marissa795

i think MOM = milk of magnesia, but still pretty funny/ lazy of the md

In most states you have to re-take the CNA licensure exams (practical and written)... basically you start all over.

I have definitely seen sliding scales starting at 100... mainly in acute care/med-surg floor settings. Their really big on tight glycemic control although there has been new research based evidence suggesting this is not always beneficial.

Im pretty sure that if she wound up going to the ED they would want to take the cleat of anyways... Not to mention that a lot of cleats have some sort of metal in the sole or toe so that wouldnt exactly be compatible with xrays/mri. I think the coach may have been overreacting. Eventually the shoe has to come off in order to fully assess the extent of her injuries.

I would start off by looking at each medication and identifying what it is used for. Then I would look up each lab and what low/high levels indicate. For example, low RBC and low H&H can indicate bleeding, hemorrhage, anemia. This will give you a better overall idea of what may be going on with your patient. Try getting the big picture and that will help you to pick out your priority diagnoses. I have Mosby's Manual of Diagnostic & Laboratory Tests and I find it has been very useful.

just to confuse you more... Kaplan haha. no but seriously its a great book especially the beginning because it teaches you HOW to answer questions. After reading it my exam scores went up in nursing school... it was like something clicked. It also comes with a CD with an extra database of questions besides the 2 practice exams in the book. But its really the beginning part of the book that is key. Its a required text now in my nursing classes.

Use an adductor pillow to keep hip slightly adducted post-op when bathing you want to roll the patient ONTO the side of the hip fx (seems like it would be the opposite, but you want to prevent straining/dislocation etc.) This may differ depending on how many days post-op teach pt not to bend/rotate affected hip >180 degrees - so dont bend down to tie shoe laces, pick up things assess the leg for edema, CSM, make sure the traction is in place correctly

This actually happened to me during a routine blood draw... The nurse took out the needle and applied the little gauze but never told me to unclench my fist. The result was pretty much what you described... a huge hematoma that popped out like 5 inches. the bruising lasted for like 2 weeks. Im assuming it is mostly due to the increased venous pressure (from clenching your fist or applying the tourniquet) Maybe she was short-cutting and left the tourniquet on longer than she should have? Personally i would have chosen a different vein altogether.