Squirrel

I do not mean to get off of the original question, but this makes me wonder if you can use the CO2 level from the comprehensive metabolic panel (Chem 21) in place of the HCO3 level to calculate the anion gap? I think that the CO2 level is 1-2 units m...

It would depend on his BUN/creat level, kidney function and medical history. The RDA for protein for healthy adults is 0.8 g/kg/day. If he had renal insufficiency as evidenced by a rise in his BUN/creat, it is recommended his protein requirement b...

Hello once again! Another question I have for you all is about sending childbearing women for an X-ray. Before sending her to X-ray you ask her if there is any chance she is pregnant. If she says no, do you then send her to X-ray or do you always get...

Because of the liver damage, alcoholics are not able to store glycogen properly, and that is another reason they become hypoglycemic

thisnurse: the concept of probiotic therapy is to increase the colonization of the gut with the good bacteria so that the bad bacteria (such as C-diff) are competively inhibited from growing. If probiotics are used in someone who is prone to C-diff (...

thisnurse: The human colon consists of hundreds of species of bacteria that colonize it, some good and some bad. If the bad ones dominate illness ususally results, and if the good ones dominate they usually keep the bad ones under control. This ...

(Clostridium difficile is a gram-positive, sporulating anaerobic bacillus that typically does not colonize in the gut , Metronidazole and vancomycin are the most common medications used in the United States because they inhibit the growth and toxin p...

Hello students! I have been a nurse for awhile now, and am working on a Master's Degree in nutrition and will become a dietitian next year. I am trying to get a feel for how nutrition is taught in nursing schools these days. I graduated from an ADN p...

Thank you all very much for responding!!!! I really appreciate the time each one of you took to answer my questions! I thought that most BSN schools had a separate nutrition course, but I was not sure of ADN or diploma programs. By the way, are there...

Mario: Last semester I did a research paper on the use of probiotics and prebiotics in the treatment of C-diff infection and ulcerative colitis. Here is a section of that paper. Sentences are referenced, and if you want to know the sources that I ref...

Hello! I am hoping someone would be able to answer these questions I have about ECMO. Thank you in advance! Are newborns put on ususally because they are premature and if so what gestational age do you usually see? If term infants are placed on, is t...

babynurselsa: Thank you very much! I had the impression that premature infants were the ones most likely placed on ECMO because of the lack of lung development, and I did not realize they were at risk for intraventricular hemmorrhage. So it is mostly...

prmenrs: Thank you very much for your help! Your answers were the ones that I was looking for. And thanks for the tip about posting this to the neonatal icu forum, I just posted it there also. Thanks again!!!!!!!

The most weight that you can safely loose in 1 week is 1 1/2 lbs. If you loose any more than this, you are probably loosing muscle mass and water, not fat. A commonly used equation to assess energy expenditure is the Harris-Benedict equation: For a...

Hello everyone! I just started back in the ER, and part of our triage assessment includes doing a nutrition screening. There is a box that we check yes or no, and if we check yes the ER doctor is supposed to follow up by asking the patient more quest...

Thank you for your responses! Our triage sheet is 1/2 page including the boxes to check for domestic violence and nutrition screening. What I have found to work the best is after I triage the patient saying something like: "I am required to ask you 2...

I am considering going back into ER nursing after being out of it for many years. I have a concern about emergency contraception being given out in ERs nowadays, and I have moral and religious objections to this practice. I could in no way participat...

CNSN: Certified Nutrition Support Nurse

Thanks guys for your input! I agree that a nutritional screening is more appropriate on the floor, and it is usually included in the initial assessment/data base. I am guessing that the nutritional screening in the ER must be a state requirement. Any...

Mario: I forgot to mention a few things in my last post. At the bottom of the menu you will see foods listed as "free" (sugar free jello, iceburg lettuce). A free food has less than 20 Calories and less than 5 gm of CHO per serving, and patients usua...

Mario: I am just now looking at your menu you uploaded (by the way how did you do that?) This looks like something right out of my dietetic textbook! What it is saying is that the number of servings from each food list has already been determined for...

Mario: I am not sure if this is what you are looking for, but I can give you a brief overview of what dietitians use when they counsel diabetic patients. The idea of the exchange list is to group similar foods into categories so the diabetic patient ...

Mario: Here is a quick answer to some of your questions: The GI tract is not a totally closed system, it begins in the oral cavity and ends with the anus and has various sphinctor muscles which act like valves intermittantly in the tract. These "valv...

Renee: Thank you for all your help! Jenny P: Thank you for that reference! That is a very informative website regarding how different states view abandonment. Some states are very specific and have much to say while others do not even define patient ...

mattsmom81: Howdy neighbor! Thanks for your input regarding the 3:1 critical staffing. Somebody once said to me that if you do something for someone one time it is a favor, but the remaining times you do it it becomes a job. You give an inch and the...