DISCUSSION.
Pt comes into the ER unconscious what should you do?
Give them sugar in the form of Glucagon or Dextrose
Easier to bring their sugar down then to have to keep trying to bring it up
What is the only type of insulin that can be given through an IV?
Regular insulin
What vitamin is important during pregnancy?
Folic acid
Important for neural development
Prevents spinabifida
Water soluble vitamins
Do not get stored in the body
Gest excreted readily
Vitamins B and C
Fat soluble vitamins
Get stores in fatty tissue, liver, and muscle
Slowly metabolize
Vitamins D,A,K,E
Vitamin C
Primarily found in veggie bruger. In citrus fruits and green veggies
Vitamin D
Taken with calcium
Helps to reduce fractures
Required for calcium absorption
Lactated Ringers Solution
Purpose is for hydration and electrolyte replacement.
Do not give to a pt with liver disease
Replenishes fluid volume
Normal sodium level
, 135-145
Normal potassium level
3.5-5.0
Thiazide diuretic
Causes hypercalcemia, hyperglycemia
Interacts with DIGOXIN
Used for hypertension and edema
Kayexalate
Used for SEVERE hyperkalemia.
May cause hypocalcemia, hypomagnesium
Retains sodium
Normal saline
0.9%
An isotonic solution used for hydration
Should not be used for long periods of time
Enteral Nutrition
Involves GI tract
Can be given orally or via tube feeding
What assessments would you do before enteral feeding?
Check for distended abdomen, listen for bowel sounds
Ask pt about last BM
What is a potential complication with TPN?
Air embolism
It can be prevented by closing clamps
Aspiration pneumonitis
Complication of enteral feeding
Occurs if pt is lying down while getting the feeding
Pt must be sitting up
Bethanechol chloride
Urecholine