emsillystudent

emsillystudent

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About emsillystudent

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  1. Help explaining thyroid panel results

    Hi! Does anyone have a good way to explain hypo vs. hyper-thyroidism and the significance of the lab results? I was trying to explain hypothyroidism and the labs, and it took forever for the pt to finally "get it". I don't think it was because she...
  2. Bicarbonate!!!!

    Thanks, guys! My buffer theory is making more sense now that the rest of you are agreeing with me! I just thought I was missing something!
  3. Bicarbonate!!!!

    Thanks guys - sorry I didn't give more info before. I had this guy awhile back and I don't remember all his info. He had cancer - I think mets with unknown primary at the time I was there. He hadn't started any chemo yet and as far as I remember h...
  4. Bicarbonate!!!!

    Hi guys I'm being really stupid, I know, but I'm reviewing my IV fluids (hypotonic/isotonic etc) and why certain things are used at certain times. I'm having trouble with one patient I had in clinical. He had a MIV with bicarb in it, and I don't kn...
  5. Career ending mistakes?

    I know that one (even many, judging by some nurses I know) will not get you fired or make you lose your license. It's just that I am terrified that some family member (and I have seen some...over-the-top ones) will get p*ssed about something and dec...
  6. Career ending mistakes?

    Okay, as a student, I see a lot of things that surprise me. And recently I've been a bit nervous about mistakes and "near misses" that I see made by other students, nurses, and even a couple of my instructors! Some of these are minor, like giving a...
  7. knots

    Thanks! So why does just part of the muscle stay contracted? I didn't realize that was possible. I thought all the muscle fibers kind of worked together. It seems like a knot is sort of right in the middle of everything.
  8. knots

    Okay I was just wondering - when you get a "knot" in your back or neck, what is it? You can feel a bunp under there, and it gets better when someone rubs it (well, for some people, I guess, maybe not all of them). Anyway, there can't really be some...
  9. Central lines and TPN vs PPN

    Thank you guys all so much for your help! That really does clear things up. I knew that it must be one of the TPN components that caused a problem, I just didn't know which one. And thanks for letting me know what would happen if you did give it t...
  10. Central lines and TPN vs PPN

    Wow, you're quick. Thanks!!! At my hospital, if they try to start a PICC but for some reason the tip isn't in the SVC, and they can't advance further, they use it anyway but call it a midline. Since I have no experience working with them, I can only ...
  11. Central lines and TPN vs PPN

    First of all, hi! I've been reading these forums for a long time, but this is my first post. I am relatively new to nursing, and I have a few questions. I recently started working as a unit secretary, and I was entering some pre-printed orders (no...