Q1. What are 2 indications for the commencement of a heparin infusion?
Q2. What is an APTT and the significance of this measure?
Q3. As a Registered Nurse, What complications might you look for when monitoring a patient on a heparin infusion?
Q4. Undertake the following medication calculations in preparation for syringe driver medications
a. 100 units in 100ml N/Saline (0.9%). What's us the required final concentrating in units/mL?
b. Heparin infusion 25,000 units in 500ml N/Saline (0.9%) What is the required final concentrating in units/mL?
c. Morphine infusion 100mg in 50ml N/Saline (0.9%). What is the required final concentration in mg/mL?
Q5. Your patient ask you what are insulin, glucose and glucagon? How it works together?
Q6. in Neurovascular assessment
a. What is normal and abnormal colour of the skin?
b. What is normal and abnormal warmth of the skin?
c. What is normal and abnormal capillary refill?
d. What is normal and abnormal peripehral pulses?
e. What is normal and abnormal swelling?
Q7. Bill, 63 yrs old who has recently commenced heparin IV for deep vein thrombosis. His sitting up with leg elevated and IV heparin via syringe driver connected to PIVC.
a. What is the medication health topic would you like to cover in a health teaching sessions with Bill?
b. Bill asks if he's needing herapin forever? How do I make sure dont end up clot when travel? what would be the best evidenced based answer?
Q8. Jane afmitted to hospital for pancreatitis and has an IV insulin infusion.
a. what action required blood glucose level is less then 4?
b. How frequent should BGL be taken?
c. What rate was the insulin infusion commence at?
Q9. 3 days later, Jane is changed to sliding scale intermittent S/C insulin.
a. When are standard times to monitor BGL?
b. if BGL is over 20 why would ketones be looked for urine?
Q10. What is different about the CPR in the hospital setting?
Q11. What role do you feel you can contribute as a student RN within hospital?
Q12. Ray found factured right distal Radiosenda, swollen knee left leg without sign of factures.
a. If the capillary return ws 3.5 seconds what does this indicates and what be suitable nursing interventions?
b. When the dopper be used?
c. What are the 6 P's of neurovascular assessment (in looking for signs of compartment syndrome) What are 6P's?