1. Review Orders Received in State 1. Please provide a rationale…
Question Answered step-by-step 1. Review Orders Received in State 1. Please provide a rationale… 1. Review Orders Received in State 1. Please provide a rationale for each order.2. Review Orders received in State 2. Please provide a rationale for each order. Orders Received in State 1: • NS 500 mL bolus followed by NS continuous infusion at 150 mL/hour • Discontinue vancomycin STAT • Discontinue HYDROmorphone and OxyCODONE • Notify provider if complaints of pain • Continue to hold Enalapril and Enoxaparin • Urinary catheter to gravity drainage • Hourly intake and output • Nasogastric tube to low intermittent wall suction • NPO • Complete bedrest • 12 lead EKG • Oxygen per nasal cannula at 2 LPM; titrate to maintain SpO2 greater than 92% • Electrolytes, BUN, creatinine, glucose, urinalysis, urine osmolality, urine sodium STAT and call results to healthcare provider Orders Received in State 2: • Discontinue IV fluids, saline lock IV • Continuous cardiac monitoring • Consult nephrologist • Consult surgeon for hemodialysis catheter placement • Daily weights • Calcium gluconate 10% 4.5 mEq x1 IV piggyback STAT • Regular insulin bolus: give 10 units x 1 IV • Dextrose 50% 50 mL x 1 IV • Sodium polystyrene sulfonate 15 g po x 1 STAT • Basic metabolic panel every 6 hours Health Science Science Nursing NR 325 Share QuestionEmailCopy link Comments (0)
