What is a normal PTT
30 seconds
What is a normal PTT for someone on heparin or other anticoagulants
2-3x longer
45-80 seconds
anticholinergic side effects
can't see can't pee no stool no drool (dilated pupils, urinary retention, constipation, dry cotton mouth)
can’t feel ___ ____ when a pt is in Ventricular ___
carotid artery
ventricular fibrillation
five rights of delegation
task circumstance person direction supervision
RN scope of practice
unstable clients assessments initiate care plans teaching blood products and Rhogam IV fluids and IVP meds
LPN scope of practice
stable clients treatments dressing clean and sterile procedures reinforce teaching gather date contribute to care plana administer IV piggyback monitor IV flow rate monitor the transfusion of blood
IV therapy LPN nursing responsibilities
calculate rate
monitor infusion/infusion control device
inspect, monitor site for swelling, pain, temp, color
discontinue IV
administer IV piggyback (secondary) meds (premixed from the pharmacy)
delegation to the AP
stable patients obtain VS, gather data provide hygiene care feeding, positioning, ROM limited non-sterile procedures