isarubio

MD was def. called and oxycodone was changed to dilaudid. To answer another question.. the only other med pt. was taking was atenolol, which he usually takes for his HTN. I will put that assessment under acute pain (below oxycodone). I would like to know how this sounds as well related to the same issue... Ineffective breathing pattern r/t side effect of narcotic and fatigue. -Pt. RR baseline 16-20 -Pt. RR=4 on reassessment after Oxycodone/Acetaminophen 5/325 PR given 4/18 at 0100 for pain. D/c on 4/18 -Pt. RR=10 while asleep after ambulating approx. 150’ at 1200 on 4/19. Pt. was easily aroused. I am sorry if all this doesn't sound right.. Believe me, I am trying my best in here!!

Thank you so much. I just have one question.. although the pt. has bradypnea (RR=10), his O2 sat was still 95 on RA. Is that considered hypoventilation? Thanks again.

Well yes, I have some other nursing dx, including acute pain, and the oxycodone under that one. So you think that the RR should be also under Acute pain as an effect of the oxycodone? And also.. should I just ignore the fact that he had a RR=10 when he was sleeping (no pain) the second day? Thank you so much D... I have seen your posts on other threads and they have helped me with previous work.. you are very helpful and I am sure many other people think the same.

Yes, and the position name is also not specific.. In Brigham and Women's Hospital, where I worked, we are PCAs (Patient Care Assistants) and at Beth Israel Deaconess Medical Center, you are a PCT ( https://prod.fadvhms.com/bidmc/JobBoard/JobDetails.aspx?__ID=*52BF1A8B229A6F16 ) and it's basically the same thing. One friend that did the CNA training with me, is working as a PCT now there.

I got a great job (that I quitted when I started nursing school) after I got my CNA license. You definitely learn a lot, but nothing like the experience that the field gives you.. I was lucky I was working in one excellent hospital here in Boston... so everyone was very helpful. I am not sure, though, who takes years in learning to be a CNA or a PCT. You might be a little confused with that :) The most I have heard so far is 10 weeks..

Is it Patient Care Technician? (which in here is the same as CNA)?

Pt. 82 yr/old had a lower anterior resection 4 days ago. C/o pain at night and was given Percocet PO. An hour later, his RR = 4. His O2 sat was 97% @ 2L The next day, in AM, RR=20. Patient ambulated for the first time twice in AM and was really tired. Went to bed. Immediately after, RR=10. He was easily aroused and after waking up, not confused. O2 sat this time was 95% in RA. Do any of this deserve a nursing diagnosis, and if so, which one? Please help.. I am stuck with this.. Thank you so much.!!