yelworc123

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1. Changing the PPV on PICC Line

   yelworc123 posted a topic in General Nursing

   Hi there New grad and just trying to make sense out of when to cap and flush. So, the steps that our vascular access nurse told us when we are drawing blood and changing the ppv valve on picc line are as follows: STop the infusion, straighten out the...

2. bp drop during paracentesis

   yelworc123 posted a topic in Student Assist

   So, when i was on med surg rotation in telemetry, my preceptor was always asking me questions. she asked me one that i had to think about. We had a patient who had a paracentesis and she asked me why we don't have a drop in BP if they are removing fl...

3. heart failure question

   yelworc123 replied to yelworc123's topic in Student Assist

   Thank you! I know all of this, but its just trying to bring it all together and the fact that he has both right AND left since its chronic hf. ACE inhibitors would help with the CO to increase the volume but decrease the work of the heart and he is ...

4. heart failure question

   yelworc123 replied to yelworc123's topic in Student Assist

   Ah ok, even though lungs were CTAB, although he tires easily when ambulating

5. heart failure question

   yelworc123 replied to yelworc123's topic in Student Assist

   right sided causes fluid to back up into extremities-hence the peripheral edema and left sided causes it to build up into the lungs, so breathing is obviously a problem. And its not getting out to extremities cos of low CO and the EF of 25-30, so hyp...

6. heart failure question

   yelworc123 replied to yelworc123's topic in Student Assist

   crackles due to accumulation of fluid in the lungs? edema

7. heart failure question

   yelworc123 replied to yelworc123's topic in Student Assist

   So, incentive spirometer for breathing, turn cough deep breathe. And yes, he has low EF cos of the LV function is decreased, he had mild lv hypertrophy. So, I guess he has both left and right sided HF since its chronic; he is not getting enough blood...

8. heart failure question

   yelworc123 replied to yelworc123's topic in Student Assist

   but I have to say whether is respiratory or circulatory compromise???

9. heart failure question

   yelworc123 posted a topic in Student Assist

   i had to do a clinical presentation on a patient with CHF. He had EF of 25-30%, mitral valve insufficiency, venous stasis ulcers, came in SOB, gained 50 IBS, and plan was to diurese him which worked well. My focus was on intake and output and making ...

10. O2 sat on telemetry

    yelworc123 posted a topic in General Students

    I am brand new student on a telemetry floor. Most of the patients are on CPO-continuous pulse oximetry and have a MAP reading on the monitor and therefore no O2 sat. I was doing a set of vitals on a patient who was connected with telemetry but did no...

11. Nursing dx for newborn respiratory issues

    yelworc123 replied to yelworc123's topic in General Students

    that's all the info we were given in the scenario, latch of 8, caput succedaneum, the glucose, that's it. I am just struggling with phrasing my priority dx, which is respiratory, ineffective breathing related to what exactly? got the AEB with the fla...

12. Nursing dx for newborn respiratory issues

    yelworc123 replied to yelworc123's topic in General Students

    temp36, pulse 170, respirations 66, no o2 levels,, positive moro reflex, positive babinski

13. Nursing dx for newborn respiratory issues

    yelworc123 posted a topic in General Students

    So, my scenario gives very little information, other than tachypnea, tachycardia, nasal flaring, low temp, glucose 38 mom prolonged labor, SROM 48hrs.Apgar 9 and 9, weight 3175, GA unknown. My dx are Respiratory,Thermoregulation and Hypoglycemia. pri...

14. Nursing Diagnosis for 32 week pregnant

    yelworc123 replied to yelworc123's topic in General Students

    yes, that would be my priority, the infection, but i am struggling with a diagnosis that focuses on the asthma too, and the loss of weight and borderline fundal height. i have one for risk for pre eclampsia, cos of asthma and rising BP. I am thinking...

15. Nursing Diagnosis for 32 week pregnant

    yelworc123 posted a topic in General Students

    Hi Clinical scenario has 32 week gestation, healthy but for mild asthma, sometimes wheezes and doesn't use her albuterol for fear of harming baby. fundal height is 30cm, weight curve going down, she is normal bmi, pre pregant weight 130# now at 146#,...