1. The patient billing record includes which of the following information?
a. Insurance billing information
b. Diagnostic information
2. 5 L of DSW 0.45% saline to run over 36 hours what rate will you set smart pump? per ml/hr
The correct answer and explanation is:
1. The patient billing record includes which of the following information?
Answer: a. Insurance billing information ✅
b. Diagnostic information ❌
Explanation:
A patient billing record primarily includes insurance billing information, such as policy details, claim submissions, and payment records. It helps in tracking the costs of medical services and ensures proper reimbursement. However, diagnostic information is usually recorded in the patient’s medical record rather than the billing record. While billing codes (like ICD-10 or CPT) may reference a diagnosis, the full medical details are kept separately in clinical documentation.
2. IV Infusion Calculation
We need to calculate the infusion rate for 5 L of DSW 0.45% saline over 36 hours.
Formula:
Flow rate(ml/hr)=Total volume(ml)Total time(hr)\text{Flow rate} (ml/hr) = \frac{\text{Total volume} (ml)}{\text{Total time} (hr)}
Substituting Values:
Flow rate=5000 ml36 hr\text{Flow rate} = \frac{5000 \text{ ml}}{36 \text{ hr}} Flow rate=138.89≈139 ml/hr\text{Flow rate} = 138.89 \approx 139 \text{ ml/hr}
Answer: 139 ml/hr
Explanation (300 words):
Intravenous (IV) fluid administration requires precise calculation to ensure patient safety and effectiveness of treatment. The IV flow rate determines how quickly the fluid enters the patient’s bloodstream, and it is usually set in milliliters per hour (ml/hr) on a smart pump.
In this case, we are administering 5 liters (5000 ml) of DSW 0.45% saline over 36 hours. Using the standard IV flow rate formula: Flow rate=Total volume(ml)Total time(hr)\text{Flow rate} = \frac{\text{Total volume} (ml)}{\text{Total time} (hr)}
we divide 5000 ml by 36 hours, resulting in 138.89 ml/hr. Since IV pumps typically work with whole numbers, we round 138.89 to 139 ml/hr to ensure precise delivery.
Importance of Correct Calculation:
- Preventing Fluid Overload – Administering fluids too quickly can lead to complications such as pulmonary edema or increased cardiac workload.
- Ensuring Proper Hydration & Electrolyte Balance – Overly slow infusion rates may lead to dehydration and ineffective treatment.
- Optimizing Medication Effectiveness – Certain medications require fluids for proper dilution and absorption.
Use of Smart Pumps:
Modern healthcare facilities use smart pumps to automate IV administration, reducing human errors. These devices include safety checks to alert clinicians of unsafe rates.
Thus, the correct infusion rate to program into the smart pump is 139 ml/hr to ensure accurate and safe fluid delivery