kimber1985

Ok, so to keep a line primed, I suck the air out of it and put in 45 mls? I am confused. You are saying that sucking the air out makes a vaccuum that will keep the pump from pushing out the last 5 mls? But the pump still knows not to suck out 5mls? Most of the time when I hang an ongoing piggyback the line is still primed and I just stab it. Quick easy no fuss or muss. Otherwise you are repriming and getting air bubbles out and losing med anyway. I've only back primed once with a nurse, but not sure I could do it alone. I think you just lower the line and let the primary fluid run in?

You are hanging an IVPB 50 mls You lower the Primary. You only punch in 45 mls to keep the line primed. How does the Baxter pump stop pumping the IVPB with 5mls left over and convert to the primary if gravity has anything to do with it?

Ineffective coping Disturbed Body image In OB I would make up my own Dx and we were suppose to, because the book (Cox) is not directed at OB. I had a pt whose significant other was in prison at the time.... That was Interrupted Family Process. It is still from the book, but not often used. Since birth is a normal life process and not a disease it is hard to come up with useful Dx, go with psychosocial. Even a C-sect is a Distrubed Birth Process. Sleep Deprivation from nursing the baby and being awake for hours of labor. Maybe you could use Exhaustion. You said she doesn't speak English....does she have Health Care??? You could use that.

Are doctors quick to diagnosis pneumonia without data. My asthma patient has had cold like symptoms for a week and is diagnosed with pneumonia. But I did not see a chest x-ray or a culture to diagnosis. It may be there tomorrow morning, but I think I have seen this before. Labs were Reactive protein high and Influenza A and B not dectected. On Zithromax

100lbs sounds good to me, but I am seeing in peds rotation a 83lb getting adult doses. I have Solumedrol 25 mgs for a 34.8kg 10 year old, q 6 does - that sound high? Book says 835mcg/kg q 12-24 34.8 x 835 is 29mg. but what about the q 6 versus q 12-24.

I am in Peds and my 15 and 17 yo are on adult meds....is there some common age or weight in which a child is medicated like an adult.

I felt intimidated by OB, because I am a female who never had kids. I've had an equal amount of gyns that where male and female and it never bothered me what sex they were. Most of these women are so use to showing there gentials I don't think they care. My first patient asked me if I wanted to cut the cord? Her husband wasn't present and he was in jail and we developed a good relationship during her hours of labor. Maybe a male figure would have been comforting to her. I think it could go either way. Just get what you can out of it and be professional.

Blow off class and spend the three useless hours of lecture reading the material. I had this sort of class and this sort of instructor. I don't need anyone to read my power point notes to me. I had the highest grade in the class and barely showed up. Most of the class failed. You would think that the goal was to teach the material and get a high percentage of passing students. Some instructors, particularly in the beginning think their job is to criticize and weed out. Suck it up and read the entire book. But I would also complain, and don't be surprised when nothing happens. Perry and Potter, read the boxes, as they summerize well. Good Luck and look at it as challenge, like climbing Everest. In fact thay might be easier than nursing school.

Thank You, you have me on the right track. His mental age is minimal but hard to really determine, since he doesn't speak, but will be helpful when changing his diaper or he may squeeze my hand during Physical Assessment. I like Deficient Diversional Activity. I think I am going to go with that one. Thanks again.

I've know people cerebral palsey and he doesn't have down syndrome. It is really just the severity that stumps me. The hospital wasn't addressing any Physical Therapy issues, which would be my choice for short term goal. He stayed in his crib all day, and I thought he should get some kind of stimulation, but this wasn't the case. All the other kids get to go to the play room or watch videos or play video games. There was nothing implemented for this child in terms of child life activities or therapy of any kind. That makes it hard for me to come up with a short term goal, as none appeared to exist. He only weighed 80 lbs, which I am sure is due to lack of muscle tissue not necessarily nutrition or knowledge deficet on the part of the mother. I can't come up with a way to improve his growth. We are going to a school for developmently delayed children in a couple of weeks, and I am sure I will get insight then, but the careplan is due now. Researching CP or MR is not helping me with this particular child. It's the combination and lack of experience that makes me ask the question, not laziness. It's not like I am finding anything that gives specific examples of how to improve gross and fine motor skills with a child like this. I am not an occupational therapist. I am looking for realistic nursing goals for improving the psychosocial development of this child while he is in my care.

I am doing a care plan on an MR, CP with a possible partial bowel obstruction, with a G-tube, age 15. Bowel ostruction self resolving. I have Acute Pain and Nutrion Imbalance. But one of the diagnosis has to be pyschosocial. I was going to Delayed Growth and Development. But I am having a hard time coming up with realistic goals. 1 short term 1 long term. He is like a big baby..... had to change his diapers, does not speak. He does go to school, I don't know what he does there? Anyone with this experience, who can give me some insight as to realistic goals for someone like this? He may have been regressing in the hospital as he was sucking his hand and the IV tubing. Generally a happy kid, very amiable and cooperative, obviously well taken care of. Suggest another diagnosis, or give me a goal please.

I am just a student, but certainly Chemo would affect Monocyte levels. What other meds is she on? Antibiotics, Steroids, Immunosurpressents? What is her Dx? Check the drug book on labs to consider for her drugs.

GPA is a GPA.

I always count for 30 secs for a well patient with regular breathing pattern, a full minute if they have any sort of irregular breathing. I just don't feel responsible with 15 X 4.

I've seen instructors like this. Instead of encouraging you they try to break you. Don't let one instructor ruin your dream. You'll get through it if you practice the skills until you are confident. You can do this!!