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shaas ASN, RN

Aspiring for a CCRN
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shaas is a ASN, RN and specializes in Aspiring for a CCRN.

Life is not about lemonades. It's about lemons, without which you cannot make any lemonade.

shaas's Latest Activity

  1. shaas

    Relocating to CA

    Hi, mcabreza. Whether you are a new grad or not in technicality, the job market in both NorCal and SoCal are supersaturated (meaning it cannot even adequately accommodate our own new grads here). Moreover, is a huge surplus of BSN and even MSN-RN who are new grads that are struggling to find employment. It takes anywhere from 3 months (if you have connections and know someone) to 18 months (getting a job on your own without any pull) to land a first job for a new grad here. Please, keep this mind that a lot of the hospitals hire based on your preceptorship or clinical orientation there, so as a transplant and a new grad without any experience, I am not too sure if the employment outlook is viable for you. Your moving is entirely dependent on your discretion, but I suggest you gather as much data and information as possible if you are solely moving here for your first nursing job. Anyhow, good luck and march on! Shaas
  2. shaas

    Giant Concept Maps - My Kryptonite

    Two things stand out for me other than what I've mentioned in the other thread regarding coagulation. 1) If your pt. is not compliant with dialysis and has a change in mental status, a red flag (either a high serum uric acid or ammonia values) should go up. Change in mental status with noncompliant dialysis patient tells me her blood may be full of unwanted metabolic wastes, especially the ammonia. 2) There is a strong correlation between bipolar disorder and fibromyalgia. It can manifest as sensitivity to pressure, translates to pain, or joint stiffness, hence pain in joints. It can also manifest as generalized pain anywhere in the body. Good luck!
  3. shaas

    High PT, Low INR

    Both values are WNL. Due to the hypercoagulable state (because of the pt.'s APLS), you need to first check if these lab values are within the targeted therapeutic ranges for whatever anticoagulation therapy the pt. is on. If lower than therapeutic range, then she's at risk for clotting (DVT and, if left to embolize, PE), not necessarily bleeding. If the dosage is high, and the labs are significantly elevated outside the therapeutic ranges, then the pt. is at risk for bleeding. Addendum: Just read your pt. hx. Hepatitis also elevates the pt.'s risk for coagulation. Liver is responsible for many things, among which is protein synthesis (coagulation factors are proteins) as well as the vitamin K synthesis. You also need adequate serum Ca2+ to coagulate effectively. I think that your instructor would be satisfied with either the risk for bleeding (simply because pt. is on anticoagulation therapy) or the risk for ineffective tissue perfusion (having liver and renal diseases really put pt. at risk for impaired circulation and perfusion). If it were in med school, I'd definitely side with the latter possibility (85%) than the bleeding risk (15%).
  4. shaas

    Bio/Chem degree vs nursing degree

    My $0.02: Content in biochem/upper division chem (including physical chem, which is nuclear chem) is much, much, much harder than nursing. Pre-med, pre-pharm, and any nonsocial sciences (i.e., pure sciences) tackle complicated concepts to grasp, hence, the demand for their knowledge is much higher, be it in medicine or in research. The workload, dealing with the personalities, and other human factors, not content, are what make nursing a pain in my rear end. I've seen pretty much anyone who possess basic academic aptitude being able to plough through nursing programs of various kinds, and, of course, remain successful in what they do. I still keep in touch with my science friends with whom I have tremendous camaraderie, and that's how I keep my sanity and my mind sharp, so to speak. I have a couple of close classmates in nursing, and I maintain my circle deliberately small in it for many personal reasons. For one thing, with a hard science background of two years+, you are able to explain the real "why's" of any bodily phenomenon when your nursing instructor may not be able to explain. Keep your textbooks. Knowing the biochemistry/mechanisms really does help in all molecular interactions. 'Nuff said from me. Shaas
  5. shaas

    Can someone tell me what exactly a VEC surgery is?

    Hi, Ashley. Could it be laparoscopic Vecchietti procedure? VEC does not seem to be an acronym; rather, it could be a shorten form of the Vecchietti procedure. My $0.02 Shaas http://www.mrkh.org/files/ORG/Laparaoscopic_vaginoplasty.pdf
  6. shaas

    Aches and pains physiology

    No problem. I am glad to be of assistance of any kind and to learn along with you.
  7. shaas

    Aches and pains physiology

    It is mainly due to the inflammation process, to combat the invading and replicating virus (in this case) or bacteria, which is a pretty complicated cell signaling/G-protein-mediated process of nociception involving articular nerves. During the inflammatory process that eventually kill the infected cells many cytotoxic materials can be released, which often exacerbate inflammation response. This process applies to both joint and muscle aches while virus is present (until they are eradicated). I really do miss molecular bio and biochem. They actually helped to build a great science foundation, which nursing schools cannot do adequately. Now, I have to read on my own the medical journal and texts if I want to acculuate any substantive knowledge. I hope that the following articles help: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1010160/pdf/annrheumd00350-0006.pdf http://www.ehow.com/about_4744935_joint-pain-caused-viruses.html (This is non-peer-reviewed/nonresearch article)
  8. shaas

    Straight BSN at West Coast University

    Wow. I am shocked to see such a high price tag with so little in return... We are finishing up our first semester by next week. We had minimum of 4 med. passes and 4+ subcutaneous heparin/Arixtra/insulin injections, not to mention some of us got to insert and remove foley catheters, feed medication through NGT, etc. Just be really thorough in your research as to what school to attend. With that price tag, folks should be going to an Ivy league school for their Masters, not WCU... Best of luck to all.
  9. More specifically: RN-ADN = associate's degree in nursing; passed NCLEX and got RN licensure RN-BSN = bachelor's degree in nursing; passed NCLEX and got RN licensure. The essential difference is not in RN v. BSN, but in ADN and BSN. Both routes can lead to RN licensure if you pass your NCLEX. Hierarchically, the degrees conferred are ranked as follows: Associates, Baccalaureates/bachelors, Masters, and Doctorate.
  10. shaas

    El Camino College Nursing Program

    Hi, Kimkim. I believe that they do have a recency requirement for their nursing prerequisites. As far as GPA and scores go, "cutoff line" varies by applicant pool per term and the program's willingness to accept a certain breadth of students from varying backgrounds. Student profile for our cohor include 8 previous-BA/BS people, 3 allied health care people from non-nursing field, a person as young as 19 to as older as mid- to late-50's. Some have impressive backgrounds, some have middle-of-the-road GPA (like 3.0 or even lower, 70%+ or less on TEAS, etc.). There also was a student from previous semester who was repeating. My advice is for you to get that admission category sheet, run through their algorithm with your scores and see how many points you get. Go to the nursing office and speak with a lady named, 'Martha.' Even if one does not have a sterling GPA, test scores, and BA/BS degrees, having health care experience as EMT, LVN, or CNA gives you a significant boost (3-5 points or so) just as well as volunteering experience. So, calculate your spec's and just apply. It all depends on your applicant pool. We also have two veterans. Good luck to you. Shaas
  11. shaas

    Sinus tachycarida?

    It is very true that not all students will perform at the same level despite having given the same instruction and material on the subject matter; therefore, they'd test differently as well. I believe that the biggest clue was not just tachycardia, but sinus tachycardia. This should trigger thoughts of conduction, contractility, rate, and what conditions induce sinus tachycardia. And, if the student already knows that digoxin has something to do with HR, that means the student had looked the medication up some point in her life, as that specific knowledge is not inherent in her genome. The depth of knowledge is what seems to be the issue. Digoxin specifically works in a certain way (mechanism of drug action) and is indicated for certain conditions because of how it works. One can choose to justify that no fundamentals student would answer this correctly, but there is always someone who "gets" what others perceive as too elusive to procure or too vague to grasp. If I were the OP, I'd introspect where I went wrong and compensate for that deficiency so that I would perform better next time. One gains more by admitting one's shortcomings than justifying the error itself. I wish the best of luck to the OP. Shaas
  12. shaas

    Sinus tachycarida?

    Digoxin does address HR, more specifically myocardial contractility, but you should really look it up. You need to ask: it decreases HR by addressing what sort of conduction problem and what mechanism of action? For future reference: digoxin is indicated for atrial fibrillation (abnormal conduction site and rate). Good luck. :)
  13. shaas

    Sinus tachycarida?

    Hi, there. One thing that I can think of is that, in this situation, sinus tachycardia may have been caused by fever or pain (both elevate HR). And, there is no electrical/conduction problem as far as I can tell from the question's stem. The conduction began normally at SA node, hence labeled "sinus" tachycardia. By alleviating the pain or fever, which may be the possible cause (because it does not give you any other physiological clues), you can bring down the HR, hence, acetaminophen is the most reasonable answer that I can arrive at. And, unfortunately, no. Your instructor is not mistaken here.
  14. shaas

    Nursing care plan

    Hi, there. I'm a fellow first-year nursing student as well. There's not much data that you presented but one thing stands out from what's been written: risk for falling, again. Your client has a history of having fallen more than once, which means that he is at the highest risk for another fall, according to the Fall Assessment Tool. I would give these a shot: 1) risk for falls related to visual or hearing difficulties as evidenced by (insert whatever objective/evidenciary data you have to support his hearing and/or visual impairment); or 2) risk for falls related to previous history of falling as evidenced by a high score on the Fall Assessment Tool. Your goal is to ensure that he does not fall again, so you can write a specific goal and what intervention(s) you must implement. I am as inexperienced as you are in this realm, so I cannot be certain that I'm on the right track. Good luck to you. Shaas
  15. shaas

    Potassium and Insulin Relationship

    Red blood cells are anucelated cells. So, the environment within a RBC would be considered 'intracellular' whereas the space inside the blood vessel sans RBCs would be considered 'extracellular.' So, conclusively, even within the blood vessel there are two disparate compartments; IC and EC (this is what I've been taught in science courses). Not a new fact; just a well-established yet not-too-well explained fact in some NS programs, I gather. And, below is another long-been-established facts on the contents of the RBCs. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC292863/?page=1
  16. If it isn't a bacterial UTI (which most labs are run for), then could it be Candida UTI since she'd probably been on antibiotics for a prolonged duration of time due to her recurrent UTI previously? Fungi tend to flourish with chronic use of antibiotics. Just a thought. :) http://www.merckmanuals.com/professional/sec17/ch231/ch231c.html