KatePasa

KatePasa

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All Content by KatePasa

  1. COPD/Pneumonia Care Plan

    KatePasa replied to swimmin4fun247's topic in Nursing Student Assistance

    Ineffective Airway Clearance would have priority

  2. So.....the infection control nurse busted me.....

    KatePasa replied to mindlor's topic in General Students

    The correct answer is "perform hand

  3. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa posted a topic in General Students

    Solumedrol (methylpredinisolone) 40 mg IV every 6 hours What is the rationale for this drug? It's on our sim MAR and it just stands out to me as a little wacky. OR...I might just be a little wacky....

  4. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    Mindlor, I am a notorious know-it-all to the nth

  5. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    Thank you for this response. Not only have you pegged me, you helped me realize the point to the situation. Desperate times call for desperate measures (e.g. systemic

  6. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    And thank you for the Medscape suggestion. I am a subscriber, and I'll go poke

  7. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    I understand the patho of COPD, which I would go into ad nauseum, but for the sake of brevity I'll just say destuction of alveoli, excessive secretions, dyspnea, and chronic high CO2 levels. I...

  8. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    That's hilarious! I'll make sure my instructors, the writers of the NCLEX and the BON know that I don't need to know about disease processes and why a medication would be selected to treat them. I...

  9. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    My instructors are always very interested in what we really mean for the patient individually when we say: encourage fluids CDB ambulate monitor blood sugar i/o Those are catch phrases that we learn...

  10. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    I was wondering about the insulin also. I have an order for sliding scale insulin, but it does seem that he'll need IV

  11. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    That DOES help put it into

  12. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    No cor pulmonale or coexisting heart disease if that's what you mean. Nothing limiting fluid intake. He's only on 75 ml/hr and the sim chart says he's dehydrated. Also, with pnuemonia you want to...

  13. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    He's type 2 and managed on combo therapy. This is the first I've heard of Solu Medrol, so I really don't know how to deal with the stuff. But this time a year ago, I didn't even know what a care...

  14. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    He's on IV antibiotics, IV corticosteroids. Yes, of course, he has IV fluids to go along with that. Sorry, thought that was a no brainer. He's also dehydrated. Nursing intervention for encouraging...

  15. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    I was expecting the inhaled or oral steroids, which threw me down the path of confusion. Like I said, IV corticosteroids for pneumonia or COPD are NOwhere to be found in Lewis MedSurg or on our ppts....

  16. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    It's for prophylaxis of bronchospasm and reduction of inflammation of the airway. And the patient is being treated with Rocephin IVPB (in an appropriate/safe dose) for the CAP. My concern with it is...

  17. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    Wow! I don't need anyone my homework. Maybe I should have worded the OP

  18. Appropriate order for diabetic + COPD + pneumonia?

    KatePasa replied to KatePasa's topic in General Students

    I have looked it up, believe me. I wouldn't have come to allnurses, if I hadn't spent an hour trying to justify the use of the drug. It's a steroid, which would be indicated in an exacerbation of...

  19. I am a Nurse

    KatePasa replied to farawi03's topic in General Students

    Wonderful! Thank

  20. Swearing: hugely unprofessional, mildly irritating or a normal part of speech.

    KatePasa replied to loveoutloud's topic in General Students

    It's unprofessional. I use have a few substitutes I use in a pinch. Shoot, fraggle, and mother of frogs are three I use. However, I try not to use those around patients,

  21. Classmate Reported Our Instructors to the BON

    KatePasa posted a topic in General Students

    Nursing school isn't easy. I don't know who hoodwinked one of my classmates into thinking that he could waltz through nursing school with A's and never once fail a test. After a test that almost...

  22. Are there any RELIABLE med-surg study guides?

    KatePasa replied to heatherhammy's topic in General Students

    I second Reviews and Rationales MedSurg by Prentice

  23. Head-to-Toe Assessment

    KatePasa replied to ADAngel's topic in General Students

    Practice on anyone who will let you. Even better practice on another student, because you might catch one another skipping something. I wrote out a script of sorts. I reheorificed it in my head...

  24. Measure Ostomy Effluent?

    KatePasa posted a topic in Nursing Student Assistance

    :) How do you measure ostomy effluent to record I&O? We have a graded lab tomorrow on ostomies and I can't find an actual way to measure it anywhere. Just that it must be done. I was thinking I...

  25. Measure Ostomy Effluent?

    KatePasa replied to KatePasa's topic in Nursing Student Assistance

    What if it's more