Petite06

Just curious for you PACU folks out there...Is there usually a standing order for Demerol PRN when they go into the recovery area? If so, what is the dosage on that? Are there other standing orders out there for other meds too? Or do the doctors just write the orders for when they go to the floor? Just curious. I'm going to be having a learning experience there and was researching things in advance. Thanks.

I'm doing a concept map...Came in with Acute MI/CHF/Pneu. Hx of CAD,Prev MI,Prev PUD and PVD. Plus a smoker w/poor nutritional intake...diarrhea, ascites, pleural effusions, bilateral atelectasis and CRF of the L kidney and an excoriated wound. SOme of my nursing diagnoses so far are Impaired Gas Exchange/Oxygenation Fluid Volume Excess Imbalanced Nutrition: Less than body requirements Impaired Skin Integrity Impaired Tissue Integrity or Ineffective Protection (for the PUD) Activity intolerance r/t uremia and anemia What else am I missing? I've been at this a LONG time. Please help!!!! Thanks so much!

I'm trying to find the exact effect on the CO2. I know it decreases from the CRF and has something to do with oxy/venti but I can't quite get there. Can ya help?

Anybody taken this (The Hurst Review) to help them out? I hear it is pretty good but most of the people I know took something in Kaplan. So, I'm trying to decipher if the cost will be worth it. What was your opinion and experience?

I'm trying to interpret something and I think I'm confusing myself. I have to determine if a med was in the safe range for a practice question. It is for Epoetin. Pt weight is 57.8 kg. 100 units/kg 3 times weekly. When I multiply the 100 units against his body weight in kilograms, I get 5,780U. Can units be given in non whole numbers? The patient was prescribed for 6000U. Does this make sense? I think I'm too tired to think anymore for the day. I'm confused. Thanks.

Wow! It's understandable that we need to be real about our choice to be nurses, but the honesty is no holds barred here I guess. At least you are recognizing that this is an issue you want to fix and that is good you are being honest with yourself. So, here's my rec's. First of all, you are not alone. I feel the desire to be a nurse but struggle with personal issues that I am having trouble resolving. I'm in the process of getting help but that is a side issue. Studying is hard for me. Foundation stuff was not solid and I've always had a problem with school/studying and making info retain. Long story... What I've learned is this recently... Print out a calendar *i chose weekly ones* Write out all of your MUST time commitments (i.e. your classes, clinicals etc). It will show you where your true FREE time is. Take a separate paper and write out your exam. The date it is, and plan from there. Identify what is going to be on the exam. Where is the info coming from? Just the text book? Notes? etc. Then, plot what are priorities. Go back to your calendar and fill those blank spots in with what needs to be studied. Only study for 45 minutes every time. Then give yourself a reward afterward that is whatever you want (I use it to put a load of laundry on, read a personal book, do dishes whatever). I set my alarm clock on the phone and that way when I hear the alarm, it's back to work. I get 15 mins off. I am not falling asleep in my books anymore, I am staying focused and not feeling guilty. I don't feel overwhelmed like I was. I just started this but it's giving me hope. We'll see how the test go now that I am trying it. I hope this helps you. Good luck. It's hard but we can do it.

How is this supposed to be monitored? I keep seeing it in my interventions but don't feel I know how to do this... Thanks

I would say that if you have not got in and can continue waiting,to wait. I unexpectedly became preggo going into my second year and it was tough. I had to take time out of school for the last trimester and then we had to move for other reasons. I'm back in a program but it is so hard to meet the obligations of such a program and tend to a young child who is used to being with you. Try to finish and postpone the babies if you can. It is doable but it is so much harder with a kid.

My anxiety was so high today before checkoff, I barely slept last night and it carried me through the morning. I barely could eat. I literally became physically sick to my stomach. I have HORRIBLE test anxiety. But by the grace of God, I did it. I've got so much on me though. I am not good at the patho, don't know my labs (i've been on break for personal reasons and it's been awhile since being in a program...almost two years) and know I'm going to have to swim hard this semester. Good luck to you.

I'm a new student nurse and feeling the pain of no income.As a result, my diet is absolutely awful since I buy what will keep my tummy full (I have a man's appetite usually).I have 70-80 pds to lose but can no longer run like I used to....what do ya'll recommend for diet, organizing for exercise etc.? Please help.

Myself and several classmates are new to the RN program.We are having some trouble identifying a good NCLEX prep book that divides the review by subject.This way, as we cover new material through the semesters, we can 'test' ourselves against the review for that subject.We are also looking for add'l review materials that can aid our learning and prepare us for the NCLEX...(ex.cards,props etc.?) What can anyone recommend that has been helpful? We appreciate any words of wisdom from the 'wise.'

I am currently in the last half of my first semester and provided that I pass this flex, will enter the extern program in Dec.My background does not include any clinical healthcare experience.I filled out the regular job application online (which allows me the option of not submitting a resume),submitted my faculty rec and listing of areas of interest.I was upfront about when I was expected to complete the prerequisite (of 1 clinical semester) both on my app and in a later interview.I imagine each place is different,but most schools are very similiar in the skills you learn and when you learn them.So,I assume the hospital has a general idea already.In addition,if you have the extern packet provided from that facility,they probably (or could create) a skills matrix that indicates what skills they assume you will have going into their program.So,it would probably be a good idea to abbreviate your skills to minimize the length of your resume (so they're likely to read it in the first place) and leave the rest to the phone inquiry or interview.I wish you the best of luck! Look into that skills matrix!