careerchg09

Latest Activity

1. Support Stickie for New nurses who are not coping

   careerchg09 replied to madwife2002's topic in New Nurse

   I think its incredible the place that we all are in. In response to your post, bluelou, I can relate to the point you make about family/ md interactions. I cherish the hugs I get from family members that thank me for the care that I give to their lov...

2. Support Stickie for New nurses who are not coping

   careerchg09 replied to madwife2002's topic in New Nurse

   So grateful to have found this outlet. Having been successful at my career before the change to nursing school and RN, its very hard to stand on such shaky ground for so long. I think I have nailed down what I dislike most about being new- letting ot...

3. Struggling new grad - tell me it gets better

   careerchg09 replied to NJRNtobe's topic in General Nursing

   I can relate as well. As a new grad, second career RN who has recently gotten off orientation (not by my choosing) I'm having a tough time feeling grounded on the floor. Its interesting that people note that the BSN new grads are more textbook compet...

4. Elevated ALT, AST and ALP- acute renal failure?

   careerchg09 replied to careerchg09's topic in General Nursing

   Thanks much for your detailed explanation. That really helps to clear it up in my mind. I can see your point about the overlooked labs. I'm grateful for the help in understanding these complex processes and so impressed with the wealth of knowledge ...

5. Elevated ALT, AST and ALP- acute renal failure?

   careerchg09 replied to careerchg09's topic in General Nursing

   Thanks all for your ideas and thoughtful responses. I've really absorbed a lot on this one. Magsulfate, you are correct- its just nursing school- lol. Point well made. David, INR was 1.2. This is a relatively low value, but wouldn't it be affected b...

6. Elevated ALT, AST and ALP- acute renal failure?

   careerchg09 replied to careerchg09's topic in General Nursing

   Thanks for the thoughts on the alcohol intake. Patient was also on vent secondary to the respiratory failure upon admission, so there was no "taking a history". The heart failure was not specified in the documentation. Although, I can see the link fr...

7. Elevated ALT, AST and ALP- acute renal failure?

   careerchg09 replied to careerchg09's topic in General Nursing

   No history of liver disease and/or alcohol abuse noted in the chart. Not likely associated with renal failure then, huh? Thanks for the thought.

8. Elevated ALT, AST and ALP- acute renal failure?

   careerchg09 posted a topic in General Nursing

   Hi- Trying to connect the dots...I'm a nursing student working on a case study. I'm stumped on the elevated ALT, AST and ALP and whether they can be related to the patient's acute renal failure or whether its indicative of another otherwise unknown l...