A physician has ordered a mild sedative for a patient having an endoscopy the next day....

A physician has ordered a mild sedative for a patient having an endoscopy the next day. The order was written as Halcion 0.25 mg po at 10:00.

The unit clerk assumes that the sedative is to be administered that evening at 10:00 p.m. In fact, the physician wanted the sedative to be administered at 10:00 a.m. just before surgery. What physician wanted the sedative to be administered at 10:00 a.m. just before surgery.

1. What physician error led the unit clerk to believe that the physician wanted the medication to be administered at night?

2. What cardinal rule did the unit clerk ignore?

Expert Solution

1- unit clerk think that sedative medication in day time will disturb all the schedule of patient because in sedative medication patient feels sleepy

2- cardinal rule that unit clerk ignore is that if patient is on sedative just before endoscopy then there is no chance of discomfort that produce when some air instilled in stomach so there is use of mild sedative just before endoscopy

Nightingale answered 2 years ago

The physician has ordered that 1 gram of Glucophage be given to the patient. How many...

The physician has ordered that 1 gram of Glucophage be given to the patient. How many milligrams will you be giving to the patient? The order reads to administer two teaspoons of guaifenesin to the patient. How many milliliters will you administer? The order reads to administer two tablespoons of Milk of Magnesia to the patient. How many teaspoons will you administer? The patient weighs 71 kg. How many pounds does the patient weigh? The order reads to administer 1...

What does the medical assistant do when a patient is having an endoscopy procedure done?.

The physician ordered Dilaudid, 0.4 mg/kg/day, in equally divided doses every three hours to your patient...

The physician ordered Dilaudid, 0.4 mg/kg/day, in equally divided doses every three hours to your patient who weighs 132 pounds. How many milligrams of Dilaudid will the nurse administer on the 12-hour shift?

A physician receives the pathology report from a recent endoscopy of her patient, a 78-year-old Japanese...

A physician receives the pathology report from a recent endoscopy of her patient, a 78-year-old Japanese man. The report reveals adenocarcinoma of the stomach. The physician intends to disclose the diagnosis to the patient. However, as the provider approaches the patient’s room, the patient’s daughter stops her. The daughter demands to know the diagnosis and states that, if indeed it is cancer, her father should not be told. The daughter insists that she and her mother will decide what is...

The physician has ordered a heparin infusion at 15 units/kg/h. The patient weighs 74 kg.

The physician has ordered a heparin infusion at 15 units/kg/h. The patient weighs 74 kg. The IV bag is labeled Heparin 25,000 units/500 mL of NS. Calculate the flow rate in mL/h.

Suppose a physician ordered omeprazole capsules p.o. at bedtime for a patient with an active duodenal...

Suppose a physician ordered omeprazole capsules p.o. at bedtime for a patient with an active duodenal ulcer. You will note there is no dosage listed. The nurse thought the medication came in only one dosage strength, added 20 mg to the order, and sent it to the pharmacy. The pharmacist prepared the dosage written on the physician’s order sheet. Two days later, during rounds, the physician noted that the patient had not responded well to the medication. When asked about...

A Physician decided to do an incision into the trachea in a patient having difficulty of...

A Physician decided to do an incision into the trachea in a patient having difficulty of breathing. What procedure is he planning to do? The Physician also mentioned that he needs to insert an indwelling tube into the trachea. How will the Physician write down this next procedure?

The physician has ordered ampicillin 1.4 grams (g) intravenous (IV) every 4 hours for your patient....

The physician has ordered ampicillin 1.4 grams (g) intravenous (IV) every 4 hours for your patient. SHOW YOUR WORK ! 1. The ampicillin for injection is available in a vial that has 2 g in 5 mL. How many mL will you need to withdraw from the vial for the 1.4-g dose? 2. You add the ampicillin you withdrew from the vial to a 50 mL IV bag of normal saline. The physician’s order specifies to infuse this IV bag...

The physician has ordered 2 mg of epinephrine in 250 mL of D5W. It is to...

The physician has ordered 2 mg of epinephrine in 250 mL of D5W. It is to infuse at 4 mcg/min per infusion pump. What is the correct IV rate in mL/hr? Round off to the closest whole number.

A 68-year-old male patient is having a yearly checkup. It is flu season and the physician...

A 68-year-old male patient is having a yearly checkup. It is flu season and the physician recommends that the patient receive a flu shot. When the physician leaves the room, the patient tells the nurse that he doesn’t want to get the shot because he has heard it will give him the flu. How should the nurse respond? Please answer this question using no less than 250 words.

Question