flyingbaby

RNfromus, please check your PM, I PM you Thanks!

you may try to talk to her, I hope she will help you out. http://www.nurseme2knowledge.com/ I know her well, she is wonderful. tell her "sami" said so !

you may try to talk to her [

I see, thank you mlok I will try to be more active:typing

Hi, Tclema Would you please take a look at my resume? I tried very hard to find a hospital job, but only had two hospital interview so far. I am wondering if my resume blocked the door. I log into my account and then click contact, and see you are online, but PM user is not working. Is it possible that I can get contact with you via email? Thanks!

-----------------------------cancer http://www.cancer.org/downloads/stt/500809web.pdf go to website to get more info----------- meds: ---mab for cancer: bevacizumab (avastin) blocks the growth of blood vessels to the tumor and cetuximab (erbitux) and panitumumab (vectibix) both block the effects of hormone-like factors that promote cancer cell growth. lung---no.1 killer among cancer small cell or non-small cell and stage of cancer ; surgery, radiation therapy, chemotherapy, and targeted biological therapies such as bevacizumab (avastin) and erlotinib (tarceva). --mab again: for lymphoma; monoclonal antibodies, such as rituximab (rituxan) and alemtuzumab (campath), directed at lymphoma cells are used for initial treatment and recurrence of some types of non-hodgkin lymphoma, as are antibodies linked to a radioactive atom, such as ibritumomab tiuxetan (zevalin) and iodine i 131 tositumomab (bexxar). ----"have baby" and "use oral contraceptives " both decrease risk for ovarian cancer. ( i do not know that before, then i should try first). age is the big risk for ovarian cancer. then i want to be young forever!!!!!!!! -----prostate cancer most frequently diagnosed cancer in men. reasons unclear second-leading cause of cancer death in men. chemoprevention: finasteride and dutasteride

nclex tips assess first( check the question to see if the assessment has been done) take care of the patient first, the machines and documentation later always choose the most complete answer with the least opportunity for error in priority question, look for acute and unstable pt to see first always remember your abcs maslow's will usually work and pain is seen as a psychosocial need---not a physical need incident or occurrence reports--never refer to them in the pt's chart should complete for any time there is a variance from what should have happened with pt care should not include blame or anything but just the facts when charting, do not use the words, " error, mistake, accident or incorrect." errors in charting are corrected by making one simple line through the words if a rn comes from another unit, give that rn a pt who does not need to have a rn from specific unite care for him/her. ex. --post op mastectomy needs an onco nurse to take with. delegation--if you are assigning pt care to lpn/na, rank order the pt as to the ones who have the least acute problems/changes to the most anytime a question comes up about a procedure or diagnostic test, consider the possible complications vital signs are a late signa of pt status change rales=chf rhonchi=pneumonia wheezes=asthma hemoptysis=lung cancer or tb pleural pain=pssible pe intercostal retractions=respiratory distress role play the situation read the question and answers out loud safety for the pt is always first, then the family, then the nurse never isolate a pt with alzheimer's disease any time a pt has traction applied or a broken bone, consider: circulation movement sensation compartment syndrome skin integrity restlessness is often the first sign of hypoxia if you chose an answer withthe word, why or check in it, make sure it is truly the best answer. rarely is the right answer to call the physician--don't pass the responsibility psychiatric pt: --for someone with psychosis--acknoledge the hallucination or delusion and then realityorientation --for someone with dementia--change the subject, divert the attention medications to know: antipsychotics--haldol, thorazine, zyprexa, geodon\ antidepressants--tricyclics--typically sedating so take at bedtime, cause otthostasis, dry mouth, very dangerous with od. need to wean off. mao-i---low tyramine diet, if they eat something high tyramine--hypertensive crisis interact with a lot of other meds, can have hypertensive crisis with other meds need to be off other antidepressants for at least 2 wks before starting. ssri--can treat anxiety to. typically take in the morning because they are more likely to be stimulating. can cause diarrhea. need to wean off.serotonin serge. anti-mania--lithium--need to have levels drawn, tend to get increased level if sweating, vomiting. know the s/s of toxicity. know normal li levels( 0.6-1.2) anti-seizure family( depakote, tegretol, lamictal, trileptal, etc) most can lead to liver failure. should have levels of depakote/tegretol done at intervals. anti-anxiety-benzodiazepines----addictive and lead to seizures during withdrawl. very dangerous if combined with alcohol. sedating except may have paradoxical reaction in the elderly safety is always first priority if someone is losing control of her/his behavior. --must try all other interventions before using restraints/seclusion someone must stay within arms's reach of the pt if they are restraints need to release one restraint or do prom every 15 min. restraint to orders need to be specific and cannot be prn and only good for 24hrs. chemical restraints count as restraints the pt with depression needs to increase interaction. the pt with psychosis typically is very concrete in thinkgs and it not going to be able to process groups, etc well pt with addictive disorders use the denail as their primary coping mechanism manic phase pts need finger foods or calories as they burn a lot being busy suicidal pts --look for any phrase that implies helplessness, hopelessness, worthlessness post op eye surgery--don't bend at the waist, avoid straining if someone has an object that has penetrated his/her body, leave it there until it is assessed as safe to remove.

Before start INH for TB, usually a baseline live function test is recommended. TB skin positive, normal 10mm, if HIV, 5mm is positive

Hi, there I am planning to apply a RN-BSN program, and curious about Barnes-Jewish's RN-BSN program. If you applied to the program, been through the program or have any info about that program, I would really appreciate your input. Thanks a lot!

I just get out from my clinic day. My guy is going to be discharged tomorrow and I did all assessment on him. BTW, I totally agree with you that your diagnosis going with your assessment. But I still feel I do not get those knowelage to make these two match well. His foot ulcer is progressive well which is what he told me since i can not open his dressing to see. It is said the same as the notes from another nurses. He has no pain. He is on 800 Cal diet. He lost 30 LB during about 1 month hospitalization. On his right foot, the poplite pulse was absent. The tem of his right foot. is lower than his left foot which has a wound dressing on. His heart and lung sounds are clear. His BP is 98/58, pluse is 74. The doctor stop his antibiotic 2 days ago. Glucose 147. I am thinking to go with teaching since he is going to be discharged tomorrow. I do talked about how important for him to manager his diet to take care his glucose level. His wife came and told me she wants to buy a BP cuff so I am thinking he really need to know more about how to manage his health problem. I know they are trying. He also states: I know it been taken care much more here than by myself at home. ( Sorry, I am not sure i am sounds right, I am seconde language speaker). Do you think it is make sense to you to have diagnosis with "teaching"? Thanks again!

I am on my first semester of nursing school, my pt is on antibiotics and glucoma meds(right eye legally blindness, and hydrochlorothiazide for chronic kidney disease. His main problem is Diabetic foot unlcer with mycosis, canllus, metartarsalgia and cyst infected on the back. I have not found the possible Nursing Diagnosis for him, and which make me upset.

how about if you patient is on antibiotics, can i still go my Nursing diagnosis with rish for infection?