如何对待和处分违纪的学生Titl

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1、SafetyrelatedtoAdministrationmethodsUNRS314JanBazner-ChandlerCPNP,CNS,MSN,RNPediatricdosagescalculatedbyweightMostdrugbooksuseweightinkilograms,patientsareoftenweighedinpounds:Toconvertpoundstokilograms2.2lb=1kg.2.2x=weightinlbDividepoundsby2.2togetweightinkgCalcula

2、tionIfachildweighs88lbs,whatistheweightinkg?88lb:xkg88dividedby2.2=40kgIfachildweights6lbswhatistheweightinkg?6lbdividedby2.2=2.72kgMedicationdosageForadosageofmedicationtobesafe,itmustfallwithinthesaferangeaslistedinaDrugHandbook,PDRorotherreliabledrugreference.Saf

3、eMedicationDoseCalculatedailydoseordered(Physicianorders)Calculatethelowandhighparametersofsaferange(fromdrugbook)Comparethepatient’sdailydosetothesaferangetoseeifitfallswithinthesafezoneCalculationAchildis2yearsandweighs36lbsisreceivingAmoxicillin215mgpotidforabila

4、teralotitismedia(earinfection).Patientweightinkg=16.36kgDavisdrugguide:PO(children)<40kg:6.7to13.3mg/kgq8hours.16.36x6.7=109.6mgq8hours16.36x13.3=217.5mgq8hoursSaferange:110to218mgofAmoxicillinQ8hoursIsthedosesafe?Howmuchmedicationdoyougive?Amoxicillinsuspensioncome

5、s250mgper5ml.250mg/5ml=215mg/xmlGive4.3ccpoevery8hoursSafeDoseRangesReadthemedicationrangescarefullySomearethedoserangefor24hoursSomearethedoserangeforq8hoursSomearethedoserangeforq12hoursFluidControlCrucialinthepediatricpopulationUnitsoftenhavepoliciesthatchildrenu

6、ndercertainageswithIVfluids/IVmedicationbeplacedonaninfusionpump.KeyconceptsFluidoverloadmustbeavoidedTimeoverwhichamedicationshouldbeadministerediscriticalinformationMinimaldilution(endconcentrationofmedication)isimportantformedicationssuchasaminoglycosides.Collect

7、ingtherapeuticbloodlevelsFluidoverloadKnowwhattheIVrateis.HourlyrecordingofIVfluidintakeDon’ttryandcatchuponfluidsCalculatefluidsusedtoadministerIVmedicationsintothehourlyfluidcalculations.IVBuretrolIVBuretrolAburetrolorvolutrolisaninlinereceptaclebetweentheclient’s

8、IVcathetersetandthebagoffluids.Capacityis100to120mLRationale:thenursecanfilltheburetroltoacertainlevelandiftheIVpumpmalfunctions,onlythevo