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Joined: Mar 6, '06;
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people dont fly up in the air when shocked, doctors are not the center of it all as everyone comes to you about the pt
hypercapnea is like someone with COPD that retains air (barrel chest) which is like normal breathing, hypervenelation is very rapid breathing and kussmals is rapid but very deep to breath off co2 to help rid of acid
If their sats are low i consider it a nursing judgment to go ahead and start out at 1-2l and go from there depending on their needs. I would call the md after establishing a good o2 sat first
a d-dimer and v/q scan with a cxr are some ways they use to diagnose
Golytely seems to do the best job for ensuring a clean bowel in my opinion
PEG stands for percutaneous endoscopic gastrostomy tube. Most are now placed in either the GI lab, or in interventional radiology. The procedure starts off with an EGD, where they look at the stomach from inside, then shine a light thru, if the light is visualized, then a small stab wound is made, and the catheter can be placed that way. This is just an abbreviated version of how it is done, steps were left off.
The regular G-tube, or gastrostomy tube is normally placed in the OR and requires a surigal procedure. It is placed in the OR when it is done in conjunction with another surgery, at least in most cases.
Care of both of the tubes is essentially the same. The most important fact is that if the tube comes out, do not wait until the next day to do something about it, make sure that it is either replaced as soon as possible, or if the patient is at home, at least insert a red Robinson catheter or even a foley catheter into the hole as soon as you can. If the G-tube procedure is fairly new, that hole will close up rather quickly and you may need to send the patient for another procedure if you wait until the next day.
Think back to when you had your ears pierced, if you ever did. You always made sure that you had something in there in the begining, or the hole would colse up rather quickly.
Hope that this helps.
At my school the professors are strict but nice and arnt out to get you. Yes it is like a boot camp and they push you harder and harder. For me it was hard this semester (my 1st) because you dont know how to study and dont know how to take nursing exams. Test are completely different. It is possible and it is alot of fun! Good luck!!
We are fortunate, we wear all black.
We have 5 of us all together out of 37. We are just in our 1st semester so hopefully we will all make it.
This will be my 1st semester and i wil be taking pharmacology, health assesment, foundations of nursing and clinical nursing 1.
I finished my class on friday and i made an A!! I start nursing school next month! Good luck to all!
I'm taking A&P II in the spring ('07) so if anyone has any advice or helpful hints, I would greatly appreciate it. I took the final for the lab today, and boy, was it something. I just pray it will click faster next semester or else I might go crazy. LOL
I have my a&p final tomorrow @ 10 and then i will be done w/a&p!!!
The digestive sys by far. all the enzymes and hormones were very confusing.
We had cats and a sheep brain and also a cow eye
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