Premium Essay

Fluid Management

In: Other Topics

Submitted By tadams
Words 2110
Pages 9
Fluid Management

Leadership Learning Experience

A1. Problem or Issue

Research shows that dialysis patients who have problems with fluid management have an increase in hospitalizations, disease processes, and poor clinical outcomes. Research has also proven that fluid is a strong predictor of mortality and morbidity.

A1a. Explanation of Problems or Issues

We have noticed in our clinic a trend of increasing fluid overloaded patients over the last few months. This trend has also resulted in multiple hospitalizations for congestive heart failure, pulmonary edema, and respiratory distress resulting from fluid overload. This problem was selected after a patient expired in our clinic with cardiac arrest after a long code attempting to revive. This topic of discussion made a big impact in our dialysis clinic because it is an open area that can be seen by all the patients. Seeing a desperate attempt to save a life, it is not soon forgotten in the minds of a room full of people who all share the same disease. The fear of what they have just seen could almost be read on their faces, most thinking that could have been me. After every code, there is a review of what could have been done differently, as far as the code was concerned the process was correct. However, looking back you wonder if there were something more you could have done to prevent the code altogether. Not only was the patient someone whom I was given the responsibility of caring for, he was also my friend. I did not want one more patient sharing that same fate without knowing I had done everything I could have done to prevent it. The patient we lost in the code was notorious for high fluid gains and a few admits for congestive heart failure and a visit to the ICU for respiratory distress resulting in the patient being placed on a vent. These were issues many of our patients shared...

Similar Documents

Free Essay

Mixing of Liquid

...12/9/2013 Importance of mixing PHC 453  There are very few pharmaceutical products that contain Mixing f i ibl li id Mi i of miscible liquids and suspensions  If, a pharmaceutical company wishes to produce a tablet NOR KHAIZAN BINTI ANUAR, PhD  Whenever a product contains more than one component, a mixing or blending stage will be required in the manufacturing process.  This is to ensure: • an even distribution of the active component • an even appearance • that the dosage form releases the drug at the correct site and at the desired rate  The unit operation of mixing is therefore involved at some stage in the production of practically every pharmaceutical preparation. only one component.  Generally, several ingredients are needed to ensure that the required dosage form functions as required. dosage form containing a drug which is active at a dose of 1 mg, other components (e.g. diluent, binder, disintegrant and lubricant) will be needed both to enable the product to be manufactured and for it to be handled by the patient. What is a unit operation? = A basic step in a process Various unit operation sequences in tablet manufacturing Definition and objectives of mixing  Mixing may be defined as a unit operation that aims to treat two or more components, initially in an unmixed or partially mixed state, so that each unit (particle, molecule, etc.) of the components lies as nearly as possible in contact with......

Words: 1104 - Pages: 5

Free Essay

Science Paper

...Key Terms In a lab experiment there has to be a detailed written page. On the written page you should include purpose, hypothesis, materials, procedure, observations, conclusion, application, and finally a diagram. Purpose is used to describe why the experiment has to be done. Hypothesis is used before the experiment has started; it is an educated guess or can be said as a prediction. Materials are one of the 4 most important pieces in a lab. Without the materials you don’t know what tools to use for the experiment. Procedure is the second most important part in a lab; it is used to describe how to do the experiment. Without the procedure no one would know what to do and I can assume that experiment won’t turn out so good. Observations, observations are split up into two groups quantitative and qualitative. Quantitative is things measured by volume, mass, numbers, and length. Qualitative is what is observed during the experiment using all 4 senses (see, hear, smell, feel). Conclusion is the second last part to write in a lab, it is telling us if the prediction was correct, and what your group noticed. And finally the application, the application is just a comparison or real life example that can relates to the experiment. And then in the end just need to draw a diagram that looks exactly likes the experiment. Now these are just key words that should be used in an experiment most often. Flow rate is just a rate in which the liquid can flow. It is measured in volume......

Words: 769 - Pages: 4

Free Essay

Definition of Ie Terms

...Definition of terms Allowance * permitted amount of something that is allowed, especially according to regulations. Average selected time * the arithmetical average of all actual times except the abnormal times taken by the workman to compute a task or an element of a task. Avoidable delay * any delay of operator for which he/she is responsible and over which he/she has control. * it refers to delay which the operator may avoid if desired. Condensation * The change of a gas or vapor to a liquid, either by cooling or by being subjected to increased pressure. Critical path method (CPM) * an algorithm for scheduling a set of project activities. Decomposition * The separation of a substance into simpler substances or basic  elements. Can be brought about by exposure to heat, light, or  chemical or biological activity. * The process of breaking down organic material into smaller molecules that are available for use by the organisms of an ecosystem. Delay * any cause of postponement, interruption, interval, pause or wait until later before doing something. Delay allowance * a time increment including a time standard to allow contingencies and minor delays beyond the control of the workman. Density * is a physical property of matter and is a measure of mass per unit of volume of a material or substance, as each element and compound has a unique density associated with it. * Defined in a qualitative manner as...

Words: 1054 - Pages: 5

Premium Essay

Viscous Losses in Pipes

...Fluids Lab Viscous Losses in Pipes Objectives: Compare the flow rate/pressure drop characteristics for flow in pipes in the laminar and turbulent regions. Apparatus: The experiment is conducted with the help of a Manometer, with which the pressure drop between two gauge points can be measured. For small pressure differences the water (oil) / air manometer is used, whereas for larger pressure differences the mercury / water (oil) manometer is used. The flow rate of the water is measured in volume per time; the flow rate of the oil is measured with a rota meter. Operating Procedure Before start: Close the valve in the downstream limb of the water/air (oil/air) manometer Switch on the pump Shut the flow control valve until there is no more fluid flow Taking measurements: Open the valve in the downstream limb of the water/air (oil/air) manometer Open flow control valve until a deflection of the manometer is registered Measure pressure difference and flow rate Change the settings of the flow control valve and repeat experiment Theory Viscous friction losses in a pipe can be predicted with the Darcy-Weisbach equation: Δp = f (L/D) (1/2) ρ V² Where ΔP = pressure drop, L = length of pipe, D = pipe diameter, = fluid density and V = mean velocity of the fluid (V = Q/A). The value of the friction factor f is equal to 64/Re (for laminar flow), where Re=VD/v. Also f is equal to 0.316Re-1/4 for turbulent flow. Water – observed   | Derived |   |   |......

Words: 1477 - Pages: 6

Free Essay

Civil

...LAMINAR AND TURBULENT FLOW We can observe the nature of the flow of a fluid by injecting a fine filament of dye into the stream of flow and taking note of what happens to this filament. It was found in experiments that at low velocities the dye filament remained intact and that the filaments made parallel lines in the stream of flow. This is known as Laminar flow (or viscous or streamline). If the velocity of flow is gradually increased, the dye filament is eventually broken up and spread over the cross section of the pipe. This is turbulent flow, in which the particles of fluid are not moving in parallel lines but are moving across the general direction of flow. If a fluid particle in a stream is disturbed, its inertia will tend to move it in a new direction, however the viscous forces from the surrounding fluid will tend to move it in the general direction of flow. If the shear forces are large enough to overcome any deviation, then we have viscous or laminar flow. However, if the shear forces are relatively weaker, and not sufficient to overcome the inertia of the particles, then we have turbulent flow. [pic] Therefore it is the ratio of the inertia to the viscous forces which determines whether flow will be laminar or turbulent. The ratio of the inertia forces to the viscour forces is given by: [pic] c l (Reynolds Number) μ Therefore, it is the Reynolds number which determines whether a flow will be laminar or turbulent. As Kinematic......

Words: 455 - Pages: 2

Free Essay

Assesement of Effect of Cutting Fluids

...MANUFACTURING ENGINEERING SEMINOR TOPIC ASSESSMENT ON EFFECT OF CUTTING FLUID ON MACHINING COURSE NAME GRADUATE SEMINOR COMPILED BY: TESFAYE KASSAHUN MSC/00017/03 SUBMITTED TO: Professor (Dr.) RANTAM UPPULA September, 2013 Abstract During machining operation, friction between workpiece-cutting tool and cutting tool-chip interfaces result high temperature on cutting tool. At such elevated temperature the cutting tool if not enough hot hard may lose their form or stability quickly, wear out rapidly, resulting in increased cutting forces, higher surface roughness, shorter tool life and lowers the dimensional sensitiveness of work material. Different methods have been reported to protect cutting tool from the generated heat during machining operations. The selection of coated cutting tools is an expensive alternative and generally it is a suitable approach for machining hard materials. Another alternative is to apply cutting fluids in machining operation. Cutting fluids used to provide lubrication and cooling effects between cutting tool and workpiece and cutting tool and chip during machining operation. As a result, important benefits would be achieved such longer tool life, easy chip flow and higher machining quality in the machining processes. The selection, method of application, storage and disposal of cutting fluids should be carefully carried out to obtain optimum result in machining processes. Metal cutting fluids change the performance of machining operations......

Words: 13821 - Pages: 56

Free Essay

Obesity

... The alarm on the monitor alerts staff that the child is having bradycardia or an apneic spell. Equipment should be at bedside in case of respiratory arrest. Bag-valve mask ventilation is recommended as the child’s respiratory secretions contain bacteria. Stimulation may encourage spontaneous respirations; if not, ventilation is necessary. Calling for emergency resuscitation ensures help in managing the child in a timely manner. The apneic child may have bradycardia resulting from cardiac hypoxia. The child’s respiratory failure is easily managed with prompt assessment and treatment. ■ ■ ■ ■ ■ Monitor heart rate and perform compressions if necessary. ■ 2. Risk for Injury related to infection of cerebrospinal fluid and potential sequelae NIC Priority Intervention: Complication Monitoring: Evaluation of fever, shock, and consciousness responses to bacterial infection of the meninges. The child will suffer minimal CNS injury secondary to infection. ■ NOC Suggested Outcome: Risk Control: Actions to eliminate or reduce actual...

Words: 1162 - Pages: 5

Free Essay

Fluid Dynamics

...FLUID DYNAMICS In physics, fluid dynamics is a subdiscipline of fluid mechanics that deals with fluid flow—the natural science of fluids (liquids and gases) in motion. Fluid dynamics is "the branch of applied science that is concerned with the movement of liquids and gases," according to the American Heritage Dictionary. Fluid dynamics is one of two branches of fluid mechanics, which is the study of fluids and how forces affect them. (The other branch is fluid statics, which deals with fluids at rest.)  Scientists across several fields study fluid dynamics. Fluid dynamics provides methods for studying the evolution of stars, ocean currents, weather patterns, plate tectonics and even blood circulation. Some important technological applications of fluid dynamics include rocket engines, wind turbines, oil pipelines and air conditioning systems. FLOW The movement of liquids and gases is generally referred to as "flow," a concept that describes how fluids behave and how they interact with their surrounding environment — for example, water moving through a channel or pipe, or over a surface. Flow can be either steady or unsteady. In his lecture notes, "Lectures in Elementary Fluid Dynamics" (University of Kentucky, 2009) J. M. McDonough, a professor of engineering at the University of Kentucky, writes, "If all properties of a flow are independent of time, then the flow is steady; otherwise, it is unsteady." That is, steady flows do not change over time. An example......

Words: 1253 - Pages: 6

Free Essay

Measuring Fluid Balance

...Nursing Practice Review Fluid balance Keywords: Fluid balance/Input/Output/ Dehydration/Overhydration ●This article has been double-blind peer reviewed Measuring and managing fluid balance In this article... What fluid balance is and how fluid moves around the body Causes and signs and symptoms of dehydration and overhydration How to assess fluid balance, including clinical assessment How to keep an accurate fluid balance chart Author Alison Shepherd is tutor in nursing, department of primary care and child health, Florence Nightingale School of Nursing and Midwifery, King’s College London. Abstract Shepherd A (2011) Measuring and managing fluid balance. Nursing Times; 107: 28, 12-16. Ensuring patients are adequately hydrated is an essential part of nursing care, yet a recent report from the Care Quality Commission found “appalling” levels of care in some NHS hospitals, with health professionals failing to manage dehydration. This article discusses the importance of hydration, and the health implications of dehydration and overhydration. It also provides an overview of fluid balance, including how and why it should be measured, and discusses the importance of accurate fluid balance measurements. Assessing hydration status and measuring fluid balance can ensure optimal hydration balance, including what fluid balance is, and how and why it is measured. It also discusses the importance of measuring fluid balance accurately, and the health implications of......

Words: 4071 - Pages: 17

Free Essay

Darcy-Weisbach Equation

...equation regarding the loss of pressure of a liquid along a pipe hence the name Darcy-Weisbach equation. The dual argued that the movement of a fluid through the pipe involves resistance. The viscosity of the fluid and the instability created by the liquid and the roughness of the pipe contribute resistance. The resistance is called the pipe friction. It is measured in feet. It is also measured using the liquid’s metre head hence it is also known as the head loss. The subject of fluid dynamics has received contributions from various people. However, Darcy was instrumental in introducing the idea of relative roughness. Darcy’s concept maintains that the roughness of a pipe and its diameter internally affect the friction rates. Consequently, the two factors affect the flow of a liquid inside the pipe. Darcy further proposed that the relative smoothness of the pipe cause less turbulence thus a small friction factor is desirable. Conclusion and recommendations The experiments carried in the course of this lab have shown remarkable findings regarding fluid dynamics. First, we have learnt that pressure loss significantly increases when the flow rates are significant. Moreover, the rate of pressure loss increases with an increase in the flow rates of the liquid. Secondly, we have learnt that pipes with bends and valves cause the flow of the fluids. Furthermore, the bends and valves increase pressure drops when compared to straight pipes. Thirdly, the thickness of the liquid......

Words: 300 - Pages: 2

Free Essay

Huge

...EDIBON International, S.A. C/ del Agua, 14. P.I. San José de Valderas 28918 LEGANÉS (Madrid) Spain TEL.: +34 916198683 FAX: +34 916198647 E-mail: edibon@edibon.com Web: www.edibon.com DATE: 23/08/2012 N/REF.:PAVI0820.12 TO: PAVING COUNTRY: BANGLADESH TFNO. : FROM: JESUS MUNOZ SUBJECT: QUOTATION ACCORDING TO YOUR REQUEST. Dear Sirs, According to your request, in the following page is attached a quotation corresponding to our best offer and our best conditions. Sincerely, JESUS MUNOZ EDIBON International This quotation has been made under the following conditions: CONDITIONS: - All prices are in: EURO - Ex-Works Madrid Prices - Delivery time estimated: 3-4 months from factory approx. (to be confirmed with the order) - This offer is valid for 60 days. - Normal export payment. - Manufacturer: EDIBON INTERNATIONAL S.A. - Origin: SPAIN - Warranty: 2 years. - Customs Tarif Number: 902300.10 AHSANULLAH UNIVERSITY OF SCIENCE AND TECHNOLOGY (AUST) QUOTATION: PAVI0820.12 7.5.1 STRENGTH OF MATERIALS GENERAL ITEM UNIT|QTY.|DESCRIPTION||| ||||||| 1|EEFC|1|Computer Controlled Fatigue Testing Unit|||| 2|EEU/20KN|1|Universal Material Testing Unit|||| 3|EEFCR|1|Creep Testing Unit|||| 4|EEICI|1|Charpy and Izod Impact Testing Unit|||| 5|EEDB|1|Brinell Hardness Testing Unit|||| 6|MVV|1|Unsymmetrical Cantilever Unit, without masses (1 of SET B)|||| |||Additional......

Words: 1675 - Pages: 7

Free Essay

Title

...Operating Instructions Proline Promass 83 HART Coriolis Mass Flow Measuring System 6 BA00059D/06/EN/14.12 71197481 Valid as of version V 3.01.XX (Device software) Proline Promass 83 Table of contents Table of contents 1 1.1 1.2 1.3 1.4 1.5 Safety instructions . . . . . . . . . . . . . . . . 5 Designated use . . . . . . . . . . . . . . . . . . . . . . . . . . . . Installation, commissioning and operation . . . . . . . . Operational safety . . . . . . . . . . . . . . . . . . . . . . . . . . Return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Notes on safety conventions and icons . . . . . . . . . . . 5 5 6 6 6 5.2 5.3 2 2.1 Identification . . . . . . . . . . . . . . . . . . . . 7 Device designation . . . . . . . . . . . . . . . . . . . . . . . . . 7 2.1.1 Nameplate of the transmitter . . . . . . . . . . . . 8 2.1.2 Nameplate of the sensor . . . . . . . . . . . . . . . 9 2.1.3 Nameplate for connections . . . . . . . . . . . . 10 Certificates and approvals . . . . . . . . . . . . . . . . . . . 11 Registered trademarks . . . . . . . . . . . . . . . . . . . . . . 11 5.4 2.2 2.3 3 3.1 Installation . . . . . . . . . . . . . . . . . . . . . 12 Incoming acceptance, transport and storage . . . . . . 3.1.1 Incoming acceptance . . . . . . . . . . . . . . . . . 3.1.2 Transport . . . . . . . . . . . . . . . . . . . . . . . . . 3.1.3 Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . Installation conditions ...

Words: 29998 - Pages: 120

Free Essay

Slit Valves

...produce clinical symptoms due to mass effect or obstructive hydrocephalus. The mechanism of progressive enlargement of arachnoid cysts is controversial. A one-way slit or ball valve is often hypothesized as the mechanism responsible for enlargement. Clinical Presentation: We present four cases of communicating congenital suprasellar prepontine arachnoid cysts in which a slit-valve was identified in the wall of the cyst. All four patients presented with hydrocephalus due to enlargement of the arachnoid cyst. The slit valve was located in the arachnoid wall of each arachnoid cyst and was located in the midline directly over the main trunk of the basilar artery. We believe this slit valve was responsible for the net influx of cerebrospinal fluid (CSF) into the cyst and thus responsible for cyst enlargement over time. We also present one case of an arachnoid cyst in the middle cranial fossa that had a small circular opening in the wall of the cyst but lacked a slit-valve. This cyst did not enlarge and required surgery because of cyst wall rupture and the development of a subdural hygroma with headaches. Conclusion: One-way slit-valves exist and are the mechanism of enlargement of suprasellar prepontine arachnoid cysts. The location of the slit valve opening in each of our arachnoid cyst cases was directly over the basilar artery trunk. Caudal to rostral CSF flow in the prepontine cistern during the cardiac cycle lifted the arachnoid wall of the cyst off the basilar trunk......

Words: 3391 - Pages: 14

Premium Essay

Bp Oil

...Final Report on the Investigation of the     Macondo Well Blowout  Deepwater Horizon Study Group  March 1, 2011 The Deepwater Horizon Study Group (DHSG) was formed by members of the Center for Catastrophic Risk Management (CCRM) in May 2010 in response to the blowout of the Macondo well on April 20, 2010. A fundamental premise in the DHSG work is: we look back to understand the why‘s and how‘s of this disaster so we can better understand how best to go forward. The goal of the DHSG work is defining how to best move forward – assessing what major steps are needed to develop our national oil and gas resources in a reliable, responsible, and accountable manner. Deepwater Horizon Study Group Investigation of the Macondo Well Blowout Disaster This Page Intentionally Left Blank Deepwater Horizon Study Group Investigation of the Macondo Well Blowout Disaster In Memoriam  Jason Anderson Senior tool pusher Dewey Revette Driller Stephen Curtis Assistant driller Donald Clark Assistant driller Dale Burkeen Crane operator Karl Kleppinger Roughneck Adam Weise Roughneck Shane Roshto Roughneck Wyatt Kemp Derrick man Gordon Jones Mud engineer Blair Manuel Mud engineer 1 Deepwater Horizon Study Group Investigation of the Macondo Well Blowout Disaster In Memoriam The Environment 2 Deepwater Horizon Study Group Investigation of the Macondo Well Blowout Disaster Table of Contents  In Memoriam....................................................................

Words: 49923 - Pages: 200

Free Essay

Thepoopnig

...Case Study 5454 unread replies.5454 replies. Bellow you will find a clinical case study.  The case study starts with a description of a patients’ medical history, followed by discussion question/s. First, you have to analyze the medical history of the patient.  As you read the patient’s information: * Highlight any risk factors that might exist, existing medical conditions, present signs and symptoms or complains that the patient is suffering from.  * Analyze the results of any diagnostic tests that were performed.  Diagnostic tests include, physical exams, blood test, radiologic tests (x-ray, CT scans, etc.), and other functional tests. * Relate the medical treatment used to the underlying pathology. * Propose clinical management plan for the patient’s condition, and possible prognosis. You are encouraged to discuss the cases with other students and in groups, however, each student should submit the analysis of the case study in their own words through discussions.  Students should submit their case study through the “Discussion” link AND the “Turnitin Dropbox” link for that case study available on the course’s main page.  If you fail to submit your case study through both links your case study will not be graded. Turnitin is an automated system which instructors can use to quickly and easily compare each student's assignment with billions of web sites, as well as an enormous database of student papers that grows with each submission.Accordingly, you......

Words: 1697 - Pages: 7