locolorenzo22 10,778 Views
Joined Jan 20, '04.
locolorenzo22 is a ortho neuro detox nurse, new tele nurse.
Posts: 2,449 (27% Liked)
it's like giving a medrol dose pack, or any other medication that has to be broken up through the day.
So Dalteparin is a low-molecular weight heparin, so would prevent DVT. the low molecular weight part actually decreases the risk for GI bleed, although must still be monitored for.
A client is receiving 2mg in 250mL D5W. The order is to infuse at 20mL/hr.
ok, so what do we need to do first? First figure out how many mg are in 1 mL. take 2mg/250mls = .008 mg in 1 mL * 20mls/hr = 0.16 mg/hr. for mcg/hr multiply by 100 (0.16 * 100) = 160 mcg/hr. then take that 160mcg/hr and divide by 60 mins/hr = 2.7 mcg/hr (rounding up). I think with all this explained, the book is wrong. Not to mention trying to infuse 20ml/hr is really slow. I can't think of too many drugs that run this slowly. some cardiac ones, but it would make sense to run the dosages this slow.
I agree, see your counselor about your plans. When I went to my local CC, they used a point system and waitlist. You got up to 10 out of 20 points from a preadmission test(did well, got 10). Then you get 1 point per every science or math class within the previous 5 years, then a point for having a CNA certification. I had 18 and did not any problems getting in. Again, depends on the school.
if you don't feel like you bombed it, you did fine. You have to be doing horrible where you KNOW you have gotten no answers right for it to shut off at 75. Person vue works. congrats!
stop and think about what you know about the pulmonary system.....if you did NOT apply an occlusive dressing, what would happen? The lung would have more trouble trying to function as part of a open system. The occlusive dressing helps close the system so the lung can still function. It's part of trying to manage the emergency.
If you are NOT sure about a patient because it is not yours then PLEASE tell the patient "I'm not your CNA today, so I'm not familar with your care. Let me go ask you nurse if I can get you up and then I'll be RIGHT back." go ask the nurse and do it. I would say the next time that that nurse asks you to cover him, let him know "due to the last time I answered your lights, I'm gonna have to say that you give me report on EVERYBODY." and do what you have to do. sorry it happened to you.
Okay, so what are they asking? how many militers to give the patient? okay, dose desired divided by dose on hand then times it by the solution available. 500mg/2000mg, the concentration should have been given. with 2mls of solution, then yes 1mls is the answer.
We have medical nurses pulled to our floors all the time. We tend to give them medical patients that for whatever reason, docs decided they need tele monitoring. Our charge nurse reads their required strips every 4 hours, and we watch for the major rhythm changes, the alarms etc. All us tele nurses watch for the patients. We have 14 monitors to watch, and we do a pretty good job. There is no reason for the ACLS cert for everyone. If there are any problems we encourage pull nurses to ask for help, or call a response code if help is needed. The last time I had a pull nurse, the patient was very sob and having some flash pulmonary edema, so I yelled out for a code help. The pull nurse was able to help with direction, and report off to the team and to ICU. It's just like being a nurse.
taking care of others is one of the more selfless things that one can do. I was a CNA all through nursing school, and I learned so much while I was on the job. I worked with some nurses that I learned things from that I do today, and some I learned what NOT to do. If you have a good attitude, and can deal with some people that are going to be not so nice, then godspeed. good luck to you! I believe EVERY nurse should be a CNA for at least a year first. It gives you a perspective on your career. I never delegate something to the tech that I can do myself and have time for at the time. whenever I get attitude about some stuff, I always tell em "I came up the ladder, I know what you can do, and I CAN do anything you can as well.....but I NEED to do my job, and you NEED to do yours. I can do your job, you can't do mine." I think you will go far!
You can if someone will hire you, but you will be held to your RN license scope of practice. So basically you could be a PCA but have RN responsiblities....so might as well be a RN.
Saunders helped prepare me well for the NCLEX. I felt like the trainers were way harder then the NCLEX. First things, identify if the question needs a assessment or a intervention and base the answers from that. Good luck though.
When I was doing my OB clinicals, I had a hard time in the postpartum. Mainly because my instructor had to preface me going in the rooms by asking the moms if they were ok with me helping them. I couldn't answer call lights because of me being a guy. In the nursery, I was a tech basically. Not given the option of helping monitor the baby in the oxygen tent, or the one in the monitored bed. I basically changed diapers, fed the babies, and helped the tech take baby pics. In delivery, I had a patient that I would go in with the nurse, because she was being difficult. However, since I fixed her cable so she could watch her "stories" she let me watch the delivery. WAs a very boring 6 weeks.
They are taking you under their wing and trying to teach you. They will have your back if you have theirs. always be willing to learn, and never be afraid to ask/give help. I was young as well when I started (27), and I eventually got married to a co-workers daughter. she's the love of my life. good luck. Just keep on doing it.
BTW that's awesome to have your degree at 18. but don't think that you know everything, defer to those with expeirence.
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