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telephone essay in hindi It is very difficult to immediately reverse the effects of concentrated electrolytes when they are administered improperly, and these solutions are a frequent source of medical errors with significant potential for patient harm. As such, the joint commission recommends that concentrated electrolyte solutions (kcl, potassium phosphate, and nacl greater than 0. 9%) be removed from patient care areas. Hospitals should keep concentrated electrolytes in patient care areas only when patient safety necessitates their immediate use and precautions are used to prevent inadvertent administration. Collaborative cooperation among pharmacists, nurses, and physicians is essential. In addition, the joint commission recommends standardizing and limiting the number of drug concentrations available in each institution and the use of ready-to-administer dosage forms so as to further reduce the risk of medication errors and improve outcomes. 14 sodium the body’s normal daily sodium requirement is 1.

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http://www.cs.odu.edu/~iat/papers/?autumn=rose-hulman-and-homework-help rose hulman and homework help Contraindications. Atrioventricular block, idiopathic hypertrophic subaortic stenosis, ventricular dysrhythmias, atrial fibrillation/flutter with slow ventricular rates, or constrictive pericarditis. Drug interactions. Amiodarone, erythromycin, cholestyramine, indomethacin, spironolactone, quinidine, verapamil, and metoclopramide. Adverse reactions. Persistent vomiting, feeding intolerance, diarrhea, and lethargy, shortening of qfc interval, sagging st segment, diminished t-wave amplitude, bradycardia, prolongation ofpr interval, sinus bradycardia or s-a block, atrial or nodal ectopic beats, ventricular arrhythmias. Toxicity enhanced by hypokalemia, hyper- and hypomagnesemia, hypercalcemia. Treat life-threatening digoxin toxicity with digoxin immune fab. Dobutamine classification. Sympathomimetic, adrenergic agonist agent. Indications. Treatment of hypoperfusion, hypotension, short-term management of cardiac decompensation.

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