Explain what particulate matter is and how it might affect a patient if it were to contaminate a sterile IV solution
What will be an ideal response?
Particulate matter is any solid substance floating in an IV solution that should not be there. It can include rubber, glass, fibers, or undissolved drug. If the needle is not inserted correctly into the vial's stopper, rubber can break off and be transferred into the IV solution. Any time the rubber stopper breaks off into the vial, it is called coring. Many times when an ampule is opened, glass particles will fall to the bottom of the ampule and can be transferred into an IV solution if the preparer does not use a filter needle. Fibers can be transferred into an IV if the preparer opens a syringe, needle, or alcohol swab over an uncapped needle and syringe. The technician can also transfer undissolved drug into an IV if the additive is not allowed to properly dissolve before transfer. Such particulate matter injected into the vein can lodge and block blood flow or cause inflammation and possible infection (sepsis), as a foreign matter has invaded the body.
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A physician supervises the care of a 79-year-old woman who is receiving several different therapies at home. The patient is recovering from a fall from a kitchen stool, resulting in a broken ulna and sprained wrist
The physician coordinates the involvement and participation of a private physical therapist and the patient's adult daughter, the patient's power of attorney, and the private home aide who provides assistance with the patient's ADLs. According to the patient's daughter, the patient will not leave her home but received adequate care from the home aide, with positive results from the physical therapy. Over the course of 1 calendar month, the physician spends 35 minutes in supervision of documented physical therapy records, laboratory results, and telephone conference with the patient's adult daughter and home aide. Which of the following best reflects the service(s) provided?
a. Non–face-to-face physician services
b. Care plan oversight services
c. Case management services
d. Domiciliary, rest home (e.g., assisted living facility), or home care plan oversight services
The usual dose of Lipitor is:
A) 800 mg 3-4 times a day B) 10 mg daily C) 1 gm daily D) 60 mg q12h