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 ????

High-Risk Newborn Polycythemia What is polycythemia? Polycythemia is a condition in which there are too many red blood cells in the blood circulation. It is the opposite of anemia, which results from too few red blood cells in the blood circulation. Polycythemia is also called plethora. What causes polycythemia? Polycythemia may be caused by the following: increased red blood cell production: A fetus with chronically lowered oxygen levels responds by producing extra red blood cells. Some chromosomal abnormalities may cause increased red blood cell production. extra blood cells enter the baby's circulation from another source: A delay in clamping the umbilical cord after delivery results in blood from the placenta entering the baby's circulation. Twin-to-twin transfusion, when the shared placenta of the two babies has a connecting circulation and blood flows from one baby to the other, may result in polycythemia. Who is affected by polycythemia? Polycythemia may occur with many different conditions. Some of the babies affected by polycythemia include: those born at high altitudes because of the greater demand for blood to carry oxygen.those born after 42 weeks gestation. small for gestational age (SGA) / intrauterine growth restriction (IUGR).identical twins who share a placenta and develop twin-to-twin transfusion. infants of diabetic mothers. those with chromosomal abnormalities including trisomies 13, 18, and 21 (Down syndrome). Why is polycythemia a concern? Mild polycythemia may not cause problems. However, too many red blood cells can increase the blood volume or thicken the blood, making it harder to circulate through the blood system and to the organs. Babies can have difficulty breathing and their heart and blood vessels cannot compensate for the extra amount of blood. As the large numbers of cells begin to break down, a substance called bilirubin is produced. Increased bilirubin levels, called hyperbilirubinemia, can cause jaundice, a yellowing of the skin, eyes, and mucous membranes. Seizures can also occur with polycythemia. What are the symptoms of polycythemia? Many babies with polycythemia have no visible symptoms of the condition. The following are the most common symptoms of polycythemia. However, each baby may experience symptoms differently. Symptoms may include: deep reddish-purple coloring poor feeding lethargy rapid breathing or respiratory distressjaundice (yellowing of the skin, eyes, and mucous membranes) low blood sugar The symptoms of polycythemia may resemble other conditions or medical problems. Always consult your baby's physician for a diagnosis. How is polycythemia diagnosed? Laboratory tests show a high hematocrit (red blood cell count) when polycythemia is present. A high hemoglobin (protein in the blood that carries oxygen) level may also help diagnose polycythemia. Treatment for polycythemia: Specific treatment for polycythemia will be determined by your baby's physician based on: your baby's gestational age, overall health, and medical historyextent of the disease your baby's tolerance for specific medications, procedures, or therapies expectations for the course of the disease your opinion or preference Treatment may include: removing some of the blood volume, thus, reducing the number of the red blood cells.replacement of the withdrawn blood with fluids (to help dilute the red blood cell concentration). partial exchange transfusion (slowly removing and replacing a large portion of the baby's blood volume). These treatments are performed through a vein or artery, often the umbilical blood vessels. http://www.healthsystem.virginia.edu/uvahealth/peds_hrnewborn/polycyth.cfm

well Bone et al 1992 states that " SIRS response is by an infection in sepsis but can also be caused by any other major insult to the body,such as MI,acute pancreatitis or trauma. SIRS IS the bodys response to a variety of insults i.e infection ,trauma , MI and is manifested by two or more of the following .(Dellinger et al ,2004) hypotermia ,hypertermia / >38 or tachycardia >90 BPM tachypnoea .20 breaths per minute or PaCo2 high or low white cell count >12,000 or Sepsis - this is a known or suspected infection accomanied by evidence of two or more or the SIRS criteria.(Robinson,2005) Am i wrong then ????

so it is the immune system being over whelmed and being unable to maintain homeostasis thank you

I have been reading a lot around systemic inflammatory response syndrome and am a bit confused can someone help please. My understanding of it that the immune system becomes overwhelmed and therefore unable to maintain homeostasis . There for releases inflammatory mediators such as histamine ,prostaglandins,cytokines into circulation causing widespread vasodilaton causing hypotension and capillaries to become more permeable. Is it right i dont want anone to do my home work just some advice thank you

i am fully aware of that thank you and i have done my reading and i now know that SIRS + INFECTION = SEPSIS I JUST WANTED TO VERIFY THAT THANK YOU FOR YOUR HELP !!!!!

Hi there i am a student nurse can any one explain to me the difference between systemic inflammatory response syndrome (sirs) and sepsis. Are they the same

hi you realy need to make it easier for yourself. first of all the there is 1mg in 6 ml and you need 250mg ok then to make it easier for you devide what you need with what you have i.e 250 / 1000 (1g) = 0.25 then multiply that by the amount that is is desperced in i.e the amount of solution it is suspended in 6 ml . so the sum is 250/1000 = 0.25 x 6 = 1.5 ml so the 6ml and 4 ml is the amount you have when the drug is mixed i.e 200mg in 5mls 10mg in 10ml 1g in 2mls so if you needed 150mg and you had 1g in 10mls the sum would be 150 / 1000 x 10 = 1.5 ml or if you needed 300mg and you had 200mg in 5 mls the sum would be 300 / 200 x 5 = 7.5 mls i hope this helps good luck

hi i am a student nurse studying about how a cardiac arrest leads to respiratory arrest / failure but at the moment im just not getting it. can any of you knowledgable nurses explain to me why and how it happens ?????

hi there i am a second year student nurse and for some strange reason we will not be covering oxygen therapy in my diploma. i have been studying it myself and have now confused myself i can to the conclusion that 1 litre was 24 % 2 was 28% etc add 4 to each percent but i then got confused as the more i read about it the more it confused Ie was looking at different web sites and theses varied and it through me ??? can any one explain to me how much oxygen is delivered per percentage ???? how much oxygen comes from the tap is it 100% is the litre the flow / the force it is pushed out at ??? i know it sounds stupid but i would really appreciate your guidance and experience thank you:nurse::nurse: