Admission Orders and IV Flashcards
inpatient
2 or more midnights in hospital
outpatient
occurs in one day with no overnight stay
observation
expected to stay only one midnight
3 structures of admission orders
written
template
electronic
ADC VANDALISM
Admit Diagnosis Condition Vitals Activity Nursing Diet Allergies Lab/Diagnostics IV fluids Specialists/Consultations Medication Monitoring
framework for admits
condition for admission
diagnostic process
safety
condition for admission in the framework
admit diagnosis condition allergies medications
diagnostic process for admission in the framework
vitals activity nursing diet lab and diagnostics IV fluids Specialists and consultation Medications
safety for admission in the framework
medications
monitoring
Condition levels
stable fair guarded critical expectant
5R’s to fluid replacement
Replacement/redistribution
Resuscitation
Routine maintenance
Oral/Enteral maintenance
NS tonicity
isotonic
LR tonicity
isotonic
D5W (+/-) tonicity
isotonic
hypotonic
hypertonic
depends
1/2NS tonicity
isotonic
3% NaCl tonicity
hypertonic
D10W tonicity
Hypertonic
D5NS Tonicity
hypertonic
D5LR tonicity
hypertonic
average person requires how much water?
25-30ml per Kg
how much Na/K required per day by average person
1mmol/Kg
how many kgs == 1 L
1
1:1 ratio
Holiday-Segar method first 10Kg
100ml per Kg in 24 hours
Holiday-Segar method second 10Kg
50ml per Kg in 24 hours
Holiday-Segar method remaining Kg after first 20
20ml per Kg in 24 hrs
most patients are treated with
isotonic or one-half isotonic saline
