Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    I'm grateful for you crusty old bats

    I decided to revive this thread! Thank you Crusty Old
  2. Lev

    On a brighter note....

    That is so wonderful! Nice to hear about people being kind to
  3. I think they are two different beasts. I currently work med-surg, I used to work telemetry, and I hope to go into ICU someday. Define "not very good." Do you mean time management, analysis, skills,...
  4. Lev

    Time/Care plan for CKD

    I think there is a nursing diagnosis called "Impaired urinary elimination." Start with that. Think about renal patients and electrolytes. I think there is another approved diagnosis related to fluid...
  5. Thanks. Good to hear. It wasn't a family member filming, so there is probably even less of a case. Just worried about social
  6. That was kind of my immediate reaction. If anyone was going to sue anyone it would be us suing him for recording us without knowledge and
  7. Lev

    Priority Help!

    Remember your ABCs 1. I would for sure see 404 Mrs D with the SOB first. Something could have gone wrong with that biopsy. BREATHING 2. Next I would see 403 Mr C. He has a lot going on. He needs blood...
  8. Lev

    crutches gait

    As is usual, Esme gives a complete and detailed answer that hits the spot.
  9. You're coming from NICU. Are both positions NICU jobs? That is something to think about. It would be a change to go from NICU to pediatrics, for
  10. Lev

    Why not medicine?

    I explain that I love nursing, love being with patients, and love the inside eye I have to what's going on. Patients tell us stuff that they will not tell doctors. I will go into the room with the...
  11. Lev

    I have a care plan question

    Sounds like a good nursing diagnosis for the
  12. Lev

    Surgical Nursing Student Question

    Embolus was first thought...especially with the fracture. She is SOB, Spo2 is dropping, confused, pulse is up, temp is up...it fits. http://emedicine.medscape.com/article/300901-overview Oh...now I...
  13. Lev

    telemetry reading

    I second skillstat.com Basic questions to ask Is the rhythm regular or irregular? Are there P waves? Is every P wave followed by a QRS? Is the QRS wider or narrower than usual? Is the PR interval...
  14. I admitted a middle aged patient the other day with a magnesium level of 0.3 mg/dL. She was fairly stable and only had mild tachycardia. She was treated with 4g IV magnesium and her mg level increased...
  15. Thanks this helps [h=3]Renal Causes [/h][h=4]Enhanced Filtered Load.[/h]In the patient with diabetes, the ultrafilterable Mg load may be enhanced by glomerular hyperfiltration, recurrent excessive...
  16. Here are some do's and dont's of interacting with the nursing staff at your inpatient clinical rotation sites. These are just some suggestions based on my observations. 1) Arrive on timeThis is very...
  17. Lev

    documentation

    Sometimes I chart so fast, that I mistakenly check the wrong boxes. Today I documented friction rub instead of inspiratory wheeze (They were right next to each
  18. What are the signs and symptoms of urinary tract infection and/or cellulitis? What are potential risks associated with UTI and/or cellulitis? Answer those questions, and you will be on the right...
  19. Lev

    Why low Hg, Hct, and RBC postop?

    I guess it depends on institutional policy. Also depends on the patient. The sickle cell patients are not always transfused even though their H&Hs are lower than
  20. Lev

    A selfish nurse

    Esme you are so
  21. Lev

    Why is nursing school "hard?"

    In school, it's the sheer amount of knowledge to accumulate in such a short period of time and having to learn a whole new way of thinking and approaching situations At work, its the frustration of...
  22. Lev

    Why low Hg, Hct, and RBC postop?

    My Hgb was 12 when I went to donate plasma (too low for
  23. Lev

    Why low Hg, Hct, and RBC postop?

    KelRN - It's all about the NCLEX... OP, many many patients are chronically anemic. Anemia of Chronic Disease is an actually diagnosis. In real life, patients are many times not transfused until...
  24. I don't know if that is true at all times. Headaches can be a a sign of hypertensive crisis which is an emergency. You have to know which symptoms are an exacerbation of their current ill health...