kikoricco

Hi, so there is a big need for LPNs around the Hilo area? does that go for RNs too? Also do you know of affordable land around Hilo (thinking a couple of acres)? Thanks ahead for any info. Kiko

Hello everybody, this is for my first teaching plan but Im not sure were to start. Would apreciate some insight into this one. My patient was alert but non verbal, admitted due to altered mental status rule out CVA but the primary diagnosis was uncontrolled DM. He has history of DM, CHF, A-fib, Aortic stenosis. He is very weak, cannot even feed himself (has NGT) or bathe himself. Now, does the uncontrolled DM dx imply that he wasnt taking his insulin? also at the hospital the medex was handwritten and I didnt see (or possibly missed it) insulin on there. Is there anytime a pt with DM wouldnt be on a sliding scale of insulin? The only med I tried to copy (it was badly scribled) that I couldt find in my drug book was Imden 30mg PO daily (now im pretty sure that cant be insulin because it isnt administered PO). What is this? can I do a teaching plan revolving around the Dx Risk for unstable glucose. What about the fact that my patient is very weak and non verbal? Thanks for any comments

Thank you for your reply, I have a clearer picture of the dumping syndrome now. What still confuses me is when it is said that eating a diet high in sodium can cause Fluid retention. This says a totally opposite thing! I know there must be some A&P to explain that.

How is it that a hypertonic tube feeding can cause dumping syndrome and diarrhea due to pulling of fluid from the body into the Gi tract, and also osmotic laxatives work that way too. But then they say consuming too much sodium can cause fluid retention. So in what situation does an ingested hypertonic solution cause excess fluid to be retained in the body or fluid to be taken from the body into the GI tract? sorry for the grammar, I am too lazy to correct it.

Thank you all for your responses, Of course I am planning to work for a few years first before doing this. If I manage to save 200k, that could buy several houses, some land, and support me and a future family for several decades in my fathers country giving more than enough time to volunteer and figure out somekind of business that would be beneficial to me, to others and the land. Not to sound like nursing is just a quick money scheme for me, I truly do care for the health and wellbeing of others but I feel there are other ways that I can have an impact like supporting initiatives and business that are a winwin situation for all. While I could possibly do this by securing a good job here and just sending money, I really can't see myself spending my whole life in a hospital (like my father) though I greatly appreciate the people who do. The way I see the world is that the leading factor in sickness is food. The rich's number one killer is cardiovascular disease, and the poor certainly suffer much from malnutrition and bad water. Add to that that the way food is produced makes it one of the leading factors affecting the environment which comes back and affects the people. I have come to see the production of food as the most exciting and important thing that effects us not only individually but also globally and because of this I want to be more involved in it. What do you think?

Hi, I am a nursing student and was wondering if anyone has experience with finding an agreement with their employer to work only three months out of the year. My idea is to spend the rest of the year in my fathers country in south america using the money to live simply and peacefully (minumum wage there is about 70$ a month) and seeing what I can do with my money to benefit people over there. When I was an EMT I talked briefly with a lady who was doing this in Africa. Any comments or suggestions? Thank you.