CyndiW35055

As stated originally, this wasn't taught. This was actually a class assignment/homework that we had to figure out for ourselves. And I really appreciate all of your help on this. What she wanted was the NPH or 70/30 plus the regular amount AND the sliding scale amount also. Thank you all so very much. Cyndi

Littmann Light is the only way to go or any other type of Littmann, good luck.

As for Peplau, she was also a very stong woman to teach other nurses to stand up for the patient, teaching the patient, etc. Who I would choose as a role model, personally I would have to still choose Nightingale just because she took the great leap in a world where women were not invited to be. She has definitely made a great impact on people around the world.

Quoted through http://www.florence-nightingale-avenging-angel.co.uk/faq.htm Seemed like the easiest way to word this. There are alot of other facts listed here about her: Did Florence Nightingale die of syphilis? No, she died of extreme old age at 90. There is no possibility at all that she had syphilis. Her life is extremely well-documented and the symptoms of syphilis are not compatible with what we know about her. But this rumour about syphilis is quite common. I have been told that it was publicised by a priest who was opposing a church proposal to commemmorate her. He said she was an atheist who died of syphilis, and this was widely published in the press and resulted in the proposal being dropped.

Actually, a fellow student was told by an RN not to worry about doing to much for her pt. as the pt. was about to die. When the student asked the RN why she wouldn't do much, she was told by the RN that she would just be wasting time on the pt. and that she would do better by spending that time with another pt instead. The pt did die, that day in fact. The student, being assigned to that pt though, still spent the quality time with the pt, bathing her, turning her, ROM and everything. The family actually sent a letter to the hospital administrator commending her for this behavior and recommended that the hospital "grab her up before someone else does". The RN though, after having been heard by the students clinical instructor, received a written warning from the ADON regarding her lack of care. The RN resigned within two weeks. So, let that be a warning I guess.

Actually, a fellow student was told by an RN not to worry about doing to much for her pt. as the pt. was about to die. When the student asked the RN why she wouldn't do much, she was told by the RN that she would just be wasting time on the pt. and that she would do better by spending that time with another pt instead. The pt did die, that day in fact. The student, being assigned to that pt though, still spent the quality time with the pt, bathing her, turning her, ROM and everything. The family actually sent a letter to the hospital administrator commending her for this behavior and recommended that the hospital "grab her up before someone else does". The RN though, after having been heard by the students clinical instructor, received a written warning from the ADON regarding her lack of care. The RN resigned within two weeks. So, let that be a warning I guess.

Thank you both so much. As for the info given on here, that is exactly how it was guven to me. I really appreciate your help. Cyndi

Thank you both so much. As for the info given on here, that is exactly how it was guven to me. I really appreciate your help. Cyndi

I graduate nursing school in August, yay!!! Clinicals have been wonderful for the most part. I have been asked by fellow students how I manage to always look busy. My answer, is because I am. I personally went and asked EACH nurse that if they had ANYTHING that I could do, to let me know and I would be happy to do it. From doing someone elses vitals to giving a suppository and even digging out an impaction that the RN asked if I would do because she stated, "I really don't care to do this." Then on the other side, I had a nurse tell me that, "I don't have time to deal with students". Most of the nurses have been so accomodating and absolutely wonderful to work with and to be around. I jump right in, do what has to be done, and at the same time try to not be underfoot all the time. I really can't wait to finish. This is all that I have ever wanted to do and all that I have ever wanted to be. I know that there will be hard days, grumpy people, and vomit everywhere, but that is what I have signed up for. For me, this will be the life. )

I graduate nursing school in August, yay!!! Clinicals have been wonderful for the most part. I have been asked by fellow students how I manage to always look busy. My answer, is because I am. I personally went and asked EACH nurse that if they had ANYTHING that I could do, to let me know and I would be happy to do it. From doing someone elses vitals to giving a suppository and even digging out an impaction that the RN asked if I would do because she stated, "I really don't care to do this." Then on the other side, I had a nurse tell me that, "I don't have time to deal with students". Most of the nurses have been so accomodating and absolutely wonderful to work with and to be around. I jump right in, do what has to be done, and at the same time try to not be underfoot all the time. I really can't wait to finish. This is all that I have ever wanted to do and all that I have ever wanted to be. I know that there will be hard days, grumpy people, and vomit everywhere, but that is what I have signed up for. For me, this will be the life. )

Okay, here is the question and I really need help on this. Doctor's order: AM dose: Humulin NPH 15 units and Humulin regular 5 units SC. The AM blood sugar is 230. How much total insulin should be given? Blood Sugar Regular Insulin 0-180 0 units 180-200 2 units 200-220 4 units 220-240 6 units >240 Call Physician The reason I am asking is that we don't technically have a Pharm instructor. We had someone thrown in to teach the class that has never taught before and so everyone is pretty much trying to help each other. On top of everything else, she told us she is dyslexic so we have alot of fun trying to review our notes after her classes. Personally I think the patient would get the regular dosage of 15 U and 5 U, but do I have to take the sliding scale into account or not at this regularly scheduled time or recheck in a couple of hours and if the levels are still up then use the sliding scale?

Okay, here is the question and I really need help on this. Doctor's order: AM dose: Humulin NPH 15 units and Humulin regular 5 units SC. The AM blood sugar is 230. How much total insulin should be given? Blood Sugar Regular Insulin 0-180 0 units 180-200 2 units 200-220 4 units 220-240 6 units >240 Call Physician The reason I am asking is that we don't technically have a Pharm instructor. We had someone thrown in to teach the class that has never taught before and so everyone is pretty much trying to help each other. On top of everything else, she told us she is dyslexic so we have alot of fun trying to review our notes after her classes. Personally I think the patient would get the regular dosage of 15 U and 5 U, but do I have to take the sliding scale into account or not at this regularly scheduled time or recheck in a couple of hours and if the levels are still up then use the sliding scale?

Actually, he is feeling a little better. Took him to the ER Monday and doctor the on Tuesday and the doc says that he just has a bad stomach virus that is going around. Luckily, myself and our kids haven't gotten it and hopefully won't but the doc did tell him that it takes about 5 days to start to clear up. He actually went back to work today, spoke with him an hour ago and he is feeling weak but he is better. So, keep your fingers crossed that all will be well. Thank you all for your feedback on this situation. Cyndi

I am fixing to graduate LPN and yesterday I was doing a clinical on the med/surg floor. My patient, a 42 yof had an iv in her left hand. Of course, most pt.'s that I have seen myself are afraid to use the hand with the iv and have it propped on the pillow. This one did also. Her fingers were swollen a little but not at the iv site or below below the site. There was good blood return and everything was fine. My clinical instructor went to check it for me to verify because the pt. kept saying she was worried because of the slight edema in her fingers. She explained to the pt., just as I had, that the swelling was because of lack of use and keeping it propped up. About 10 minutes later, the RN in charge went to give the pt. her meds, demerol and phenergan iv, pt. told her she was worried about it. After RN gave her the meds, she proceeded to tell the pt. that the iv was out and that I was "just a student and didn't know what I was talking about" and changed the iv to the right hand. I didn't have the RN tell me what happened, I had the pt. who very quickly informed me that since I didn't know what I was doing, she didn't want a student if they couldn't tell what was going on. My clinical instructor and myself went to the RN to ask about what happened, and I apologized for not "recognizing" and infiltration just to be told that I was right in the first place, the iv was fine, there was good blood return, and she was just pacifying the pt. She also said it was easier to tell the pt. that I just didn't know enough yet and that I couldn't tell what was going on. So, how do you cope with that type of thing? HELP!!!!!!!!!!!!!!!!!!

Well, he is saying that if he is STILL doing this tomorrow, then he will go to the doctor then. I am just hoping that he follows through. He has had diarrhea type action for the last couple days, and today alone, has gone 6 times. As for dehydration, he is acting like he can't get enough to drink, which he probably can't. Water is his really good friend right now. And I appreciate all of you responding to this. Thank you. Cyndi