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liverluv

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All Content by liverluv

  1. Looking to get business cards made. What credentials am I supposed to include? I'm KY, so we are APRN and I'm FNP-C with a MSN. Any insight is appreciated! Also, what do you suggest to put on my lab coat?
  2. That's great you did so well! We are taking ours next week...any pointers, things to focus on...?
  3. I wanted to say thank you so much for your help. You have no idea how grateful I am! I noticed you help out a lot of other students in need and I think it's great--it is all very informative, but still understandable! Thank you again--you are very much appreciated!! :)
  4. wow! thanks so much for your help! a few more questions if you don't mind...how do these sound... nursing diagnoses ***in priority order*** 1. decreased cardiac output r/t cardiac arrhythmias aeb atrial fibrillation on ekg does ineffective breathing take priority over decreased co (referring to abcs)? 2. ineffective breathing pattern r/t acute chest pain aeb dyspnea is it ok to say r/t acute chest pain even though her pain has gone away? 3. acute chest pain r/t myocardial ischemia and coronary spasm aeb substernal, aching, level 5 pain what could show proof of myocardial ischemia? is the pain enough evidence to show that? 4. activity intolerance r/t imbalance between o2 supply and demand aeb verbal report of fatigue and weakness 5. deficient knowledge: performance of icd r/t lack of information aeb verbalized knowledge deficit do you think i should kick one of the diagnoses out and use powerlessness r/t chronic weakening illness aeb expression of having no control over situation or outcome
  5. I need some serious help!!! I've been working on my diagnosis for my process paper and am still struggling. My patient was admitted b/c her ICD was continually firing, she was experiencing SOB and angina unrelieved by nitro. The thing is, when I assessed her, she was going to be dc'd later that day, so her symptoms had all subsided. Her EKG showed a-fib w/ sinus bradycardia when I checked it. (Her PMD includes CHF, atherosclerosis, HTN, V-tach, A-fib, Dilated Cardiomyopathy, MI, Pulmonary Edema, amongst several others; her medical diagnosis was arrhythmias) This is what I have right now: NURSING DIAGNOSES ***In priority order*** 1. Decreased Cardiac Output r/t Cardiac Arrhythmias AEB Atrial Fibrillation on EKG 2. Ineffective Breathing pattern r/t Acute Chest Pain AEB Dyspnea 3. Acute Chest Pain r/t Atherosclerosis and Coronary Spasm AEB Substernal, Aching, Level 5 Pain 4. Activity Intolerance r/t Imbalance Between O2 Supply and Demand AEB Verbal Report of Fatigue and Weakness 5. Deficient Knowledge: Performance of ICD r/t Lack of Information AEB Verbalized Knowledge Deficit Do I still keep all of the diagnoses even though she was not currently experiencing the symptoms? If so, does ineffective breathing pattern take priority over decreased cardiac output (bc of ABC's)? I also came up with Powerlessness r/t CHF AEB expression of having no control over situation or outcome also, but she came in b/c her ICD was excessively firing---not b/c of CHF--CHF is in her hx. though. Should I get rid of the ineffective breathing and acute chest pain b/c she was not experiencing either when I assessed her? Super confused and need some much appreciated help!! Any suggestions?

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