Latest Comments by delrepublica1776

Latest Comments by delrepublica1776

delrepublica1776 5,181 Views

Joined May 8, '10. Posts: 210 (6% Liked) Likes: 56

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    It's not an ECG per se, because an ECG would have 15 or so different leads that get placed all over the patient's body in order to get a reading.

    But there's this thingy... it's like an ECG, but there's only 3 leads and it goes into the cardiac monitor screen. There's a red wire, a black wire, and a white wire, so "smoke over fire, white is right" is used to place this thing's leads.

    What's it called?

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    Hey kiralandis,

    I know that you added me as a friend on here. I wrote you a message but it says your inbox is full so I can't send it. Could you clear it up and message me? I'lll write it back to ya!

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    So if I'm in nursing school currently and am interviewing for a night-shift clinical assistant (CA) position, would it be okay to tell the interviewer that I can't do Mondays and Tuesdays because those are the days I have evening classes for nursing school?

    All I know from the job posting is that it's a full-time night shift job (12h).

    So I presume it would be 3 days a week, from 7pm to 7am. Is one allowed to let the interviewer know one's availability? Or are you supposed to say that you're open for any hours, and once you actually GET hired, you tell them that you can't do Mondays and Tuesdays?

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    I applied for a CA position at a hospital near my apartment on Dec. 4, and online it still says "Applied" for the application status.

    I called the recruiter last week and gave her my email. A guy in my nursing class (yes, I'm in nursing school) got a job there, and he recommended I speak to the recruiter there. The recruiter said she'd get my email address over to the hiring manager.

    I want to do something at this point to make sure that my application gets pushed up. What should I do? Anyone who's been a CA before - any hints?

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    She really does a lot for me, and I wanted to give a small thank-you/Christmas gift before I leave for the holidays. I want to keep it under $20 if possible. Any ideas?

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    So for my pediatric care plan write-up I have to fill out info on each of the drugs. One of them was a maintenance fluid called D5 1/2 NS + 200 mEq KCl (D5 half normal saline and potassium chloride).

    The problem is, my Davis's Drug Guide book doesn't even list that! Not even dextrose!!

    How am I supposed to find out the side effects and nursing implications of this drug if it's just a maintenance fluid?

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    Okay, so for my peds class I have to do a concept map along with my care plan/Nursing Process Report.

    It says to list abnormals as well as significant normals as well.

    How do I know which labs are going to be 'significant normal' labs to consider?

    For instance, the patient I'm doing my care plan on was a boy who was post-appendectomy.

    The 'abnormal' lab values are WBCs, neutrophils, and AGAP.

    I wrote down all the lab values, normals and abnormals alike, when I was with the patient that day. How do I decide now, of the normal lab values, which ones are 'significant' to add to my concept map?

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    So far I've listed "cod liver oil", "cooked swordfish", "cooked salmon", "Living Harvest hemp milk", "fortified orange juice", "Silk soy milk", and "egg yolk" for vitamin D. I haven't look up the calcium stuff yet.

    Are those listed foods contraindicated?

    Oh, and here's the Calcium foods I found: "fortified orange juice", "canned sardines", "tofu", "canned salmon", "kale", and "Chinese cabbage, bok choi".

    Are those all dairy-free too?

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    Long story short: I have to do this patient teaching assignment tomorrow on a pt. I haven't met. However, from her patient record, her diagnosis is gastroparesis and her medical hx indicates she has DM.

    Bingo! I can get my assignment done!!!

    So I figured I'd do some patient teaching on nutrient sources for a diabetic diet that's dairy free (she doesn't drink milk or partake in dairy products).

    However, I know jack-squat about nutrition. Nutritional knowledge is my Achilles heel, seriously.

    Anyway, I came up with a list of foods that have Vitamin D and Calcium (two nutrients that obviously people who don't drink dairy need to think about). I figured this would be good reinforcement and a supplement to a diabetic diet, since it's oh-so-important that diabetics have a nutritionally balanced diet.

    Could you let me know if the foods are OK for diabetics and non-dairy consumers?

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    But this site says normal CrCl is 88 to 128 for females:
    Creatinine clearance: MedlinePlus Medical Encyclopedia

    This woman's CrCl is way above 128

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    Hmmm. I haven't met the patient, and since it's a prospective assignment, I need to have all the details ready already when I'm there tomorrow.

    How about I do something with diabetic diets? All I know from the patient record is that this patient doesn't take dairy products. Is there any way to integrate something about that into a lesson plan?

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    So one of the patients I care for tomorrow was admitted for facial cellulitis.

    Her serum creatinine is listed at 0.7 and her Creatinine Clearance (CrCl) is at 292.86, according to the labs.

    The serum creatinine's low and the CrCl is astronomical. She doesn't have any other medical history.

    I simply don't get it. How on earth are her kidneys in bad shape? Doesn't creatinine levels tell you how well or how poorly kidneys are functioning?

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    So I have to do some patient teaching and then write up a teaching journal for a patient I care for tomorrow.

    Here's the instructions for the assignment:

    "The evening before clinical, identify a client/family with a learning need in the clinical setting. In lieu of one reflective journal, use the steps of the nursing process to discuss client/family teaching done on a clinical day. (Include assessing/identifying client needs, setting client goals, implementing and the evaluating these learning goals.) Address the Health Belief Model. This is a prospective assignment, rather than retrospective. You should be familiar with the model and use it as a guide for planning your teaching. "

    So anyway, when I was going to pick a patient today, I found that my prospective patient had an elevated blood glucose of 133, yet she wasn't on a diabetic diet nor was she on any insulin whatsoever. I found that weird. Weirder still, I looked through her chart and saw "diabetes mellitus" written on her medical history. I think she may have just been diagnosed.

    Anyway, the nursing care plans on the computer system list "Diabetic teaching" as something that has yet to be done.

    Hooray for me! What if I did just that for my teaching assignment? It would get me a grade AND would fulfill one of her to-do things in the hospital! Killing two birds c one stone!

    So what goes on in a diabetic teaching in the hospital? What can I teach her? Any clues?

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    So for my adult health nursing class, I have to write up a Client Teaching Journal.

    Here's the formal instructions:

    "Client Teaching Journal: The evening before clinical, identify a client/family with a learning need in the clinical setting. Use the steps of the nursing process to discuss client/family teaching done on a clinical day. (Include assessing/identifying client needs, setting client goals, implementing and the evaluating these learning goals.) Address the Health Belief Model. This is a prospective assignment, rather than retrospective. You should be familiar with the model and use it as a guide for planning your teaching. This is not a spontaneous effort.http://www.tcw.utwente.nl/theorieeno...ief_Model.doc/"


    Sounds a bit complex, eh?

    So my patient that I'm caring for tomorrow was admitted for 'abdominal pain'. That's right - it wasn't ulcerative colitis or anything like that. Just 'abdominal pain'.

    I'm not sure what sort of patient teaching I could really do. I need to have some sort of visual, too. Any ideas or sources to help out?


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