Mike R ADN, BSN, RN

Emergency

Member

  • Content

    286

  • Visitors

    5,031

  • Followers

    0

  • Likes

    4

All Content by Mike R

  1. Mike R

    NG tube feeding

    Mike R replied to UumiNurseX's topic in Nursing Student Assistance

    So after gathering all the materials and washing your hands, you'll want to check for placement and patency. You don't want to start feeding if the tube is in the lungs would you? Pinch the tubing and...
  2. Mike R

    help needed with my first nursing diagnosis

    Mike R replied to mydestinyy's topic in Nursing Student Assistance

    Check out this link for tons of resources about Nursing D(x)'s. https://allnurses.com/nursing-student-assistance/check-here-first-272271.html Your R/T's cannot be a medical D(x). So heart disease...
  3. Mike R

    Help with my care plan! (Colon Cancer)

    Mike R replied to ACKrissy's topic in Nursing Student Assistance

    I gotta agree with Daytonite. Did you do a physical assessment and what were the
  4. Mike R

    Dosage Question: Parenteral Drugs w/ Reconstituted solution

    Mike R replied to Roxy512's topic in Nursing Student Assistance

    would you agree that if you dilute the powder, you'll have 1g of drug in 2ml? given that, you can setup your equation: ml= 2ml/1g x 1g/1000mg x 125mg= 250/1000= 0.25ml of drug x each dose. i hope...
  5. Mike R

    ACE Inhibitors - why do they want to increase renin? HELP, please!

    Mike R replied to Aim2Nurse's topic in Nursing Student Assistance

    I don't know which Drug book you're using, but the spiel about increasing Renin levels in my Davis book is under "Actions" and the sentence just before "therapeutic effects"; not to be included as a...
  6. Mike R

    ACE Inhibitors - why do they want to increase renin? HELP, please!

    Mike R replied to Aim2Nurse's topic in Nursing Student Assistance

    Whoops, double
  7. Mike R

    How does administering PRN medications work?

    Mike R replied to swansonplace's topic in Nursing Student Assistance

    Ok ya you explained it better
  8. Mike R

    How does administering PRN medications work?

    Mike R replied to swansonplace's topic in Nursing Student Assistance

    ^ This. Say I have a headache. I have a PRN order for Tylenol 80mg Tab PRN Q2hrs. I can get my Tylenol now at 1000 and if I still have it in two hours I can get it again at 12 and again at 1400...
  9. Mike R

    How does neuromuscular disorders affect oral medication

    Mike R replied to swansonplace's topic in Nursing Student Assistance

    What is your esophagus but a series of muscles directed by nerve impulses. I'm thinking dysphagia by reduced swallow reflex. Though I wonder what others have to
  10. Mike R

    Orientation TOMORROW!!

    Mike R replied to Maladroit's topic in General Students

    Congrats! You guys start pretty late in the year huh? Were already 6 weeks away from finishing up our first semester. I hope you meet some good new friends. If you're anything like me, they'll be your...
  11. Mike R

    Getting over the poop smell

    Mike R replied to babyCNP's topic in Nursing Student Assistance

    C-Diff has nothing on Melena. That stuff melts my lungs from the inside
  12. Mike R

    0.45% NS is Hypernatremia?

    Mike R replied to CBsMommy's topic in Nursing Student Assistance

    Let us know what it is when you find out! I'm still banking on my first
  13. Mike R

    0.45% NS is Hypernatremia?

    Mike R replied to CBsMommy's topic in Nursing Student Assistance

    You got me. I totally read her statement wrong. You're right! My comment was geared toward edema in general w/o hypernatremia. Don't mind
  14. Mike R

    Lab analysis

    Mike R replied to rhenson's topic in Nursing Student Assistance

    Hows the patients appetite and what's his albumen level? Nutrition plays a huge role in RBC's. Most elders, even w/o surgery or drains have decreased RBC's. I personally tried pulling the "blood loss...
  15. Mike R

    How long is your NS drive?

    Mike R replied to OBplease's topic in General Students

    I got lucky. Lecture is 2 blocks from my house and clinicals is about a 10 mile drive. If you have to drive 70 miles one way to lecture once a week it might be do-able. Though if it were more I might...
  16. Mike R

    0.45% NS is Hypernatremia?

    Mike R replied to CBsMommy's topic in Nursing Student Assistance

    The way we were told was this: A hypertonic soln. in the vascular system will pull water from outside the vascular system. So if you have fluid volume overload, (ie: edema) one would want to use a...
  17. Mike R

    0.45% NS is Hypernatremia?

    Mike R replied to CBsMommy's topic in Nursing Student Assistance

    Here's how I see it. Hypernatremia would mean your vascular system is already hypertonic and probably pulling fluid from cells and 3rd space into the vascular system through oncotic pressure. Giving...
  18. Mike R

    Nursing interventions/preventative measures

    Mike R replied to MissDilini's topic in General Students

    What do you have so far? Is it really learning if we just give you the
  19. Mike R

    lowered calcium level

    Mike R replied to Mandychelle79's topic in Nursing Student Assistance

    Dang it. You've got me so curious I've spent the last half hour looking up scholarly articles on why. So far, all I have is increased aminoglycosides doses of 4 days or longer seems to impair renal...
  20. Mike R

    Tips on listening to heart/lung sounds

    Mike R replied to haleyanna19's topic in Nursing Student Assistance

    Check out this link and listen to Korotkoff sounds 2. You can hear the different sounds pretty well.
  21. Mike R

    Tips on listening to heart/lung sounds

    Mike R replied to haleyanna19's topic in Nursing Student Assistance

    Here are some things that I've found help me. For breath sounds, switch the diaphragm to the large side and ask your patient to breath through the mouth at a normal rate. If I still can't hear I'll...
  22. Mike R

    audio recording allowed?

    Mike R replied to deetrain's topic in Nursing Student Assistance

    That sounds like HIPPA territory and bad ju-ju to
  23. Mike R

    Tried 3 cuffs several times and couldn't get BP reading!

    Mike R replied to orange_dolphin's topic in Nursing Student Assistance

    Haha! That'll do it! And now you'll never forget ever
  24. Mike R

    Failing Patho. Last Day to Drop is Tomorrow.

    Mike R replied to Medi-Kate's topic in Nursing Student Assistance

    I you think you can pull this through and at least pass the rest of the class, I would stay. Honestly, a high GPA was once nice to have, but since admission to the program, I've settled happily with...
  25. Mike R

    Getting over the poop smell

    Mike R replied to babyCNP's topic in Nursing Student Assistance

    When you find out how, let me know! I've just learned to hold my breath for long periods of time! All I know is that breathing through your mouth doesn't always work as sometimes you can taste it on...