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DN08

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  1. yes i have read my book on this. I was hoping for new research that has been conducted within the past year or two... New advances in treatment would be best.
  2. I am researching of Schizophrenia and I am looking for the most up to date research findings on any and all aspects of patients with schizophrenia. I would google it but I want to get it from a reputable source. Thanks in advance!
  3. DN08 replied to DN08's topic in Pediatric
    Thanks! So how long after an RSV infection would it take for the lab values to return to normal? That is, If he ever fully recovered??? Any thoughts on the potassium and creatinine?
  4. DN08 posted a topic in Pediatric
    So I had this patient this past week... In for wheezing, 3 months old, no infection, and No other Dx was made. But abnormal labs are as follows: Hgb: 8.6 (L) Hct: 26.0 (L) MCV: 72.1 (L) MCH: 23.9 (L) RDW: 17.6 (L) Plt: 469 (H) So obviously there is some microcytic anemia going on... My question is, Is there any way these labs could be related to the respiratory issues? and how? I have some thoughts on it, but not sure if my rashionals are valid. ALso, you should know the newborn only consumes Gentlease (which is iron fortified), so the anamia shouldn't be diet related. Also, My pt had RSV a month ago. Now the creatinine is low and potassium is high... RSV related? FYI, This is not part of my homework, Im just trying to peice it all together in my head. THANKS!!!!!!
  5. DN08 posted a topic in Pediatric
    Hey all! Im doing a teaching plan on "What infants can do" and was wondering if there was something that is taught to parents about oral care who are taking home their new baby. Ive never had a child myself so I'm not sure if there is anything to be done to an infants mouth until, of course, they have teeth.... Is there anything else that any of you can tell me that is very important for new or just undereducated parents to know in taking care for their baby, any help is appreciated. Exspecially if it is something that you have seen parents do wrong. Thanks in advance.
  6. Thanks! that was exactly what I needed... my teacher stressed that Crohns has non-bloody diarrhea and Ulcerative colitis does have blood. But I would think that since Crohns can be full thickness that would cause the bloody diarrhea. Any thoughts on this? Are these two the ONLY types of Inflammatory Bowel Diseases?
  7. Could someone explain to me Crohns and ulcerative colitis? I keep seeing ppl compare them also. What are the similarites and differences. Thanks bunches!
  8. Hey guys! I have a presentation to do tomorrow, ON Cpap machines.... Is there anything imporatant you can tell me about them? exspecially in concern with hospitalized pts and the nurses role in their care... I know the jist of it, my mom has one. But I dont want to miss anything. Plus I haven't seen a Cpap machine in the hospital yet so there isn't many resources for me in that aspect. Maybe with new CPAP pts you monitor their O2 sat? idk? Concern with skin integrity? exspecially with long term use? How often do you need to clean them? Any concerns with humidity? Can the mask be hooked up to oxygen? What is really the difference between a cpap and just a nasal canula hooked up to air or oxygen... anything? does a nasal canula provide postive pressue? Thanks, i know thats alot but the questions kept pooring out, :) Thanks in advance...
  9. I know this thread was from years ago, BUT! I had the same question, all of my pts were on protonix and I wasn't quite sure why. I acutally asked one of my pts that were on it and she said... the doctor told her that it was to reduce the likelyhood of her getting an infection. which could also go hand and hand with gastric ulcers. Had to add my2 cents
  10. Im working on my documentation, and im having a brain block! What is the proper way to document wound care... It is for a peg tube dressing with no bleeding or drainage. The stapled incision along side the PEG had minimal bloody drainage dried onto the telfa pad, no currect drainage at time of care. And minimal redness around PEG, none at staples. Telfa pad replaced to staples and 4x4s used around peg.. all taped. CLEANED with normal saline Thanks in advace!
  11. I have a pt rite now that has a PEG, is it necessary for them to get a x-ray every day? My pt doesnt but i thought they were recomended to, but of course I may just be getting this confused with a NG tube... *still a student. AND have you seen the feeding infusions that you can set to do a flush, basically with y tubing. I was told not to flush the peg after giving medicine because the machine would automatically do it? any thoughts?
  12. DN08 replied to DN08's topic in General Students
    That is awesome help! thank you! Can you explain the anemia, because I thought the same thing from looking at his labs I would say pernicious anemia because of the low RBC and high MCV... Is there anything else I should be aware of or monitor for with possible anemia? Im so excited now! I feel like im understanding the connections!
  13. DN08 replied to DN08's topic in General Students
    Not on pallative care or hospice... this isn't the floor for that. I think that is a big reason for my confusion because I thought the same with the pt not being ordered chemo or radiation. Even then, it isn't routinely done on the floor. Thank you both for the input... hopefully something else comes up tomorrow. Also, the pt had the PEG and Trach done after admission. Was admitted from the ER with persistent cough and trouble swallowing... This is a Charity hospital so maybe ER visit was a last resort. As far as nursing Dx Pain Risk for infection Adequate nutrition Impaired physical mobility Self care deficit Confusion (From pain meds) Any comments???
  14. HEY GUYS! I need some help!!!! Im a student nurse and i haven't had any experience with cancer pt. and today I received a pt who Dx is Epiglottis CA SCCA stage 4. Pt has a trach, PEG tube, and foley. I am just a little confused because this pt has been in the hospital for 5 days and has yet to receive a biopsy or any cancer Tx. Just pain and NV meds. Am I missing something here? If this helps at all LABS: high WBC, MCV, MCH, RDW, neutrophils, Calcium low RBC, lymphs. No other tests were done Can you tell me everything you know about epiglottis CA, apparently it isn't common.... Hopefully someone out there has seen this Along with nursing interventions and key problems to address.... ANY help is greatly appreciated!
  15. DN08 posted a topic in General Students
    HEY GUYS! I need some help!!!! I have yet to take care of a cancer pt and I just received a pt today who Dx is Epiglottis CA SCCA stage 4. Pt has a trach, PEG tube, and foley. I am just a little confused because this pt has been in the hospital for 5 days and has yet to receive a biopsy or any cancer Tx. Just pain and NV meds. Am I missing something here? If this helps at all LABS: high WBC, MCV, MCH, RDW, neutrophils, Calcium low RBC, lymphs. No labs have been done besides CBC and chemistry Can you tell me everything you know about epiglottis CA, apparently it is rare.... Along with nursing interventions and key problems to address.... ANY help is greatly appreciated!

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