The induction was done without the use of benzodiazepines, propofol target dose of 4 mg / ml and remifentanil infusion of 0.5 mg / kg / min, both in 3 minutes. After induction, the propofol infusion target was decreased to 2.5 g / ml and the infusion of remifentanil was adjusted to be between 0.1 and 0.3 g / kg / min as needed. In all patients, neuromuscular function was assessed using the TOF Watch SX monitor (Organon Ltd) by the method of accelerometry. Was installed the heating element and the skin and central temperatures maintained above 32 ° C and 36 ℃ respectively. After induction of anesthesia acceleromyography calibration was performed and the ulnar nerve stimulated with four pulses of 0.2 ms duration at a frequency of 2 Hz every 15 seconds. After completion of the infusion solutions X and Y, cisatracurium injection was administered at 5 seconds. After administration of relaxing, waited to measure the TOF reaches zero to proceed to tracheal intubation of the patient. The monitoring was performed until spontaneous recovery of neuromuscular blockade. The timing of administration of the muscle relaxant was considered the zero time to the time count for the assessment of pharmacodynamic variables (VIBY MOGENSEN, et al., 1996). The values of T1, T2, T3, T4 and TOF, plus the value of…
The contributing factors began with Mr. B’s admission to the Emergency Room. The Root Cause Analysis, in this case, Mr. B was heavily sedated with IV medication, Hydromorphone, and consequently multiple doses of the muscle relaxant Diazepam. The Root Cause Analysis issue, the nurse should have developed a suitable plan beforehand, administering multiple doses of conscious sedating…
Stopping or changing the dose of the drug should be directed by a physician because serious side effects may occur. The initial intravenous dose of labetalol is 20 mg injected over 2 minutes. Additional injections of 40 or 80 mg may be administered every 10 minutes as needed up to a total dose of 300 mg.…
8. A drug in a dosage of 125 mg every 8 hours is ordered for a child weighing 28 lb. The recommended dose is 15-30 mg/kg/day, in 3 divided doses. Is this a safe dose? 63.5-127 mg/dose…
|E or V |adult dose 1000mg acetaminophen; 8 year old child |600mg adult, 250mg child |…
|patient. Putting this ingredient as an additive with Buprenophine keeps the drug from being abused. Buprenophine is usually prescribed for just a…
The clinical treatments described and recommended in this publication are based on research and consultation with nursing, medical, and legal authorities. To the best of our knowledge, these procedures reflect currently accepted practice. Nevertheless, they can’t be considered absolute and universal recommendations. For individual applications, all recommendations must be considered in light of the patient’s clinical condition and, before administration of new or infrequently used drugs, in light of the latest package-insert information. The authors and publisher disclaim any responsibility for any adverse effects resulting from the suggested procedures, from any undetected errors, or from the reader’s misunderstanding of the text.…
C. Ondansetron (Zofran) 4 mg IV bolus PRN every 4 to 6 hr for nausea…
As a side note, I personally do not give these types of drugs in the hospital setting to the elderly, unless they have previous taken them at home. Multiple times in nursing career, I seen severe delirium or confusion after the elderly have taken these. I always ask for Restoril, if the doctor orders Ambien or like type. This helps me take of the patient better and helped the patient get some real sleep.…
You will be given a medicine to make you fall asleep (general anesthetic). You may also be given a medicine to help you relax (sedative).…
| * 0.5 mls of Salbutamol made up to 2 mls with water for injection and administered through nebulizer * Patients chest ausculted…
Provide a continuous dosage of opioids for the pain. The dosage should be given round the clock. It should also be administered in intervals to the patient in order to alleviate their pain. The opioids can be administered via a PCA pump. Other than that, the patient should be given boluses as an additional dosage in cases when the patient is experiencing pain whilst their opioids dosage has already been administered. The boluses need to be given to the patient as…
Nausea and dizziness are possible side effects of bromocriptine. To avoid these side effects, bromocriptine treatment must be started slowly. A typical starting dose is one-quarter to one-half of a 2.5 milligram (mg) tablet taken at bedtime with a snack. The dose is gradually increased every 3 to 7 days as needed and taken in divided doses with meals or at bedtime with a snack. Most people are successfully treated with 7.5 mg a day or less, although some people need 15 mg or more each day. Because bromocriptine is short acting, it should be taken either twice or three times daily.…
While palliative sedation is not directly carried out for the purpose of ending lives, many of the sedatives used carry a risk of shortening a…
Keefe, J. W. (1982). Assessing student learning styles. In J. W. Keefe (Ed.), Student learning styles…