wsustudent

consult your staff pharmacist. they are a great resource. compatibilities are part of their speciality. use your resources as you are the last line of defense. there are no "emergency" meds that cannot be mixed with NS. take your time and make the call. pharmacists love to talk meds.

NEVER flush an occluded iv. you can dislodge the clot and cause serious complications. chris

i does not hurt to leave the infiltrated iv in. it is actually a good idea if you are not sure if the medication that is being given through the line may cause extravasation. you may need to give a neutralizing medication under the skin to prevent severe damage. this especially true with chemotherapy and other vesicants. if the line is only normal saline get it out and get a warm compress on it. if it is a vinca alkaloid give the appropriate neutralizer and get a warm compress on it. if it is alkylating agent or antibiotic vesicant give the appropriate nuetralizer and get a cold compress on it. each institution has it own policy but research has shown the above to be the most effective way of dealing with this matter chris

I had a pt that was schizophrenic and acting out violently who I need to do a care plan on. I wanted to use risk for violence others directed but my instructor said that the pt's aggravation factors were more important because it is pt centered leaning towards Maslow's ideas. I cannot decide what to do with this. I see that Disturbed thought processes kind of fits this but I just can't seem to grasp what other diagnosis might work. Any suggestions? This is really frustrating because I have not had any psy in lecture yet since this is my first semester. This pt was your text book (from what I had to read on my own) schizophrenic that was off her medications and VERY non-compliant. thanks to all that may be able to help.

it is getting more clear with practice.... thank you

that was excellent. you made it very structured and clear. i am sure i will have many more questions and i am glad to have people like you and the rest of the allnurses community on my side. you cleared up alot of the jargon that the reference/text materials use. thank you. thank you. thank you.

Is there anything wrong with these NDs? Activity Intolerance related to shortness of breath as displayed while performing ADL’s. Deficient Knowledge related to inability to understand accents of foreign doctors as expressed by patient. Risk for Infection related to lung tissue damage and steroid use. I keep dealing with using the medical diagnosis in the wrong way... this is BRAND NEW to me... thank you in advance:uhoh3:

thank you. i will try that one. Ineffective Airway Clearance related to congested cough secondary to COPD exacerbation. Does that sound correct?

Well I guess there really is a first time for everything. I have to write my first Nursing Diagnosis (actually 3 of them) from the info I gathered on my clinical pt. I have seven years of hospital experience- Ortho, MICU, Onc, EC. I am so use to medical diagnosis and the process of testing to arrive at those that I am having a very difficult time shifting my thinking to a NURSING diagnosis. It is not making sense to me. The more I read the more confused I get. This includes the two Nursing Diagnosis books I bought. Can someone give me an example of a senario with s/s and a complete nursing diagnosis? My pt was in for COPD exacerbation/ emphysema. She has all the textbook signs- ie wheezing, slight crackles, diminished lung sounds, clubbing, pursed breathing, HTN during crisis.... you get it.... the whole boat. She is from the inner city with "inner city" problems... low income etc. She fits Activity Intolerance, Deficient Knowledge, and Risk for Infection (on home O2, steroids, congested nonproductive cough.) I just don't get it. I know I can make this shift I just need to see some examples. I hope someone can help me out before I start to either get aggitated or just give up. Neither of those is that much fun. I will glady take ANY examples. Thank you to everyone in advance. wsustudent- detroit, mi:uhoh3: