amynahmed

Hy Everyone, I was wondering what if your patient is in level 1 Isolation which means (contact only) but for instance at times you have to go in there just to change the IV bags or mute the alarm of the ventilator and not actually have to touch the patient and at the same time you run out of isolation gowns, so do you think it is feasible to go inside the Level 1 Isolation without wearing a gown and just a pair of gloves would work? Thank You Amyna Ahmed

Thanks everyone who responded to my concern. Now I am fully aware of central line occlusion. But what do you do when it's sluggish? I am still debatable about sluggish Central lines. Please help me out here. Thanks Amyna Ahmed

Can you all let me know what you do if a central line is blocked or sluggish. what is the assessment you go though and what interventions would you do prior to calling the Dr.? I am looking to see if we have a common practice for this or does everyone do a different thing? P.S. Would appreciate if you can send me a protocol checklist if possible Thanks Amyna

Hy All, If you all could give me some ideas about presenting an interesting topic in cardiology, would really appreciate. I have to present any interesting topic related to cardiology in a conference which is going to be held in Nov, 2006. Awaiting for your responses. Thanks in advance. Bye.

Progressing to gallstones blocking pancreatic duct leading to pancreatitis.Am I on the right track?

Patient presents the following symptoms: - pain in the right upper quadrant, epigastric area, and subscapular area. -palpation reveals normal sized, but significant tenderness in right upper quadrant -history of extreme indegestion following ingestion of fatty foods -elevated temperature -nausea and vomitting -white count 12,500 a. what is your diagnosis? b. what medical tests would you order to confirm this? c. treatment? d. additional blood work revealed elevated serum lipases and amylases. where would these come from? also, why did mr. frie's problem lead to these elevation? (you'll have to really dig into the anatomy to answer this one) Thank you. Amy

Hy Everyone, I am Amyna Ahmed, RN_ICU from Canada. I would like to explore UAE in terms of nursig job opportunities. If anybody working in ICU in any hospital of UAE, please message me either here or private at [email protected] or [email protected] Thank you in advance Amyna

MR.T enters the ER complaining of substernal chest pain, dull in nature. Immediate EKG shows some wave changes, but not specific for a typical myocardial infraction. patient is admitted into ICU, pending results of cardiac enzyme testing. After one day in ICU, chest pain intensifies, becoming worse with breathing. Heart auscultation reveals a mild rustling or scratching sound near the xiphoid process. he also has a fever now. After 3 days in ICU, pain is still a problem. Enzyme results prove to be negative- no MI. Heart sounds are now muffled(present but difficult to hear). Patient is in tachycardia due to decreased stroke volume. Jugular vein distension indicates blood is pooling before entering the heart- heart is neither filling or beating well. Blood pressure is falling. 1) Describe relevant anatomy as it may relate to the problem. 2) Diagnosis- (hint:there are 2 problems here- one has led to the other). 3) Make sure and describe why symptoms are occuring 4) Discuss why the patient is now in cardiac distress 5) Dertermine how to treat this life-threatening condition Thank you in advance Amy

Hy All, I will soon have a debate on "Nursing Skill Mix" and I cannot think of any specific issue for our debate.I would really appreciate if you all could help me choosing one of the topic and give your ideas on your chosen topic. Some that I thought of are: 1. patient safety and quality of care. 2. cost containment 3. health human resources requirements. Thanks. Amyna

Give an example of the challenges to developing therapeutic relationships with clients within your workplace/placement setting. Describe some of the systemic changes which have been/ or could be implemented within your organization to promote the nurse-patients interactions and analyze there effectiveness using a theory to frame your analysis.

hy, thanks for your prompt reply. hee are some useful sites for vap or oral care in ventilated patients http://rnbob.tripod.com/ventcare.htm http://www.google.ca/search?q=cache:msch0mlzxhej:www.iceinstitute.com/c_prevent_device.html+oral+care+in+ventilated+patient&hl=en http://www.nursingcenter.com/prodev/cearticleprint.asp?ce_id=420150#ffu1 http://www.nursingcenter.com/pdf.asp http://www.docguide.com/news/content.nsf/newsprint/8525697700573e1885256f40006a1f7f http://www.csrt.com/e_news.php?display&29&pf http://www.sageproducts.com/products/video.cfm http://members.lycos.co.uk/anaesthetics/critical.htm http://nsweb.nursingspectrum.com/nursetonurse/index.cfm?age=6 i hope this would help. amyna ahmed

Hy, Thanks for your prompt reply. I was wondering if you could further elaborate on this Lactobacillus study and also which hospital do you work? Do you have any protocol or checklist to follow to give mouth care? If you have any literature or your hospital policy, please do share if possible. Thanks. Amyna Ahmed.

Hy, Thanks for your prompt reply. I was just wondering which hospital do you work at? Moreover, do you have any further information on oral care in your ICU, like any protocol or checklist to follow (if any). Thanks. Amyna Ahmed

Hy Friends, I would like to have some suggestions on my coming up project in the unit if possible.The project is about Oral Care in ICU Ventilated Patients which would also include Ventilated-Assisted Pneumonia.I would like to know what health practices do you guys follow in your units especially in ICU related to this topic. I have gathered alot of literature from several websites but I need real practices happening these days. I would really appreciate if you all come up with some good suggestions. Looking forward to hearing from you'll. Happy Holidays. Amyna Ahmed.

Hy Everyone, I would like to know what do you guys practice in your health care environment when it comes to Information Privacy Issue. I have heard that if a patient does not want his identity to be revealed, the staff can allot a code or a number (3 digit number) to locate that patient in terms of revealing information to his selected family members. Do you guys have any more suggestions. Please do share. Thank you. Amyna Ahmed.:)