cminmd

cminmd

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  1. Tomorrow I have a patient who is on telemetry. This will be my first patient on a cardiac monitor and I was wondering what I need to know. They use a 5 lead system and I think I will have to replace the leads after AM care. Also, what do I need to...
  2. That's it! Thanks so much and that is a terrific website!!!!!
  3. I think it was something like mosselles? She said it was used to stop the bleeding- does Mercurochrome or benzoin do that? I thought they were just to kill bacteria? It definitely had a strong chemical smell and had an iodine metallic sheen to the ...
  4. I was at an OB clinical rotation watching colposcopy procedures. What is the name of the thick golden brown liquid (begins with M) that the physician put on the biopsy site with a cotton swab to stop bleeding? I wrote it down on my clipboard, but i...
  5. No worries, Mate! I have Lewis as well, but maybe they consider that information more "diagnosis" and out of our sphere of practice, but it seems like that is the type of questions patients would ask a nurse "in the room". The only ones I have seen...
  6. Not to be judgemental, but if you can build a pouch for urine that doesn't leak, why can't you build a pouch for feces that doesn't leak? Just by the viscosity of the two samples you would think that it would be harder to keep a liquid from seeping ...
  7. We are just starting our section on ostomies, but I have seen several in clinical settings. I have so many questions. First- why does a urinary diversion not drain out continually, but a fecal ostomy does? I think patients would much rather have to...
  8. Blood transfusion question

    This is what makes me nervous. At our school we are taught that you 1. Must always use Y tubing with normal saline. 2. You have 30 minutes to start a transfusion (not 15) 3. that the blood should transfuse slowly 3-4 hours. 4. use at least an 18 ...
  9. What are NDs related to comfort care?

    Can "dying" be an abnormal "assessment? I am really confused because when he reviewed my concept map he made it sound like comfort care/ hospice was an actual ND. So I went home with my NANDA and nothing. My patient is mentally altered by the HEn...
  10. I have a pt with end stage liver and kidney failure. During the week they changed his treatment plan to that of comfort measures only. They pulled the NG Tube, stopped all meds other than for pain and stopped all blood tests. I have to do my conce...
  11. Being a student with today's economy

    I don't get how you go to nursing school online? If you just get your prereqs then have to transfer you might as well go to your closest cheapest community college. How do you take clinicals? This is a hands on profession. I worry you would spen...
  12. What ND's relate to NG Tubes?

    The patient is in end stage liver disease, renal failure, hepatic encephalopathy, anemia, jaundice, hepatic portal hypertension causing E + G Varices all due to cirrhosis/ Chronic Hep C. He has SO many problems, but only a few that we are still trea...
  13. Color Code for All

    As a newbie I appreciate the color system. I always feel like a perv trying to read nametags! I don't see the point of only nurses wearing a color. The only hospital I have clinic-ed at had everyone in uniforms- DRs were green scrubs (only if they...
  14. Can I put risk of aspiration? The patient was given an NG Tube for feeding because he was at risk for aspiration. Can I put that he is at risk for aspiration due to mechanical irritation of Esophageal Varices?
  15. How does this sound? Please help!

    Does Maslow have sub-levels? In our school they teach us the Hierarchy of Needs, but it seems very general. Physiological, Safety, love Self esteem, self actualization- we never went into what goes on within a level. So I know you don't talk about...