hodgieRN

hodgieRN

ER trauma, ICU - trauma, neuro surgical

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All Content by hodgieRN

  1. Help with pharmacology: cardiac

    hodgieRN replied to missk88's topic in Nursing Student Assistance

    I won't be be able to provide the info posted by Esme12, but hopefully I can give some pointers. As mentioned before, hemodynamics extend beyond the cardiac portion. The kidneys play a huge part in...

  2. Help with pharmacology: cardiac

    hodgieRN replied to missk88's topic in Nursing Student Assistance

    I am heading of to bed after a long day at work. But I am really interested in answering this question! I will give you some tips in the morning.

  3. Nursing Diagnosis for Breastfeeding twins

    hodgieRN replied to Laurlaur09's topic in Nursing Student Assistance

    A nursing diagnosis.....Did you or another nursing teach her on how to breastfeed twins? If you had to teach her something, there is a ND that talks about the mother "learning." If a pt is learning,...

  4. Nursing Diagnosis: Infection r/t??? in 9yo CF patient.

    hodgieRN replied to megmck's topic in Nursing Student Assistance

    Unless I am reading this wrong, Infection is a medical diagnosis, so you can't use infection. Pneumonia is also an obvious medical diagnosis. You have to draw, a nursing diagnosis from the infection...

  5. CVA interventions and timeline? What type of window of time are you seeing..........?

    hodgieRN replied to nicki22's topic in MICU, SICU

    MERCI procedures are great! It can be used past the 3 hr window if criteria is met. If I recall correctly, I believe it can be within 6 hrs from time of onset. And I think some studies are saying it...

  6. Debating if I should change my major??

    hodgieRN replied to Lhazlewood's topic in General Students

    My advice is to talk to an academic adviser. I understand the issue with finishing nursing school and wanting to go into public health. You could ask if there are any bridging options into public...

  7. Help me with ED progress note.. I`m so lost! -- and diagnosis

    hodgieRN replied to Student2001's topic in Nursing Student Assistance

    The medical diagnosis is Fall and Abdominal Pain (the abd pain should have a diagnosis that's more specific if you can find the actually injury). A medical diagnosis can include mechanism of injury...

  8. Small Bowel Obstruction (SBO) case study

    hodgieRN replied to thechamster's topic in Nursing Student Assistance

    Checking for NG occlusion is pretty straight forward. As long as it flushes and aspirates easily, the tube can be considered patent. In other cases that don't include obstruction, a decrease in output...

  9. Help with a prioritizing question please!

    hodgieRN replied to MrsCuoco's topic in Nursing Student Assistance

    Interesting enough, you will probably find instructors that will each give you different answers! That's the one thing is nursing....there's always some rationale that can alway be

  10. Nursing approach (Health Assessment)

    hodgieRN replied to sungnurse's topic in General Students

    Are these interview questions for a homework

  11. neuro nursing is freaking hard!

    hodgieRN replied to Lola77's topic in Neurological

    Don't forget to include the 85 year olds who wiggle the restraints off their wrists like they are freakin

  12. So.....What's up with this patient?

    hodgieRN replied to echoRNC711's topic in Cardiac

    It sounds like you took really good care of her! We forget how scary it can be without all our monitors, blood work, and x-ray down the hall. She was in good hands. One thing I would like to add if I...

  13. stroke question

    hodgieRN replied to Mrsladysoul83's topic in General Students

    The location of bleed is important. You can have an epidural hematoma (bleeding above the dural lining). These bleeds are bad b/c epidurals are from artery rupture. They can bleed a lot in a very...

  14. Help with a prioritizing question please!

    hodgieRN replied to MrsCuoco's topic in Nursing Student Assistance

    This is a good question. I am thinking the Digoxin is the priority. Cardiac pts who do not receive their digoxin on time are at risk for cardiac arrhythmias. And, Dig increases the contractility of...

  15. Need help with insulin ordered

    hodgieRN replied to Kaysmom8's topic in Nursing Student Assistance

    Insulin has different absorption rates and different half-lives. Regular insulin is a short-acting insulin. It's onset is 30-60 mins and last 4-5 hrs. 70/30 is an intermediate insulin with onset of...

  16. Is this common practice?

    hodgieRN replied to Sugarcoma's topic in MICU, SICU

    Agreed. Any vented pt coming out of surgery should have pain meds ordered (usually morphine or fentanyl). If it's not on there, ask the doc. If it's at night, call them or catch the surgeon before...

  17. Small Bowel Obstruction (SBO) case study

    hodgieRN replied to thechamster's topic in Nursing Student Assistance

    Sure. The obstruction will obviously block anything going down, so you can have variations in output b/c everything is coming back up. 575 ml is a lot, but there's other factors that can add to it....

  18. Nursing diagnoses

    hodgieRN replied to Stoogesfan's topic in Nursing Student Assistance

    Yes! The fact that she requires oxygen means there is an impairment. Also, desaturation is the big

  19. Any ideas for patient teaching for a patient with a diagnosis of 'Abdominal Pain'?

    hodgieRN replied to Samian Q's topic in Nursing Student Assistance

    Writing about abdominal pain is actually good! A nursing diagnosis often comes from the symptoms and the medical diagnosis. Colitis would cause symptoms or impairments that you would treat from a...

  20. Doubting my ability to be a nurse

    hodgieRN replied to chiflavored's topic in General Students

    It sounds like you enjoy nursing but you are having trouble learning the info. I think you should talk to an academic counselor. They can help you determine what is going on and how you can improve on...

  21. D5 water and Cerebral Edema

    hodgieRN replied to hodgieRN's topic in Neuro Intensive Care, ICU

    Thank you for the response concerning free water vs d5w, especially those who said D5w water is never used or free water via the gut was always used. I was being curious. When my parents tried to...

  22. D5 water and Cerebral Edema

    hodgieRN replied to hodgieRN's topic in Neuro Intensive Care, ICU

    Almost all of them are on insulin gtts, which means they are getting Accuchecks every hr. And some of these pts are getting a lot of

  23. D5 water and Cerebral Edema

    hodgieRN replied to hodgieRN's topic in Neuro Intensive Care, ICU

    I am referring to pt's with cerebral edema from closed head injuries (trauma) who go into DI and who are possibly receiving mannitol (sorry, I should have been more specific with the DI. I realized I...

  24. Will people take me seriously?

    hodgieRN replied to kleyva88's topic in LPN, LVN Students

    Doctors and patients will judge you based on your knowledge and competence. And as time goes on, the doctors will get to know what type of nurse you are. Nurses who miss things, who are lazy, or need...

  25. stroke question

    hodgieRN replied to Mrsladysoul83's topic in General Students

    I'd like to say never, ever give someone aspirin before the hospital. It's 100% contraindicated. I don't care what anyone says about prior history or ability to interpret presentation. A CT head...