Brainy

Latest Activity

1. Time/Care plan for CKD

   Brainy posted a topic in Student Assist

   I'm a nursing student and have been assigned a patient for which I will be providing total care. One of the things I have to do prior to going onto the floor is making a time plan outlining some important nursing diagnoses that pertain to this diagno...

2. Sickle Cell Anemia Question

   Brainy replied to Brainy's topic in Student Assist

   correct, the carbonic acid is the temporary fix as it is using the basic HCO3 ions in the blood (so less freely roaming HCO3 so the bloods pH drops because of that, not because Carbonic Acid is actually acidic in itself)

3. Sickle Cell Anemia Question

   Brainy replied to Brainy's topic in Student Assist

   The bloods pH is not made acidic by Carbonic Acid, rather by free hydronium (H+) ions in the blood. In order to compensate for the acute respiratory alkalosis, the already formed carbonic acid should be dissociating to form more HCO3 and H+ ions, the...

4. Sickle Cell Anemia Question

   Brainy replied to Brainy's topic in Student Assist

   the long one :)

5. Sickle Cell Anemia Question

   Brainy replied to Brainy's topic in Student Assist

   desperately waiting for clarification still

6. Sickle Cell Anemia Question

   Brainy replied to Brainy's topic in Student Assist

   Somebody please clarify this for me :$

7. Sickle Cell Anemia Question

   Brainy replied to Brainy's topic in Student Assist

   Well her HCO3 level is not exactly normal so to say, it is on the low end (normal range is 21-28). Shouldn't the HCO3 levels be high instead in an attempt to compensate and bring the pH back down? Carbonic acid (H2CO3) should be dissociating in the b...

8. Sickle Cell Anemia Question

   Brainy replied to Brainy's topic in Student Assist

   In the case study, it does say that she has a pain score of 8/10. And I understand how that would relate to her tachypnea. Lastly, her HCO3 level is in normal range

9. Sickle Cell Anemia Question

   Brainy replied to Brainy's topic in Student Assist

   This is the conclusion i am trying to make: Because the red blood cells take on a sickle shape and harden, they cannot easily pass through capillaries or other small vessels and can cause vascular occlusion, leading to acute or chronic tissue injury....

10. Sickle Cell Anemia Question

    Brainy replied to Brainy's topic in Student Assist

    If I can answer this question, everything else will make sense: why do sickle cell anemia patients have hypocapnia?

11. Sickle Cell Anemia Question

    Brainy posted a topic in Student Assist

    Hey guys. So I am doing a Sickle Cell Anemia research paper/case study and I seem to be stuck on this one question. "Discuss how these lab results are consistent with patients who have SCA". The lab results are as follows: white blood cell count (WB...

12. Need help in developing a timeplan!!

    Brainy replied to Brainy's topic in Student Assist

    Our instructor sends us our patient assignment before coming into clinical so that we can prepare and create a timeplan ahead of time. I'm supposed to come up with some major assessments based on the patient's diagnosis.

13. Need help in developing a timeplan!!

    Brainy posted a topic in Student Assist

    Ok so tomorrow I have an 84 y.o patient diagnosed with AKI and right nephrectomy. I had a difficult time figuring out some appropriate assessments and making a timeplan. All help is appreciated

14. Diabetic Ketoacidosis and Hypoglycemia

    Brainy replied to Brainy's topic in Student Assist

    Hmm ok seems to make sense now, I was just confusing starvation ketoacidosis and hypoglycemic ketoacidosis. Thanks for the clarification.

15. Diabetic Ketoacidosis and Hypoglycemia

    Brainy replied to Brainy's topic in Student Assist

    I had read this before and it doesn't clarify anything, so I posted this instead -.-