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…
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…
The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the…
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…
|E or V |adult dose 1000mg acetaminophen; 8 year old child |600mg adult, 250mg child |…
There are four steps in caring for a heart attack. The first step is to immediately call 9-1-1, if a heart attack is suspected or if the victim's chest pain does not so away in a victim taking nitroglycerin. However, medications to dissolve a clot must be given early. Also, do not drive yourself or anyone else to the hospital. The second step is to monitor the victims breathing. If he/she becomes unresponsive and stops breathing begin CPR. The third step is to help the victim to get in the most comfortable resting position, usually sitting. Then loosen the clothing around the neck and waist. Also, be calm and reassuring. The fourth step is, if the victim is alert, and able to swallow and not allergic to aspirin, then help the victim take one adult aspirin (325mg) or two chew-able children's aspirins (81mg each). Also, pulverize or have the victim crunch them with his/her teeth before swallowing. Then find out if the victim is using nitroglycerin. Nitroglycerin tablets,…
|patient. Putting this ingredient as an additive with Buprenophine keeps the drug from being abused. Buprenophine is usually prescribed for just a…
C. Ondansetron (Zofran) 4 mg IV bolus PRN every 4 to 6 hr for nausea…
1. Which of the following medications would the nurse in-charge expect the doctor to order to reverse a dystonic reaction?…
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).…
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…
| * 0.5 mls of Salbutamol made up to 2 mls with water for injection and administered through nebulizer * Patients chest ausculted…
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…