![]() ![]() Why isn’t he on pain medication? A conscious patient can take medication orally, but that’s kinda hard to do when someone’s out cold. Plus, there’s a chance that said head-on impact could’ve cause some head injuries. This is, again, an unconscious, critical patient. From the first picture, we can see bandages on both Enzan’s hand and head, which I’ll guess are probably burns from the forced Fusion attempt (he was holding the PET and smacked into Blues head-on.) Burns are one of the worst things to treat, as they’re excruciating for the patient. Sometimes LVPs can be used to keep an IV line open while no medicine is being administered, but. ![]() Anyways, there’s only two bags present on the stand there, and the line’s only attached to one. nitroglycerin and norepinephrine, medicines used in cardiac emergencies, can’t be used with Hartmann’s. Note that these might have to be switched around depending on the SVPs (’Small Volume Parenteral,’ or just normal medicine that’s injected or otherwise administered parenterally) given, e.g. (Source because it’s long.) Lastly, Dextrose 50% in water, usually abbreviated to D5W, can be used when the body is malnourished. Quick rundown of some common LVPs for context: Normal Saline contains sodium chloride (usually 0.9%, but treatment of severe dehydration and NPO/’Nothing By Mouth’ patients often receive 0.45% instead,) is used on nearly everyone who’s admitted to the hospital, since it’s used to help with dehydration, and especially on critical patients and those with blood loss (and is sometimes co-administered with blood products.) Also containing sodium chloride with other compounds are Ringer’s Solution and Hartmann’s Solution (also called Ringer’s Lactate.) Both contain other electrolytes (calcium chloride and potassium chloride are pretty standard, for instance,) but Ringer’s Solution contains sodium bicarbonate in place of sodium lactate (hence “lactated” Ringer’s.) When high sodium is a risk, such as with renal impairment or some chronic conditions, or when a patient’s body is especially acidic, such as suffered with sepsis, then Ringer’s or Hartmann’s may be used in place of saline. ![]()
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