combinate

Latest Activity

1. Aspirin overdose - study?

   combinate posted a topic in Student Assist

   This practice question appears on several web pages: A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient? Onset of pulmonary edema Metabolic alkalosis ...

2. Are You Nurse Jackie or Nurse Zoey?

   combinate replied to Nurse Beth's topic in General Nursing

   It's much more general than "blaming mommy". Dr. Mate has talked about his own struggle with ADD, compulsive working, and compulsive shopping, and how ADD/OCD may have come about: He posits that the huge stresses on his mother in Hungary, during co...

3. Are You Nurse Jackie or Nurse Zoey?

   combinate replied to Nurse Beth's topic in General Nursing

   Discussion about the degree to which the Nurse Jackie characters reflect real medical personnel got me searching for a quote. I did not find it, but it goes something like this: "People write fiction to get at the truth, and some write non-fiction t...

4. A nursing care abbrviation

   combinate replied to combinate's topic in Student Assist

   Thank you both! "Frequent follow up"

5. dry erase board and marker at nclex

   combinate replied to combinate's topic in NCLEX

   There is an AN post from a few years back, where the test taker was told they were using too many "boards" (during their test!) and the administrator was going to have to report an irregularity and hold their results. The results were held longer th...

6. dry erase board and marker at nclex

   combinate posted a topic in NCLEX

   They call the "marker" a pen; I hope it is not a fat-tipped marker, as I need a fine point if I get a long math problem (and preferred in general). A "Sharpie" is fat. Anyway, what is it at the NCLEX? I don't think I will try to "brain-dump" on...

7. A nursing care abbrviation

   combinate replied to combinate's topic in Student Assist

   "abbreviation" Sorry; no edit function

8. A nursing care abbrviation

   combinate posted a topic in Student Assist

   I found this phrase in some online notes about care for patients with Addison's disease, and repeated for patients with Cushing's disease: "Importance of ffup care" It is probably so obvious, simple, and trivial; and maybe that is why I ca...

9. Posture effect on ICP

   combinate replied to combinate's topic in NCLEX

   I can accept that ICP increases in upright posture compared with lying down. Now, can someone in the forum please explain the mechanism(s) causing this increase. I tried to explain a couple potential mechanisms, but they don't support the common cli...

10. Posture effect on ICP

    combinate replied to combinate's topic in NCLEX

    Ok, the increase in ICP is not due to movement dynamics; even without movement, a strict position is prescribed. The four ventricles are connected to one another and to the space around the brain, and around the spinal cord (one interconnected comp...

11. Posture effect on ICP

    combinate replied to combinate's topic in NCLEX

    It seems the "fluid shift" upon sitting upright might cause a pulse (slosh) or two (transient effect), but then, wouldn't gravity have the same old orthostatic effect to pull the fluid down along the spine, causing a decrease in ICP? Another ques...

12. Posture effect on ICP

    combinate posted a topic in NCLEX

    A study question rationale I am looking at says that brain tumor symptoms in a child are headache and morning vomiting related to getting out of bed. A sudden increase in ICP occurs with the change of position, causing the vomiting.” Would i...

13. Detect and stop sepsis

    combinate replied to combinate's topic in Student Assist

    Thank you Lev, I'll list the continuum of sepsis: SIRS So, if a patient is septic, do we start the 30 ml/kg fluid resuscitation (and, blood culture and lactate, Abx, 3-hr bundle)? The 6-hour bundle states to apply vasopressors for hypotension tha...

14. Detect and stop sepsis

    combinate posted a topic in Student Assist

    I'm studying some sepsis control plans and related literature for a school project and have some questions about a potential subset of patients. Do patients in med-surge (or other) units develop nosocomial sepsis, or are the vast majority of cases...

15. What do you know/have you been taught about Sepsis?

    combinate replied to clemmm78's topic in General Nursing

    Hospital or unit performance: % Pts w trigger criteria that receive the complete sepsis treatment/care "bundles" in the respective time periods (3 and 6 hours). Would this make sense? Then; # hospital days of those Pts. triggering the sepsis bund...