NikiCharles_01

As everyone else said learn the drugs by classes. Once you start you'll realise that the classes give you certain clues. Take for instance antihypertensives there are different categories (alpha adrenergic blockers, ACE inhibitors, beta adrenergic blockers, calcium channel blockers) Calcium channel blockers (they end in the suffix "pine" e.g. nifedipine, beta adrenergic blockers (they end in "lol" e.g atenolol)... I've recently started to learn drugs that way and it's really helping a lot

Hey I don't know if you're still in the same situation now but I definitely know what you're going through... I know this may seem "bad" but what I do is look to see if I could find books online to to download until I'm able to do otherwise. I know you'll find be able to find a lot

I understand what you're saying but actual problems take precedence to potential problems

I think I get what you're trying to say. For instance, since he cannot express himself in an appropriate manner verbally my aim should be to help him find other ways or another method of communicating just as effectively rather than saying that my goal would be for him to improve his verbal expression of thoughts and ideas. Am I understanding you correctly?

Okay.... Thanks so much for your help :hug: .... This isn't for for another 3 weeks but thanks again for ensuring that I'm on the right track

My lecturer only wanted neurological nursing diagnoses since the course it's for is management of neurological patients. Do you think these diagnoses will apply?

The reason why I gathered that it was a TIA was because of the symptoms and the left carotid bruit but I didn't take the Babinski sign into consideration. I'm seeing that is possible for a TIA to produce a positive Babinski and it's a sign that there is an upper motor neuron lesion present and mostly present in patient's who suffered from a stroke. Cerebral thrombosis can also be what it was since I've read that they are most likely suspected when there is carotid occlusion and that would take the bruit into account making it a stroke and not a TIA. This is some really tricky stuff

Was given a case study from my lecturer to complete a nursing care plan and would just like some help to see if I'm on the right path... Thanks :) CASE STUDY A 71 year old male was eating breakfast when he had an abrupt onset of visual loss in left eye and weakness in right arm and leg. There is some tingling of the right hand and right corner of mouth. He has difficulty standing and is taken to the emergency room where you are asked to initiate admission. On examining him, you find that his vision has recovered but he has weakness of the right arm involving the triceps, wrist and finger extensors and right leg involving hamstrings (lower leg flexors) and anterior tibial reflex. He also has Babinski's sign. Sensory examination reveals decreased sensation in right hand and arm and less sensation on the right side of face and leg. He has difficulty identifying objects placed in his hand by sensation alone. The patient has no difficulty understanding speech but speaks infrequently and does so with paucity of otherwise meaningful words. General examination reveals left carotid bruit and a normal sinus rhythm. From looking at the symptoms and doing some reading I found that most of the symptoms are present with a TIA. So these are the nursing diagnoses I have (was only required to have one actual and one potential diagnosis but I have two actual diagnoses to be critiqued): Disturbed sensory perception r/t reduction in cerebral blood flow AEB decreased sensation on right side of face, right arm, hand and leg, decreased ability to identify objects placed in hand and patient's verbalization of abrupt visual loss in left eye and tingling in right hand and right corner of mouth. Desired outcome: Patient will verbalize increased sensation in right hand, arm, leg and right side of face. Impaired verbal communication r/t decreased cerebral blood flow AEB impaired articulation. Desired outcome: Patient will be able to form coherent sentences and speak fluently. Risk for trauma r/t decreased sensation in right leg and patient's verbalization of weakness in right leg and difficulty standing. Desired outcome: Patient will remain free from injury.

Thanks Candii same to you

Ok. I see what you're saying with my first diagnosis. I will reassess my patient again tomorrow and see what else has been done over the weekend for her concerning that aspect and I understand what other factors I left out for my risk diagnosis.... Thanks a lot

Hey guys first care plan for the semester and I would just like some feedback to know if I'm on the right track..... 47 year old female admitted on 12/1/12 at 6:10 pm with a history of PV bleeding and abominal pain x 7/52. PMHx - DM, HTN, uterine fibroids. PSHx - C-Section in 1988 & D & C in 2011. Allergies - NKDA. Vital signs on admission T- 36.5, P- 102 bpm, R- 20 bpm, B/P - 171/98 mm/Hg, SpO2 97% on room air, Blood glucose - 157 mg/dL. Diagnosed as septic shock secondary to endometriosis. Additional Information: It was given over from the night staff that she had temperature spikes throughout the night 37.5, 38 and 40 degrees celsius. Also that she fell from her bed while sitting and awaiting a bedpan because she was too dizzy to go to the bathroom. Brain CT was done no abnormalities noted but patient obtained a lump to the forehead. My Assessment of patient: Patient alert and oriented to time, place and person. Patient verbalized she had difficulty breathing. Respiration fast and shallow at a rate of 24 bpm on O2 5 L/min via face mask. Pulse regular, fast and bouncing at a rate of 98 bpm ; B/P - 148/ 78 mm/Hg IV cannula insitu at left brachial artery with no redness or swelling observed at site. Patient stated she felt nauseated and did not eat a sufficient amount of breakfast even though she was hungry. Urinary catheter insitu. Mild bleeding bright red in color with a large oblong blood clot noted in incontinent pad. Last recorded temperature 36.8 degrees Celsius. Patient observed to be in pain which was verbalized. Other signs included facial grimacing, groaning and massaging and guarding of lower abdomen. Patient's severity of pain was assessed using the numeric pain scale. On a scale of 1 - 10 (1 being no pain and 10 being severe pain) patient verbalized severity as 9. Abnormal Lab Results: WBC - 18.6 K/uL RBC - 3.93 m/uL HBG - 7.09 g/dL HCT - 23.1 % These are the nursing diagnoses (actual and potential) I am thinking of using: Ineffective breathing pattern R/T pain AEB verbalization and respiratory rate of 24 bpm. Acute pain R/T bleeding of misplaced endometrial tissue AEB patient's verbalization, facial grimacing, groaning and guarding behavior. Risk for infection R/T insertion of urinary catheter.

My vacation ended as of yesterday back out into the clinical area today (gynecology).. To everyone who's still on vacation hope y'all are enjoying it :)

Sleeping in late, reading novels that I've had there like sitting ducks, hanging out with friends, catching up on some tv series and light educational reading lol.. Just relaxing like I don't have a care in the world, feels absolutely wonderful. :w00t:

So should it be assumed what you're saying is that some nursing schools have mastery in science and other do not? Because I've done organic and inorganic chemistry, biochemistry, microbiology and statistics at my school

my school library hardly has nursing books they mainly cater for the rest of the school and if they happen to do the stuff is seriously outdated. the only thing the nursing department has more than the other faculties is academic journals and that's it. they're now trying to get nursing books and only they and the lord knows what that includes... so really at a disadvantage with that