emtb2rn BSN, RN, EMT-B

Emergency

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All Content by emtb2rn

  1. emtb2rn

    Priority Nursing Diagnosis

    I get it now. Our schools simply have different approaches. My school wants us to create the careplan before we actually take physical care of the patient. Our 1st semester is pretty mellow, we're...
  2. emtb2rn

    Priority Nursing Diagnosis

    I'm a little baffled here. Not about prioritization but about the how long the OP gets to develop the care plan. F'rinstance, I just got home from doing my chart research/talk to the RN/say hi to to...
  3. emtb2rn

    ABGs and Heart Failure

    You're not missing anything. Pulse ox's are contraindicated in smokers (O2 levels can be falsely elevated) and can return incorrect readings in folks with anemia and impaired cardiopulmonary...
  4. What're the s/s for this pt? The dx of altered mental (that's the medical dx, right?) opens up the door for safety, respiratory, neurosensory, ego integrity and teaching/learning nursing dx's off the...
  5. emtb2rn

    What am I doing wrong?

    Ayup to all the advice above. I never scored below a 95 on pre-req tests. I've taken 3 tests in nursing school and scored 97 on a 100 question test (3 wrong and got an A), 93 on a 55 question test...
  6. emtb2rn

    What does this mean?

    Congestive Heart Failure (CHF) is right side pump failure. Basically, the heart can't pump enough blood out to the body to meet normal demands. S&S may include peripheral edema, diff breathing,...
  7. emtb2rn

    Can someone help me

    pn can present as referred pn in left shoulder, but not always. Ruptured spleen is gonna show as LUQ tender /c possible belly distension, rigidity and LUQ guarding. Expect and treat for shock...
  8. emtb2rn

    Can someone help me

    1.Stomach Ulcer=Left upper, also crosses into right upper 2.Appendicitis=right lower (pt may need hot lights/cold steel quickly) 3.Bowel sounds=can be heard in all 4 quadrants but more likely the...
  9. emtb2rn

    I had an MI on Tuesday

    Glad to hear that all worked out. Your comments are a good reminder not to get tunnel vision when checking
  10. emtb2rn

    Understanding EKGs?

    P = atrial depolarization QRS complex = ventricular depolarization T = ventricular repolarization Check out this site for learning rhythms,
  11. emtb2rn

    Dosage Calc---please help!

    "400 mL divided by 25 mL/hr = 16 hours to complete the amount of fluid in the bag. Since 2300 hours is 11pm at night, 11pm + 16 hours = 2pm the next day" With all due respect, I believe the completion...
  12. I did a search but couldn't find a discussion on this exact subject, so here goes: Is one method truly better than the other or is it (like most things) a matter of personal preference? I've been...
  13. emtb2rn

    dimensional analysis vs. ratio/proportion

    ahhh, so if I divide what I desire by what I have, I'll know what I need. Yeesh, the story of my
  14. emtb2rn

    Dosage Calculations

    Here's a really good Dimensional Analysis website:
  15. emtb2rn

    A three ambulance wedding...

    I gotta tell ya, I spent a day last month with Adam on a clinical rotation during my schools Intro to Nursing CNA program and he was
  16. We need to get 100%. 3 shots at it. Calculators
  17. emtb2rn

    Ooooooooh, I am SO ticked off right now!!!

    You were totally correct in notifying your admin and your admin did the right thing by you. Our EMS protocols are the same as what Empress noted, if the pt is in resp distress, they're getting high...
  18. emtb2rn

    Celebrate With Me Today! I'm an RN!

    Mazel Tov! Good luck going
  19. emtb2rn

    Dosage Calculations

    Yeah, my school wants me to get Calulate with Confidence too. I already picked up Pickar's Dosage Calculations based comments here, so I'm gonna just use that for now. We'll see what
  20. emtb2rn

    Drip rate vs Flow rate?

    The 1000 mL over 8 hour flow rates were calculated as: 1000 mL/8 hrs = 125 mL/hr 8 hrs * 60 minutes in an hr = 480 minutes -> 1000 mL/480 minutes = 2.083 mL per minute OR 125 mL/hr/60 minutes =...
  21. Not sure what you mean by "a few lower level EMT courses". The basic course is 3 months. Continuing education courses are available but the assumption for those is that you already are an EMT (B, I...
  22. emtb2rn

    Best watch for clinicals?

    CVS has assorted Sharp analog watches with large faces, easy to see second hands and nylon straps for
  23. emtb2rn

    Scared of nursing school...please help!

    You're already applying critical thinking skills - "I almost felt as if she were jealous that I was considering such a profession.". Your "friend" isn't in nursing, but she "heard" bad things from her...
  24. emtb2rn

    just starting...

    I was able to transfer all except science as well, although I was able to get A&P I & II out of the way before NS started. I have to take chemistry this fall along w/nursing 1 and micro next...
  25. emtb2rn

    abnormal labs

    Try this: http://www.dalesplace.net/lab_values.php. Do you have RNotes? I downloaded it to my PDA and have found it very useful in clinicals. Among many other things, it has normal lab