Cardiovascular Disorders

Published

What other information would you need to make certain a patient understands the side effects and storage of SL NTG?

What risks does A. Fib pose for a patient who has been having chest pain?

Having pacemaker insertion surgery (DDDR pacemaker) places a patient at risk for several serious complications. What are three potential problems that the nurse should monitor for as he/she cares for a patient with this pacemaker?

Specializes in Pediatrics, Emergency, Trauma.

What do you have so far???

Here's a link I think you need to read: https://allnurses.com/nursing-student-assistance/dear-nursing-students-970183.html

I already helped you with your homework once today, although I didn't realize I was answering your homework question for you at the time. You can bet I won't be making that mistake again today.

What has your research shown you so far? Share what you've learned and we'll be happy to offer assistance once we see what you've already come up with.

Specializes in Neuro ICU and Med Surg.

I will not be answering your homework for you. What do you have so far?

Specializes in Med/Surg, Ortho, ASC.

OP, just looking at your posting history: Are you really comfortable asking for/taking complete strangers' help with your homework?

What if one of your online advisors is not really a nurse but is just having fun messing with you? That is a real possibility.

My advice is to play it safe: Go back to old-fashioned research and reasoning for yourself. It will pay big dividends in the end. You will learn to think for yourself and will not need strangers on the Internet to give you answers to your homework or your real-life nursing questions

Specializes in Med/Surg, Ortho, ASC.

Forgot to make one very important point: Do you know for certain that none of your instructors are members of AN.com? I can answer that - you absolutely do not.

How do you think any of your instructors would react if/when they find you "researching" your homework online by asking "nurses" to answer your questions??

Specializes in SICU, trauma, neuro.

What if a member, completely fed up with students joining AN just to have their homework done for them, posts something like this:

SL NTG is extremely stable and has a longer shelf life than Twinkies. Instruct the patient that when they fill their Rx, immediately divide the tabs up between 3 baggies--the little "snack size" ones--and store one in the car, one in the medicine cabinet, and leave the other in your desk at work.

A. fib causes chest pain by producing abnormally strong atrial contractions. Kind of like a charlie horse in the atria.

A pacemaker helps the patient by pumping the blood from the left ventricle into the aorta, when their LV is too weak to do that itself. The patient's home needs a backup generator so that the pacemaker can continue to work in the event of a power failure.

Those answers are incorrect! But you never know when you have people on the other end of the computer.

OK, I'm going to be a little charitable here (Be still! I heard that!) and assume that this student didn't go to a high school that taught him/her how to do any kind of research besides "Go to the Internet and hit send, and it's all true." That s/he really is trying to learn, and thinks AN is like "Ask Jeeves" or "Hey Siri!" or maybe that stupid pizza commercial.

Listen up, JennX (cute), here's the deal. Your faculty is asking you to find out the answer to these questions not because you need to have a certain number of them right to pass a quiz or homework set or something, but because you need to know the answers and retain them.

This is because you will be held responsible for having a good working knowledge of this information as long as you are in nursing school, every semester, through taking your licensure examination, and into and until the end of your working life. Nursing school is not like the classes your high school buds are taking where they pass the exam, sell the book, and move on. You have to learn and retain and apply at higher and higher levels. You.

The best way to do that is to start at your textbooks. You have a pharmacology book? Look up NTG and it will tell you all you need to know. While you're there, you might as well copy it on an index card or something, because soon you'll have a patient with that prescription, and you'll have to explain the answer to that question to your clinical instructor and s/he will look at your med card and listen to you while you teach it to your patient, and you'd better get it right.

Likewise your med/surg textbook and your physiology textbook. Don't have one? Library or bookstore. Look up atrial fibrillation and read the whole chapters in both, which should cover anatomy, physiology, meds, assessment, and patient teaching. Answer the review questions at the ends; if you can't immediately spit out a comprehensive answer, go back and read it again until you can. Do the same with pacemakers. The " ... Made Incredibly Easy" series can be helpful, too.

If you want to supplement your learning (emphasis on learning) by checking online sources, they are legion. Most of them will not write down the answers for you to copy and hand in; certainly this one won't.

If you don't know how to do an effective online search, your next step is to run, do not walk, to your college library and ask the librarian for help. You also have a college learning center, with tutors and stuff. They can help you devise a more effective plan of attack for college work, how to do searches, how to write an essay, how to write a research paper, the whole nine yards. These are their jobs, they do them well, and you can ask them. They come with your tuition. This is not high school and your faculty will not call your parents to make you do your homework or send home a midsemester warning letter. YOU are now responsible for your own learning. I am truly sorry that nobody has taught you along the way how to do that,but you have to learn now.

Now, if you have read all that and done all that and you still have questions, (e.g. (which means "for example"),"Why does afib decrease cardiac output? It's the same amount of blood coming in and out, right? So how come ...?) we would be happy to explain the physiology to you in terms you will understand. But as multiple people above have clued you in already, we will only do this if you give us evidence of having done some real work before. Not just because we all had to, but because your patients need you to.

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