chrissy student

dia dhuit it wont let me open the link go raibh maith agat anyway for your help

By the way those who dont know me or think im lazy.im the one who left a small village in ireland to come to london "where i have never been" with my 10 mounth old baby and for the past 2 1/2 years have juggled study with now 3 year old . So if you feel im lazy and couldnt be bothered you couldnt be wronger. I am a dedicated student

For some reason alot of these post have made me out to be a lazy couldnt be botherd student which couldnt be further from the truth.i am top of mmy year and have been for nearly 3 years and have also obtained excellent references in all my placements one of them in the most famous cardiology hospitals in europe which carried out the first ever heart transplant in europe. So lazy and cant be bothered from complete strangers realy doesnt bother me. But i do feel for those students that those people mentor. I did do my work i just got confused with all the different definations from different text books. Thats all so thankyouy for your help it has just made me realise you realy are on your own in this profession One thing i have learned is not to like theses people when a student comes to me for verifacation in the future. THANKS A LOT U ALL BYE

thankyou i realy dont know why peeople are being hasty ?????

ok thankyou

I cant belive this is i was on here yesterday helping a guy who had no clue why he had to add mls in his drug calculations and im getting a hard time because i wanted verifacation thankgod im not trainning in the us

I dont want help i just wanted verification thankyou i realy dont see the problem i see people on here every day posting things like this what is the problem ?????

I just wanted verification that what i read and understood was right thats all.

*looks for mod to lock* SORRY IM NOT GETTING THE SLANG IT MUST BE THE CULTURE / SLANG BARRIER BECAUSE I DONT KNOW WHY EVERONE IS BEING SO HASTY ???

Thanks for your help

Still..awful testy..tsk tsk. WHAT ON EARTH DOES THAT MEAN ?????

I have a lady in my year and shes 63 years old (im in london) so why not go for it

excessively-high body temperature with possibly serious health consequences. baignades.sante.gouv.fr/editorial/en/lexique.html

Well i follow systamatic ABCDE (PRIMARY SURVEY) approach when assessing my patients' prioritys' so breathing would come after airway . yes i do agree with the rest that after you take the patient's pulse, you can act like you are still taking the pulse but actually count the respirations. This way the patient doesn't know your taking his/her respirations (like the other response said, they will change their rate if they know they are being watched.) ABCDE Primary Survey Assume C-spine inujury immobilize c-spine with collar or sand bags Airway Assessment 1) Assess ability to speak 2) Dysphonia 3) LOC 4) Ability to breathe 5) Apnea 6) Noisy breathing 7) Respiratory distress 8) Extra sounds 9) Cyanosis 10) Choking sign 11) Look for causes of airway obstruction 12) Look inside mouth 13) Look for facial and neck trauma Jaw thrust to open airway. Suction secretions which may be obstructing airway. If airway compromised, secure with NP airway. Continously reassess airway. Breathing Assessment Assess respiratory rate Would obtain: O2 saturation, pulse oxymetry ABG CXR Look at: Mental status and for agitation Movement of chest (flail segments) Accessory muscle use Colour (cyanosis) Listen for: Sounds of airway obstruction, such as stridor Breath sounds Air entry, is it symmetrical Air escaping Palpate: Trachea (for shift) Chest wall for crepitus Subcutaneous emphysema Flail segments Sucking chest wounds Chest percussion If breathing is compromised, give nasal prongs, venture mask, bag-valve mask and ventilate. Circulation Assessment: Assess pulse rate and quality (strength) Obtain blood pressure and pulse pressure Assess capillary refill Skin colour Ask about urinary output estimation Stop any major external bleeding Insert 2 peripheral large bore IVs If difficult, obtain a central IV Disability Assessment Assess LOC by avpu: Alert Responds to Verbal stimuli Responds to pain Is Unresponsive Assess pupils for: Size Reactivity Extremity movement Exposure Assessment Expose patient entirely Keep patient warm Orders General - ask for vitals q5-15 minutes Do an EKG, FAST (U/S abdomen) Monitors (BP, pulse oximetry) Foley catheter NG tube Order: CBC, lytes, BUN, Cr, Glucose, Coags., Cross and Type, hCG, Tox screen, LFTs, Amylase http://www.medical-examination.org/abc-primary-survey/

Ireland and irish why you ask ????