olaureno

olaureno

acute care, detox nursing, critical care

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About olaureno

olaureno specializes in acute care, detox nursing, critical care.


Latest Activity

  1. Detox Nursing- Abd cramps

    I recently began a RN position in a medically assisted detox center. Many of the opioid withdrawal symptoms are manageable with the PRNs available. However one of the symptoms I can't really pin down with a treatment are the abdominal cramps. Is it t...
  2. I'm working on a group project and I think we're stuck. The hypothetical patient has advanced dementia such that she cannot recognize family members and has been hospitalized numerous times. She has no advanced directive and is incapable of making me...
  3. DKA nursing care plan

    I just wanted some feedback on my priority issues- my identified nursing diagnoses. These are listed at the bottom of the case study in italics. Do they seem appropriate? Do they seem tailored to this particular placement? We are supposed to put them...
  4. DKA nursing care plan

    Family Name: ***** Family Members & Profiles ********, 13 years old, from Texas, Type I Diabetic Introduction/ Background: An anxious-looking ******, just arrived without report or notification on a gurney from the ED Situation: Chart data: ...
  5. Smoking Nurses

    the smell thing gets me. i find it really distracting and disrespectful to the patient when I'm working with someone who smells like a cloud of cigarette smoke. healthcare workers should present themselves as professionals, and part of that is not sm...
  6. PE and Risk for Bleeding

    Thank you both for your input. Below is a copy of my next case study and below that are the dx's I have identified. I would love to get your feedback especially about tailoring my dx's to the pt. Thank you!!!! Family Name: Hogan Family Members &...
  7. PE and Risk for Bleeding

    i guess i put the cart before the horse a bit on this one. i need to focus more on immediate issues than those that are yet to develop. perhaps its also an issue of not really understanding heparin therapy in an active clot. on paper i understand how...
  8. PE and Risk for Bleeding

    Hi, I recently completed a pretty straight forward case study about a woman admitted with a PE on a heparin drip. I thought I had a pretty solid list of nursing issues including impaired gas exchange, impaired hemodynamics, pain, anxiety, education n...
  9. Sepsis case study question

    Hi there, I'm preparing for a simulation lab this week that may involve a patient developing sepsis. His orders indicate that he is due to have his CVC dc'd today. The area around the CVC site looks pink. Vitals and labs indicate the onset of sepsis ...
  10. Hi there, I am hoping someone can shed some light on a problem I am having with possibly overextending myself with my school, work and volunteer schedule. I am intending on applying to Oregon Health and Sciences University's accelerated bsn program a...
  11. Chemistry

    Hi there, I was just wondering if it's really worth it to take chemistry to get into a tough RN program even if it's not a prerequisite for the program. I was thinking about doing it to perhaps be a stronger applicant but I'm not sure how much edge i...
  12. Nursing pre-reqs online? Is it a good idea?

    yep learned my lesson for taking classes online. took an intro chem class and didnt do anything for the class for almost a month during the term. luckily the course was slow paced and I was able to do some heavy duty cramming in the end (and actually...
  13. which direction to go...??

    I am interested in getting my ABSN and I would like to do trauma work, perhaps become a SANE nurse as well. I am very interested in the program at OHSU and think that with all the research and advanced programs there it would give me some great oppor...
  14. community college vs. university for prereqs

    From what I've heard A&P II is easier than I and while I think the course builds on itself, the fact that its usually divided into systems I think makes it easier if we've forgotten something from the previous unit. I'll be taking both I and II i...
  15. community college vs. university for prereqs

    Scientist- hmm I hadn't thought about language classes. I took a bit of spanish in college, but remember nothing. I'll look into that. The cost factor between schools is important too, something like $1000 difference for some classes. Mandy- I would...