kel879 1,401 Views
Joined: Feb 13, '08;
Posts: 13 (46% Liked)
; Likes: 21
[quote=laurako;324238]you might be a nurse if...
you know it's a full moon without having to look at the sky.
last night's med surg was full moon hell!
I am guilty of signing "RN" on checks too! i'm sure the checker at Kroger was way so impressed.....
Mixing Miralax in coffee results in BM that literally no exaggeration covers entire bed, 90% of patient, and floor around bed.........Maybe I should have said only mix miralax in coffee if sitting on BSC or commode....believe me when I tell you no one wants to clean up the ensuing mess
This is fantastic!!
and from personal experience..........do not have altercations with walls..I promise you the wall will win and you will have a boxers fracture along with 4th and 5th metacarpal fractures.........broken hands in casts prevent you from attending clinicals, which causes you and your instructor much stress!
Also do not eat your fentanyl patch...this will land you in the ICU for an undetermined amount of time....if you do survive it will also land you a psych consult.........after said psych consult and concurrent discharge........please for goodness sakes do not go into the parking lot of the ER where your boyfriend is waiting to take you home and eat another fentanyl patch that he has so graciously brought you........the second go round might not be so pretty
Do not: be a frequent flyer on the renal floor for CRF on dialysis and have your family members bring you table salt to eat so you can get your BP up high enough to get your dilaudid!
Do not mix Miralax in your coffee
Thanks for the advice. I tried that as well. It seems to me based on my research today that second degree heart block is a medical condition that is not widely understood at this point. They know what happens, but not really why or how. But I do appreciate the pointers :typing:spin:
Decreased cardiac output r/t altered heart rhythm
Ineffective breathing pattern r/t depressant effects of anesthesia
Impaired physical mobility r/t limited cardiovascular endurance
Acute pain r/t surgical intervention
Risk for infection r/t invasive procedure
It's me again...........Just wondering about prioritization and how to explain it. Listed above are my current nursing dx's for pacemaker insertion due to 2nd degree heart block......I think I have them in the correct order but if someone doesn't mind looking and giving some input. Thanks so much
Apparently it is my day for confusion...maybe I have just been at this too long today. Our instructors require us to work up meds for our care plans. They want the safe dose range which I thought was what was listed in the Drug book. When I got my last care plan back it said something to the effect I needed to calculate the safe dose range....ok so here is my example:
Administer Acetaminophen 650 mg tabs PO q4h PRN for headache and mild pain--------per Davis Drug Book dosage for pain/fever is 325-650mg q4h prn not to exceed 4g per day......isn't 325-650mg the safe dose range or am I just totally off my game. I have done well with the written math problems on tests but this is blowing my mind for some reason. I looked through the math threads and did a search for safe dose calculations, but not much luck. Thanks for any help!!
I am working on yet another care plan since I had the flu thru our last clinical and am now required to do a makeup with an entirely new patient and new surgical procedure.........I am having trouble finding the pathophysiology for Type II Mobitz 2nd degree heart block. I've been to several websites including the AHA and emedicine...the path just isn't there. Any suggestions on good path sites or books that might help me out? Thanks so much
These are our surgical simulations....The information I posted is all I have to go on. My assignment as I said is post op, but I have no info on incision or how client tolerated surgery. This is the 2nd round of these surgical sims and I had trouble with the first one...presumably due to the limited information. Thanks
I am a 2nd semester nursing student who is struggling with care plans as well. This particular one is related to an inguinal hernia that I will be caring for post operatively
Here is what I know:
55 y/o F; recently began weight training; c/o sudden onset pain in right groin, increasing over next few days; All electrolytes nomral; UA all WNL; Hgb normal; Hct 45%; lymphocytes increased @ 37 %; EKG shows sinus tachycardia (client is pre menopausal on estrace); Chest x-ray clear;
So here is where I am w/ nursing dx's:
*acute pain r/t surgical procedure
*impaired physical mobility r/t pain at surgical site
*risk for infection r/t invasive procedures
*risk for urinary retention r/t possible edema at surgical site
*ineffective breathing pattern r/t decreased depth of respirations associated w/depressant effect of anesthesia
Any suggestions about where to go from here? I seem to struggle alot with outcome criteria once I have come up with the dx. I am new to the forums and have already seen alot of useful and helpful information
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