I wish I could recommend a book for you to succed on practice. I wish I have one
, but I feel it comes with experence.
Today for instance we got a patient who came from the floor with respiratory difficulties. With lab work showing a High BNP (which indicated fluid overloaded) so she probibly has pulmonary edema. Crap i never took care of a patient with that.
So later on in the day her o2 sats were down in the 90's when all day it was in the higher ninties. I freaked my preceptor helped me out with the situation. Lets assess her lung sounds, see if she is SOB and tried raising her o2 on her NC.
She still was down so I put the head of her bed up and tried getting her to cough and calm her down to see if she could take deeper breaths. Looked at PRN list and nothing to help her fluid filled lungs (no lasix prn darnit hehe).
So with all of the information knowing she is fluid overloaded, her lungs are diminished/ crackly. My preceptor poined to me that we should call the doc and get a lasix order. We did and I wished I could see the results but it is knowing what to do and never feel afraid to ask someone.
So tonite since I am obviously not too smart with my pulmonary edema I will do some research online for it. Like clinical signs and symptoms, meds for it and pathophysiology. It is interesting but very time comsuming