miss anais

hey, ladies! thank you so much for all your help. the problem that i was looking for was INFILTRATION. i didn't know what it was, but i looked in the book under IV therapy and it listed infiltration with the common problems that the patient had. i figured out what time i had to cange the bag. i think i changed it at 10 or 11 not sure exactly. i wrote it all n a DAR note and i actually got 100% so i wanted to say thank you all for your help! :))

Hey... yeah, just go to borders or barnes and noble and look in the nursing section. there will be some book that has to do with nursing diagnoses. the one i like to use is by the author carpenito-moyet. it gives you the rx, short term goals, long term, interventions and rationale.

also... i was having a big trouble with writing nursing care plans, until i discovered the nursing section in borders! they have a ton of nursing diagnosis books... every NANDA approved nursing rx out there (our school only lets us use NANDA approved ones.) you can look up your stuff from the book and reword it. just be sure to cite a list of references if you get it from the book!

hey sue, thanks for all your help. so for action, i have to figure out what time I have to change the bag and put it in there, right? also, any idea what the patient might have? a bruise or a broken leg, perhaps? not exactly sure. after I do the DAR note, i'll post it here and see if there's anything else i should add. i'll try my best to do it but i'm still confused!!

i'm not really sure. i would let them know, just in case. it will be hard to attend your classes when you are 8 months pregnant, no? i don't think they can force you to do anything you don't want to, but i'd tell them, just to give them a heads up. they may be able to work with you. good luck!

yes, i'm a first year, first semester student. sorry if i look like i don't know what i'm doing. i kind of don't when it comes to DAR notes.

i'm not sure... what WILL happen if you add gentamycin?

one patient i saw on my clinicals was allergic to dried mangoes. weird!

Hey, guys. How is everyone doing? Happy early Thanksgiving! So, I'm having a bit of a problem. I need help writing this DAR note. We were given a situation and asked to write a DAR note and what the patient has. I know some of it, but am confused on other parts. Provider's Order IV RL @ 125CC/hr x 3 liters Infusing now: RL @ 125cc/hr via 18 gauge intra-catheter in right wrist IV started: 11/24/08 @ 0300 Time now: 11/24/08 @ 0930 IV site: without pain, pain level 0/10 * Cool to touch * Edema around insertion site approx 10cm in diameter No leakage from insertion site, insertion site blanched Meds: Gentamycin 80mg IVPB due 11/24/08 @ 10:00 So, the data for this would be provider's order, what is infusing now, time started? would this also include the fact that there is an edema around the insertion site, or is this considered response (since it's a response to the medication the pt. is given)? action is changing the IV RL (I haven't figured out what time you have to do this, yet), giving gentamycin at 10:00 response is pt denies pain, 0/10 on a pain scale The patient has edema???? I'm really confused about this.