kimber1985

kimber1985

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All Content by kimber1985

  1. Freaky IV Question

    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...
  2. Freaky IV Question

    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...
  3. Tearing my hair out Postpartum Diagnosis

    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...
  4. 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
  5. pneumonia without data

    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...
  6. When is a child an adult with meds?

    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...
  7. Has anyone here had to do clinicals in OB

    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...
  8. Help I have an Instructor that doesn't teach!

    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...
  9. Cerebral Palsey, Metal Retardation Care Plan

    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...
  10. 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...
  11. Cerebral Palsey, Metal Retardation Care Plan

    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...
  12. decreased monocyte level

    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...
  13. Do you think grades are universal?

    GPA is a
  14. Do you count resps every time you do vitals?

    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
  15. I really, really feel like calling it quits

    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...
  16. Nephrotic syndrome Help!

    No lupus. She does have FSGS, Focal Segmental Glomerular Sclerosis. The doctor was on rounds with about 6 med students and I was too gun shy to interupt, and they always treat me like a complete...
  17. Why are they are risk for infection? And any other help you can offer on the subject!!! Other
  18. Nephrotic syndrome Help!

    Thanks, I sort of bombed in pre-conference this morning, but it was because my instructor didn't think that nephrotic syndrome patients lost immunoglobulin, she was wrong and apoligized later. But I...
  19. Bored in clinical?

    I loved OB. My final day I had 5 patients. 5 Assessments, 5 chartings, 1 admission, not too many meds, d/c a foley, d/c an IV. Also had two babies to take care of, barely came up for air. The only...
  20. Nephrotic syndrome Help!

    Super info! How about why are they on a immunosurpressent (Cellcept) which is prescribed for a kidney transplant she has not had? Does this have to due with the
  21. Nephrotic syndrome Help!

    Yes, I just don't understand the patho of the risk for infection. "Humoral and cellular immune responses are altered in nephrotic syndrome and .....infection is an important cause of morbidity and...
  22. Head to toe assessment in 5 minutes?

    As a student, I think I will appreciate listening in 5 places when I actually encounter a murmur. I think in the beginning you feel like "I have no idea what I am doing or looking for". I just had a...
  23. Head to toe assessment in 5 minutes?

    Thank you for the excellent
  24. Head to toe assessment in 5 minutes?

    There are alot of things, as a student, that I don't like about physical assessment. 1. why am I listening to the heart in 5 places? Am I not a cardiologist 2. why am I listening to the lungs up...
  25. fellow nursing student needs help

    Med errors will fail you. But, I wouldn't think she would have to check with the doctor on the lab result? The instructor did not fail her, so she will probably make it. These instructors all are...