davidthenurse

No problems, and you're more than welcome !

Is you research in the MIMs (the drug Bible used here in Australia), Lasix must NOT be given during pregnancy unless it is absolutely necessary. If treatment with Lasix is to be used during pregnancy, then fetal growth has to be closely monitored. As you would know, Lasix is a "loop-diuretic" and it has the capacity to cross the placental cord and enter the fetal circulation. The biggest problem with this is that it can cause electrolyte disturbances, and worse yet, thrombocytopenia of the fetus. This is of the biggest risk during early stages of pregnancy. That's not to rule out risks during later stages of pregnancy. The MIMs indicates that "During the latter part of pregnancy products of this type should only be given on sound indications, and then in the lowest effective dose." An alternative drug which is commonly used to to treat HT in pregnant women is Aldomet, which CAN be used for pregnant women. Hope that helps !!

Hi, Thanks for your question ! Would you mind expanding a bit more, and perhaps giving a few more details? I think maybe you haven't received any answers yet because your question needs to be clarified. When you mention "school", I assume you are referring to "nursing school"? And what do you mean by "in my english"? Is this referring to the fact that english is not your first language...and so you have to complete a course in english? sorry, I'm from Australia, and perhaps its clear to others, but I'm a bit confused. In regards to what topics should you choose, what sort of things interest you the most in nursing......aged care, operating theatre nursing, children/babies, mental health nursing, etc...???? Choose an area that interests you, because it will be easier to research and write on. Best wishes with your paper !!

I agree !!

hmmm, three things that stand out to me: Maybe its just her - her personality. Maybe she was under a lot of stress from work, and its flowing over to her communication skills with patients and others. ............and maybe its one of those days that she simply forgot to leave her "personal baggage" at the hospital door. Oh well, I feel sorry for her patients. :yeah:Maybe another job would suit her -- like workin' in the morgue

sure can !! ......if i "google" it !! just jokin', caz i actually knew how its spelt anyway - i'm a pianist, and have been playing for nearly 19 years now (and did a degree in music too). i just couldn't resist missing an opportunity to comment on this one, haha !!

On a serious tone, yes, I thoroughly agree -- comments should be supportive, encouraging, gentle, and in a caring manner. If something needs to be rebuked or pointed out, then do it in a kind manner !! ......Remember, nurses work as a team, right? ......but a team can extend far beyond the "individual workplace", and include all other nursing staff - not matter what field of nursing he/she might be from. That's just my :wink2: David

better smacked with a fish.....:trout:....., than being stabbed in the back.....:smiley_ab......, or knocked over the head.......:lol_hitti..........haha !!!! (I just couldn't resist it !!!)

Hi, I was discussing with my teacher about a pt. scenario. The patient was involved in a road accident. To keep it short, there were major head injuries, including internal head injuries, and hence high intracranial pressure (which would require a craniotomy). However, the patient also suffered severe abdominal bleeding from the spleen, as well as a possible pneumothorax. In regards to the severe abdominal bleeding, the pt. has becom hypovolaemic, and hence tachy, hypotensive, and hypoxic. When I was discussing the need for hydration (along with blood transfusion), my teacher said that hydration is not a concern - due to the complication of the intracranial pressure. She said to consider the rold of dehydration in head injury, particularly regarding the balance between decreased volume, and the desire for increase in perfusion. Is there a paradox here? Whats more of a concern - intracranial pressure, or hypovolaemia - which is leading to brain hypoxia? Thanks.

thanks countyrat, for your help and encouragement. i am really enjoying nursing, and its great to have the support of other colleague like you and everyone else on this forum !! it's the true element of teamwork support !! :icon_hug: thanks too, kwkrnc ! i am always asking questions while nursing - haha, just hope no one at work gets sick of me asking questions !! on a serious note, one thing has really sunk down in me - that no question is a dumb question, because we are all still learning. that's what our lecturers have told us, and i believe its so true too !!

Very true !! When I think back about my placements I remember that I actually went through a "mini mental-analysis" with each of my patients whilst I care for them - of course not being obvious, but purely by observations and general questions! But observations go a long way, and for some reason, I have always had an ability to observe other people (patients or not) and glean information about people which might not be obvious to others around me, but which I can discern quite easily. Maybe its a gift, but either way, I think it will be a valuable tool in nursing !!

"shhh.... don't interrupt me! I am trying to recall the day's events so I can write up my patient notes!!" (in deep thought with your eyes closed :thnkg:)

Haha !! My mother is having a VERY Happy Mother's Day !! I have 10 brothers and sisters, so you can imagine how many gifts and surprises she is getting today !! :clpty::thankya::clpty:

Yes, I agree. Cheating is completely unacceptable. My attitude is: I would not want to be cared for by a nurse who cheated his/her way through their studies and training. If they have no conscience about cheating, then they most likely won't have a problem with falsifying the patient's records or denying medication errors that occur. And worse yet, if someone cheats in their studies because they couldn't be bothered learning, then what kind of a nurse will they make anyway? It simply indicates that if they cheat, then they are not serious about nursing - so that means they aren't going to give you the best possible care anyway. I know I'm only a student, but its my sincere desire to learn as much as possible about nursing and caring for others. In fact, it is quite disheartening and upsetting to see other student nurses who don't bother studying thoroughly -- are they a nurse purely for the money, and because its "just another job"? ... or for love and care for others??? I know what I believe the answer is !!

Thanks, I didn't know this - but you live and learn ! :lol_hitti