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Nova Scotia College of Nurses is the regulator for #Nursing profession in the Province of Nova Scotia, #Canada and in coming weeks will be rolling out another 'first-in-Canada' Nursing Registration and Licensure Process - #CanadaNurses
It is in public knowledge that registration and licensure for Internationally Educated Nurses IENs in Canada is a tedious and difficult process with several bottlenecks.
This has led some provinces to start rethinking the process and find a way to streamline it so that it becomes seamless for applicants. Also, to ensure that IENs in Canada can function to the full extent of their education and competencies.
This is an interesting case. I’m interpreting these as the presenting labs. I think 1-1.5L of lactated ringers (w/o added KCL) is the best choice. LR has some K, K is not that low, the lactate will help shift K into cells by raising pH, and priority is volume.
There’s so much going on here, but remember #nurse the priority intervention for DKA and HHS is to bolus w/ an isotonic solution to maintain adequate circulatory volume. Testable on the #nclex. The hypovolemia is even higher priority than these crazy labs
The right answer on the #nclex for DKA or HHS is to bolus normal saline and that’s what most protocols call for. However, one could postulate Lactated Ringer’s (Hartmann’s) may be superior in DKA b/c the lactate is turned into bicarbonate by the liver txing the acidosis.
