I am doing an assignment for a virtual patient and am having trouble connecting the dots to come up with the correct DX. We are suppose to include the top 2 priority DX and my instructions say DO NOT use Risk for or knowledge deficit for your DX. P...
:bugeyes:LEt me tell you about my NCLEX experience today. .....:icon_roll When I walked in there was a guy about to cough up a lung and spitting lugies in a kleenex for the 1st 30 minutes. UGH! It was hard to concentrate, I could hear him even thro...
How many pts are you assigned on a daily basis and their acuity level? What is the "standard"? I am wondering because in the NICU I work in, we have had an unusual amount of overflow babies where we have had to open a closed unit. Many nurses have...
discobunni replied to Preemienurse23's topic in NICU
One I remember is an 11lb 2oz baby that was SVD! I couldn't believe it, I saw the mom and she was average build. OUCH I had a 37 weeker the other day 10lb 9oz (IDDM) Poor kid could barely open his eyes his cheeks were so fat!
Newborns: 1:6-8* newborns requiring only routine care 1:3-4 normal mother-newborn couplet care 1:3-4 Newborns requiring continuing care 1:2-3 Newborns requiring intermediate care 1:1-2 newborns requiring intensive care 1:1 newborns requiring multisys...
I got my license in January. I've been working at a hospital I really love, with healthy newborns and NICU. The training to NICU was only 4 weeks, and sometimes I go home and replay over and over in my mind what I forgot to chart...document...notify...
We've all had this patient in our NICU. This baby was born with gastroschisis. To make a long story short: He had all of his organs placed back, but had bouts of diarrhea and vomiting. They tried formulas with AR, but then determined there was a h...
Putting a face with a name always helps. Have you done clinical in the unit that you want to work? That is the best place for them to see what a hard worker you are, and meet the manager of the unit. They are the ones who usually tell HR who they ...
OK so I'm trying to think by KISS (keep it simple stupid) I ran across a vented patient the other day that has Sodium Chloride 10ml Q8h IV and Potassium Chloride 20MEQ qd NGT. Na was 141 and K was 4.7 I thought you would give one or the other for e...
You know, it really pisses me off when I see people trying to lump the majority of a group and contribute it to the same cause. Its like saying all black people are thieves...give me a freakin break!
I'm not sure what the trend was, I only had the most recent labs available to review. I was wondering if this pt was being over-ventilated because the ABG's showed respiratory alkalosis...perhaps that was the reason for the K+ order?
discobunni replied to ag01medic's topic in Emergency
Hmph! HECK NO!!! For example: (among others) A very close friend of mine on her way to her last day of clinical as a student nurse about a week ago got into an MVA. She was transported, and checked out by "fellow nurses" HAHAHAHAHA in the ER. Her foo...
I see a big one you missed. Remember to prioritize by your ABC's 1. Airway 2. Breathing 3. Circulation: - Look at circulation and the peripheral edema. You've got Impaired peripheral tissue perfusion. With the constipation you may have a risk for (...
If you hate it go somewhere else!!! No point in being miserable!! You probably didn't "forget" as much as you think! If I were you, I would just review a little bit, get some of those "handy" notes to keep with you. Most hospitals will have you or...
Hmmmm. I do need a KISS! DUH If I paid more attention to the dosage for that part I would've known that. The pt was in respiratory alkalosis, I guess the reason for the K+. The pt gets dialysis (I guess instead of the diuretic) but they use 1000...
I don't understand why most people with CHF are on Lasix and Spirnolactone when they have the same mechanism of action on the distal tubule, is it because the Spirno is potassium sparing and the Lasix also works on the loop of henle? Help.
discobunni replied to ChristopherH's topic in Pulmonary
I was just discussing this with a very experienced RT yesterday. He told me that if you know you are getting close to knocking out their respiratory drive to breathe if their O2 sats do not change despite increase in upping the O2. He said this is ...
Time for him to grow up, or face the consequences of being a partyboy. You've told him, not much else you can do. He has to decide he wants to change and better himself. If he ever indicates he is ready, then you can help him. Until then, I would...
Agree... go on the interview. If you still feel good about the job...go for it! You will regret it by asking yourself "what if" later if you don't give it a try.