lifesabeach08

Thanks for your answer, it was very helpful! :) So I guess I was right in thinking it would lower the blood pressure...just not right away. But the BP did go down after each exchange, it just kept going back up again.

Hi, I started work on the renal floor of our hospital not long ago and we frequently do CAPD. I was wandering if anybody has any info on the difference between different PD solutions or knew of a site I could look at on it? I've tried to look it up but haven't found much. Also, I have a question...I had a patient who was getting dialysed with 4.25%, and the order read "Dialyse 4 times a day, dwell time 4 hours" which I realize doesn't add up so we had to call to clarify...but the patient's blood pressure had been high (it went down after each exchange but would go back up again) and another nurse who has been doing this a while said it was no wonder the patient's blood pressure was out of wack cause he had been getting dialysed with 4.25% solutions, a "high concentration", so often. But I noted that after each exchange the patient pulled off AT LEAST 800ml and thought that losing that much fluid each time would make the BP go down rather than out of wack? I asked the other nurse but he said no, that it had more to do with the concentration of the solution than that. So I'm confused. Any info on this would be greatly appreciated.

I've been wondering the same. The sign just says for the patient to wear a surgical mask, in bold letters and everything, and I just thought that if it didn't matter it would say surgical mask or N95 mask. Maybe it doesn't suggest the N95 mask because they are too expensive???

Quick question on TB masks... On the isolation signs we place on patient's doors for respiratory precautions, it says that if a patient has TB then visitors and healthcare workers are supposed to wear the N95 mask BUT it says if the patient is tranported out of the room then the patient is supposed to wear a regular surgical mask. So...if a N95 mask is placed on the patient instead of a surgical mask will it still keep the germs inside the mask? Or is it a case where germs can go out of the mask but can't come inside it? I ask because none of the nurses on my unit really seem to know yet, even though the sign says for the patient to wear a surgical mask, some think the N95 masks create a better seal so they put those on the patient instead.

Thanks for the input everyone. It's a tough decision to make. But if it is only 9 months of commuting then that's way better than 27 months and I think it would be worth a try one day...thanks!

I'm also new to this and this is my first time putting money away as well. 1. I contribute 10% although he told me that this was a large amount compared to how much others contribute (but he said since I'm young I should be a very happy lady by retirement...) 2. My employer contributes .30 cents for every dollar after I have worked there 1,000 hours 3. As of right now, this 401k is my only source of investment, but I may invest in something else later. 4. I was able to pick the stocks I invested in, however, trying to learn about stocks makes my head hurt so he helped me out alot. 5. My ideal age of retirement would be at about 60. Hope this helps.

OK, I'm a new graduate and I'm still orientating with a nurse. Well, the patient we were taking care of was on kayexalate and D5 1/2 NS. When transport came to take the patient to a procedure they asked whether she could be disconnected from the fluids or not, so I disconnected her, thinking she had not been hypoglycemic or anything and there was really no reason why she couldn't be taken off the fluid for an hour or two...right? Well the nurse told me the Dr. prescribed the fluid in order to keep the patient from bottoming out from the kayexalate and I shouldn't have taken her off. Now, I've heard of giving an amp of D5 with insulin to lower potassium levels but never have I heard anything about D5 and kayexalate together. Does anybody else know why D5 1/2 NS and kayexalate would be ordered together? I've mustered up all the critical thinking skills I possibly could and I'm still at a loss.

Hello everyone! I've been considering going to CRNA school and have a question... The closest school to where I live now is about 2 hours away. The problem is that I'm about to get married and my future husband has a good job here and he probably would not be able to get as good of a job if we moved. He said we may be able to work something out with this, but anyway, my question is... Would it be realistic for me to try and commute to CRNA school, which is 2 hours away? I know I would end up probably getting a hotel there often, but even then, is it realistic? What are the demands of school? Is it 5 days a week usually or just twice a week? What are clinical schedules usually like? Btw, I'm thinking of going to UAB, so if anybody has gone there any input would be helpful!

Im currently a nursing student in my last semester at a school in Alabama and we've always been taught to aspirate. Also, although I havent been giving meds for very long I once aspirated when giving a vaccine IM and got blood return...so it would have been given IV had I not aspirated. I know its rare, but it does happen. Maybe its just me, but aspirating only takes about a half a second, so I'd just do it and feel better knowing im preventing any complications.