cminmd

cminmd

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  1. Tomorrow I have a patient who is on telemetry. This will be my first patient on a cardiac monitor and I was wondering what I need to know. They use a 5 lead system and I think I will have to replace...
  2. I was at an OB clinical rotation watching colposcopy procedures. What is the name of the thick golden brown liquid (begins with M) that the physician put on the biopsy site with a cotton swab to stop...
  3. That's it! Thanks so much and that is a terrific
  4. I think it was something like mosselles? She said it was used to stop the bleeding- does Mercurochrome or benzoin do that? I thought they were just to kill bacteria? It definitely had a strong...
  5. We are just starting our section on ostomies, but I have seen several in clinical settings. I have so many questions. First- why does a urinary diversion not drain out continually, but a fecal...
  6. No worries, Mate! I have Lewis as well, but maybe they consider that information more "diagnosis" and out of our sphere of practice, but it seems like that is the type of questions patients would ask...
  7. Not to be judgemental, but if you can build a pouch for urine that doesn't leak, why can't you build a pouch for feces that doesn't leak? Just by the viscosity of the two samples you would think that...
  8. Blood transfusion question

    This is what makes me nervous. At our school we are taught that you 1. Must always use Y tubing with normal saline. 2. You have 30 minutes to start a transfusion (not 15) 3. that the blood should...
  9. I have a pt with end stage liver and kidney failure. During the week they changed his treatment plan to that of comfort measures only. They pulled the NG Tube, stopped all meds other than for pain...
  10. Can "dying" be an abnormal "assessment? I am really confused because when he reviewed my concept map he made it sound like comfort care/ hospice was an actual ND. So I went home with my NANDA and...
  11. Being a student with today's economy

    I don't get how you go to nursing school online? If you just get your prereqs then have to transfer you might as well go to your closest cheapest community college. How do you take clinicals? This...
  12. Can I put risk of aspiration? The patient was given an NG Tube for feeding because he was at risk for aspiration. Can I put that he is at risk for aspiration due to mechanical irritation of...
  13. What ND's relate to NG Tubes?

    The patient is in end stage liver disease, renal failure, hepatic encephalopathy, anemia, jaundice, hepatic portal hypertension causing E + G Varices all due to cirrhosis/ Chronic Hep C. He has SO...
  14. Color Code for All

    As a newbie I appreciate the color system. I always feel like a perv trying to read nametags! I don't see the point of only nurses wearing a color. The only hospital I have clinic-ed at had...
  15. Hi Super Nurses, My fellow students and I try to help each other with evaluating our ND's and patho each week, but we miss a lot because...well, because none of us know what we are REALLY doing! How...
  16. Does Maslow have sub-levels? In our school they teach us the Hierarchy of Needs, but it seems very general. Physiological, Safety, love Self esteem, self actualization- we never went into what goes...
  17. wow!! You should be a professor! Or a tutor!! Since I can't send you real brownies, I will just say THANK
  18. How do I teach a comatose patient? This is a care plan for an assignment, not something I will actually do with a patient. In "the real world" I would not have the artificial requirement of one...
  19. I have a patient that has hepatic hypertension causing E/G varices, hepatic encephalopathy, protuberant ascites with fluid wave and + 1 edema in his hands and feet. What can I do for a pt teaching...
  20. Hi! I am a fellow nursing student - so take my advice with a grain of salt!!! I also have a patient with GI Bleeding, but his is due to e/g varices. I am doing my nursing diagnosis on the symptoms...
  21. Thank you so much!! You are right. I need to drop down anxiety because physical needs come
  22. acute pain related to surgical incision, drains and prolific abdominal infection with multiple abscesses as evidenced by patient's report of pain as 6/10, clenched teeth upon movement, grimacing and...