuation
During my first few weeks of being placed on the General Surgery floor at University Hospital, I encountered many situations with patients that allowed me to reflect on many aspects, including the care I was providing and how the patient was feeling. One particular situation that stood out to me occurred during my second week and involved a patient who had just been admitted to the floor following a procedure in which she had a liver abscess drained. This patient, who will be referred to as Grace
one's dirty brief at her. I was pleased with myself. I made it through report, ran to the locker room, reversed my scrubs and scurried on to bed one. I walk in the room and noticed Hazel the hag left all the intravenous bags dry. I go into the supply room and collect the necessary intravenous bags, while going back to the unit I hear "Code Blue room 352, Code Blue room 352." I am on the code team so I drop everything and rush to room 352 on the opposite side of the hospital, only to find a code blue
Peripheral intravenous catheters are one of the most routinely used devices in hospitalized patients. They are used in anticipation of an emergent need, to administers fluids, nutrition, medications, blood products and to take samples of blood for testing. The Centers for Disease Control and Prevention require that catheters are to be replaced every 72-96 hours to prevent infection and phlebitis. Signs and symptoms of infection and phlebitis which are clinical indications to change an IV. They may
Choice “E” is the best answer. The treatment of SIADH and the need for rapid correction of hyponatremia depend on the degree of hyponatremia, whether the patient is symptomatic, and on whether the hyponatremia is acute (< 48 h) or chronic. The patient is experiencing severe symptoms of hyponatremia (unresponsive, Cheyne-Stokes respirations). Usage of any or a combination of the following is indicated: 3% hypertonic saline, loop diuretic with saline, vasopressin-2 receptor antagonists (vaptans), and