ireilly13

you did help. thank you :)

so i think im going with risk for fluid volume defecit r/t active fluid loss aeb 5 loose stools and the second im thinking i may go with risk for electrolyte imbalance. man so flippy floppy with this Long term i just want the lady to be cured of c.diff, her afib was converted 9/11, history of chf. but no lung complications, no edema, no lethargy, no dyspnea. The c.diff was HA a two or so months before and this is a recurrent episode so what could be recommended long term for a patient like that? Would that mean i should look at a different diagnosis, one that will provide for long term goals? I'll stop thinking so much and focus on 1. risk for dfv etc etc. and 2) risk for electrolyte imbalance r/t fluid loss aeb loose stools. My concern with that though is number 2 is related too and evidenced by the same as #1 . Am i overthinking this too much for my first care plan? goals i can pull from my awesome nursing diagnosis handbook from evolve and i can pull interventions from there as well. Teaching r/t each diagnosis is a good question. i would educate the patient on the importance of a well hydrated body, especially for a person with a history of afib; gotta keep every variable working properly and a well hydrated body will be a first line.

Good point. Deficient fluid vol. r/t active fluid volume loss aeb loose bowel movements? her hct was low but not low enough to hold the heparin. Could the decreased cardiac output be r/t decreased output and dehydration? She came in with a second bout of c.diff and was on flagyl, vanco, some probiotics, aspirin, a ca- channel blocker, plavix. and hep 1mL q8h. i was told the blood was to be kept thinner due to the risk for DVT. Initially i wanted to the d(x) of decreased fluid volume and risk for dvt. I figured with C.diff that would be a primary risk. I was also thinking about the possibility of a superinfection from c.diff or maybe colitis from c.diff. Not sure if those would be more primary than dehydration. would risk for dvt be more primary than decreased cardiac output? First time doing a care plan. thanks for letting me bounce these off of you. :) ian

sorry forgot to mention she was admitted for recurring c.diff, hence the risk for fluid volume loss and dehydration. I think i may go with risk for decreased cardiac output for the second. 1. Risk for deficient fluid volume related to excessive fluid loss as evidenced by 5 loose bowel movements prior to admission. 2. Risk for decreased cardiac output related to excessive fluid loss as evidenced by loose bowel movements how does that seem? yea i have a nurs diagnosis, that's where i found decreased c.o. I figure that with dehydration you'll have less fluid to pump and lower volume going in and lower c.o.

DVT is a med diagnosis ya? im just racking my brain. patient with history of afib, chf came in with c diff i need two diagnosis and 4 interventions for each, risk for dehydration i have taken care of risk for dvt im struggling 1) risk for dehydration related to excess fluid loss as evidence by 5 loose bowel movements prior to admittance 2) risk of DVT related to lack of mobility as evidence by ??????? patient is on hep, aspirin how do i support this diagnosis? haven't found any support so i need help, heeeeellllp please, thanks ian

Hey guys, any critiques would be helpful, thanks in advance. In my early years I grew up fast; by the age of 14 I was as a professional skateboarder by 24 was a sponsored and competing snowboarder and at 30 was competitively racing motocross. Whether it was skateboarding, snowboarding or motocross, I have spent a great deal of time on the patient end of receiving medical care and treatment. I have had numerous hospital visits; facial reconstructive surgery, broken back, fractured skull, torn ligaments, a four day ICU visit, multiple outpatient visits and a total of 27 broken bones. I know what patients are feeling, the questions they have and how to help answer these questions and ease their worries. I want to be able to help people whether they are in the Emergency room or in the ICU. My life has been immersed in activities where fast critical thinking is the norm, an attribute essential in nursing. I believe my ability to work under pressure and be clearly productive under pressure has strengthened and prepared me for this profession. I have an affinity for the physiology of the human body and I am incredibly empathic to what others are experiencing. Returning to college has proven to be a productive choice on my part. I am moving through my prerequisites with competence and a desire to learn more. I will continue studying the human body and further my understanding of illness diagnosis and treatment along with critical care and find the best ways of educating patients while helping them understand complex issues in a simple way. Being able to help those in need, in pain, confused and worried is something to take pride in. Nurses have always astounded me. The compassion and unconditional care from nurses is a true measure of pride. I want that! I want to help those who are not able to help themselves. Health care is a constantly changing and developing practice worldwide and personal growth is essential to keep pace with demands. I've chosen to become a nurse because I want to make a difference at critical times in people's lives. Nursing is the ability to improve lives every day and make a profound difference. People will remember the assistance, care and compassion I've given them during their critical time spent in a hospital. After my BSN I am striving to work in ICU, trauma and emergency care and plan on a Master's Degree in nursing. I am looking to begin that career path with acceptance into your program. thanks for any help.

thanks Houtx, thats kind of what i was thinking. Pretty excited as this is a new path for me. I also have just started my essay which i'll post to ask for some feedback. thanks. :)

I'm currently doing prereqs and applying to Seton Hall, UMDNJ, Utah, and possibly california. Reason being, i want to go to school and work where i went to school. Question? Is it better to go to a school in the area where i want to work? I want to do seton hall because it starts this sept and i'll be done oct of 2012. I don't want to work in NJ though, i want out of nj asap; thats why im thinking it might be better to go to school where i want to work. I'll be doing clinicals in hospitals and getting to know the hospitals throughout my schooling. I want to work in trauma, er's, icu, I want the adrenaline rush of nursing. So is it a better idea to go to a school where i want to work right after school? I think it may be better since i would already be working with the hospitals there and may land a job immediately after school. any help with this would be nice. thank you all. Ian