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 if gravity has anything to do with it?
  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 mls? But the pump still knows not to suck out 5mls...
  3. failed clincials...done for the semester (long post)

    In Ped's I forgot to unclamp my piggyback 2 times in a row, I did everything else perfect. "Are you forgetting something?" I just looked and got it, but did it again. Then, on the third piggyback for my patient in one day I go to unclamp it and ma...
  4. I have no idea what to write as a patho for a Stab Wound??? There are a couple of complications such as a perforated intestine causing him to have a colostomy bag and one absess. Is there a patho for a stab wound????
  5. Help!! Patho for a Multiple Stab Victim

    I swear my instructor said, "Everything has a patho" after 6 hours of google-ing I found a site that had the patho of a stab wound and the patho of the healing process. Otherwise,I would have copied and pasted and sourced you. Thank you for answeri...
  6. 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 time.... That was Interrupted Family Process. It i...
  7. care plan need to personalize

    If you talk to the patient you can usually find some sort of Ineffective Coping. That's pretty personalized.
  8. 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.
  9. 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 diagnosis. It may be there tomorrow morning, but I thin...
  10. 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 x 835 is 29mg. but what about the q 6 versus q 1...
  11. 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 so use to showing there gentials I don't think they...
  12. 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 the highest grade in the class and barely showed ...
  13. 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 during Physical Assessment. I like Deficient Diversio...
  14. 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...
  15. First test in nursing school and I'm bummed

    I use to get freaked out about my grade and kill myself studying. I have never failed a test and I probably never will. It took me over a year of nursing school to get over it. My Process II class, nobody made a B. I am over it and the college I ...
  16. rationale problem

    When you get down to two answers, reread the question. What is the question really asking you. Underline words like always, never, best, first. I have thought I have bombed test and have done well because I have learned to be a good test taker. P...
  17. fluids and electrolytes

    Ditto! Fluids and Electrolytes Made Incredible Easy. It has cartoon like pictures that I can still see in my head.
  18. 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 choice for short term goal. He stayed in his crib all...
  19. 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 for her drugs.
  20. Do you think grades are universal?

    GPA is a GPA.
  21. 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 4.
  22. 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 confident. You can do this!!
  23. 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 plebe anyway. I do not believe she was on this drug a...
  24. Nephrotic syndrome Help!

    Why are they are risk for infection? And any other help you can offer on the subject!!! Other diagnosis?
  25. 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 still didn't have a good reason for giving the Cel...