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I forgot to add that the food diary will help you see why you eat. If you find you use food to help you de-stress or eat when your bored or late at night then you should try to do something else instead. These times would be a good time to excersize with music. Also, have sugar free mints on hand help fight cravings. Another thing you need to do is learn to day no to unhealthy food. It sounds silly but you need to look at your favorite foods and say I don't need you. Or limit yourself to 3 bites of your favorite food instead of the whole thing.

I am 5 1/2 half months post partum. I am about 5 feet tall and gained 60 IBS during my pregnancy! I have lost all but 10. As you know after having a baby you have a belly and I know how you feel, it's embarasing. Don't try and starve yourself because that will only make you crave more. The best advice I have is to keep a food diary for 2 weeks and dont cheat! Be honest with yourself about what you eat, how much you eat(serving sizes according to labels), and why you are eating. Write it all down. Then after 2 weeks see how many calories you have been eating per day, what kind of food you are eating, and why you are eating(stress, boredum, habits) Next assess your food preferences and determine what healthy foods you like. The unhealthy stuff limit to once or twice a week as a treat. Then you have to make time for excersize. Walking is a great way to start. I used Leslie Sansone videos. They are fun and great for beginners but they get your heart rate up. Finally, do NOT weight yourself more than once a week or you'll find yourself obsessing and getting frustrated. Good Luck.

Dudette10 you need to look this up in your text or ask someone for help. Actually, take the question to your nursing professor to clarify. Or go online and look up the answers because acid/base is online and it is a very simple topic.

Another thing to help you is to remember is that Metabolic conditions the arrows follow eachother. pH is low in metabolic acidosis( down arrow) and HCO3 is low( down Arrow) down down OR if pH is high in alkalosis(up arrow) HCO3 is high(up arrow) up up This is true because HCO3 is a base. Bases raise the pH Respiratory conditions the arrows are opposite. In respiratory acidosis the pH is low(down arrow) and the PaCO2 is high (up arrow) In respiratory alkalosis the pH is high(up arrow) and the PaCO2 is low(down Arrow) up down or down up This is true because CO2 is an acid. Acids lower the pH.

first thing to look at is the pH. normal pH is 7.35 to 7.45. if it is than its alkalosis. Compensated means that the pH has returned to the normal range. the pH is 7.33 so its acidosis Next look at PaCO2 normal is 35-45. If this level is off than the condition is respiratory. CO2 is an acid so if there is more ( >45) it is acidosis. But if there is The HCO3 is next. If this level is off than it is metabolic Normal is 22-26. Bicarb is a base so if there is more of this(>26) than it is alkalosis and less than( PaO2 will not help you determine acid base balance. PaO2 normal is 80-100. This assesses the % of oxygen bound to hemoglobin and helps you to determine the pts perfusion(gas exchange) Hope this helps

All RN's have a duty to report unsafe practice. Therefore, you need to approach your supervisor and let her know what is going on.

NO. Each state has a board of nursing which creates the Nurse Practice Act for that state.

any Littman will do. I would say get it now so you can get used to it while you are in school.

The standard of care for all antiobiotics is administer within 1 hour of order unless in ED then has to be within 3 hours. I would call the MD to ask what he would like you to do because if you wait you are going to have a med error. But if you give it like you said the dose is not being given evenly and it wont be as effective.

It greatly helps to place one's self in the shoes of the CNA, especially a LTC CNA. I work at a nursing home, and each one of my CNAs is assigned 12 to 15 patients each. They simply do not have the time to sit with one patient for an extended period of time when there are other call lights that need to be answered in an expedient manner. In addition, most LTC facilities suffer from high employee turnover and attrition rates, so the DON usually won't bestow severe punishments upon lazy staff members. The DON is just happy that a warm body has arrived to fill the necessary shift. In addition, there's typically not enough quality time for most LTC nurses and aides to devote to non-emergencies such as panic attacks and screaming. Few, if any, procedures are done by the book in LTC. You'll learn as you spend more time in your new LVN role. She said the CNA was reading a magazine. I think she probably had time to sit with the patient. There is a difference between "by the book" and unsafe. CNA's dont pass meds. period.

Eating pizza by an empty bed in a room shared with an isolation patient!

remember that wherever you work there will ALWAYS be difficult people. The best way to handle the situation is to be assertive. Assertive not aggressive. Assertive means useing "I" statements. For example, a Dr. tells you that you are an idiot because you took too long to pull up a lab result or called him in the middle of the night ect. Instead of saying "You are being disrespectful" which immediately puts the other person on the defensive and creates confrontation say "I feel disrespected when I am called stupid"

First off nurses are not supposed to have the consent form signed. They are suppose to check to make sure that it is signed. Signing the consent is the surgeon's responsibility. If you are obtaining signatures for informed consent , then, you are practicing out of your scope of practice! Not to mention, if the surgeon has not explained the procedure PRIOR to the signing of informed consent than the patient has not been informed. This is illegal! NPO status in adults: fast for 8 hours after eating fatty foods and 4 hours after ingesting dairy products. Most patients are allowed clear liquid up to 2 hours before an elective procedure.

Bring this to the attention of the MD and get an order for NS.

Compliance error is a big reasons for high INR, ASA, cough and cold OTC remedies, dietary supplements like garlic increase bleeding time, Many prescriptions meds can increase INR(Antibacterial drugs, antifungals, antiseizure, cardiovascular, GI drugs, Thyroid preps). Liver disease, biliary disease(obstructive jaundice) malabsorption, hyperthyroidism, and fever increase drug effect by reducing the absorption of vit K and decrease hepatic syntheses of coag factors or increase breakdown of coag factors.

Coumadin has a longer half life so it may take some time for it to normalize. Maybe his liver is not produce coag factors. He would need additional blood testing for this. They can be infused in FFP in the meantime. Is his H+H normal?

You are giving prophylactic IV ephedrine to prevent maternal drop in BP r/t spinal anesthesia becausing giving a rescue bolus alone is not as effective as giving a prophylactic dose and a rescue does if systolic BP drops below 90. As for BP dropping during anesthesia, it can be caused initially by the vasodilating effects of the anesthesia causing increased blood flow and decreased pressure. This, however, is usually corrected by itself when the body reacts to the cutting of surgery and invasive procedures by producing hormones (epinephrine and norepinephrine) for vasoconstriction. Then of course the blood loss. Usually during a C-section the average blood loss is about 500cc of blood. Then there can be a reaction to the anesthesia or other underlying pathophysiology like cardiac problems causing a drop in BP. The anesthesiologist gives meds to correct the problem.

I think nursing diagnoses are pivotal for the student nursing for developing the skill of creating care plans and learning to think critically. Nursing diagnoses teach the student to identify the harmonies and disharmonies of the patient based on their assessments, prioritize the disharmonies, and most importantly, prioritize and develop a plan of care. Also, because nursing school is not designed in a way in which the clinical instructor follows the nursing student all day, the instructor needs a way to evaluate the student nurses ability to do the things mentioned above. Therefore, nursing diagnosis are most helpful to the student, but not practical in clinical practice because at this point the nurse has learn to assess and prioritize.

Think about what diuretics do and what they are for. Loop Diuretics (lasix) are the type of diuretic that are BEST for renal failure because they do not accumulate in the kidneys like thiazide diuretic or cause hyperkalemia like potassium sparing diuretcs. The BUN/cr levels if elevated wouldn't indicate holding Lasix because Lasix is what is used for renal fauilre

Speaking from both ends of the spectrum (having been a CNA and currently a student nurse) I think it is easy for people to assume nurses do not do much because they cannot see the nurse think. For example, a nurse goes in to assess an IV. They are looking for signs of infiltration, infection, patency, ect. but the CNA just sees them go in and look at the IV and touch around it. The CNA doesn't realize all that the RN has to think about just for that IV and then the documentation of the assessment afterward.

Also, remember NO fishing! Do not go in and out of the vein because the vein rolls or you are slightly off. Fishing causes trauma to the vessel. If you missed STOP and retry.

You DO have to remove and change the electrodes every 24 to 48 hours. You need to check the patients skin for irritation and allergic reactions. Then when you reapply the electrode put them in a slightly different place as before.