What is the first thing you DO in a med surg situation? {Ans: A, B, C's ok for prioritizing actions just not for prioritizing patients}Regular insulin rules {Ans: Rapid, Run IV, Regular}Rule #2 for prioritization {Ans: Fresh post op (12 hours out) beats medical or other surgical, Ex: 2 hr post op cholesysectomy beats acute appendicitis and post op one day CABG and COPD, CHF, CRF (then do ABC's)}Piaget's stage Concrete Operations {Ans: age 7-11, rule oriented, live and die by the rules,only 1 way to do things, everything different is wrong, tell them days ahead what you are going to do plus skills, reading and visual tools}Peak level for IV {Ans: 15-30 min after finished}Rule #3 for prioritization {Ans: Unstable beats stable}