MattNurse

MattNurse MSN, RN

med-tele/ER

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All Content by MattNurse

  1. Same patient's over and over again

    MattNurse posted a topic in General Nursing

    Do you ever get to work, look at your assignment and have your heart sink because you know the patient's by name? My last few shifts I have had the same alcoholic on my assignment . A person I have...

  2. help with case study

    MattNurse replied to minemine's topic in Nursing Student Assistance

    great job! a 75 year old female is admitted with complications of shortness of breath, increasing with exertion and at night, feeling fatigue, and difficulty sleeping. --sounds like she could...

  3. help with case study

    MattNurse replied to minemine's topic in Nursing Student Assistance

    I agree there is value in the recognizing a disease process, but to me a nurse shouldn't be diagnosing patient's with medical diagnoses. If you are working on the floor of a newly admitted patient...

  4. One year later as a nurse, what have I learned?

    MattNurse replied to Catch22Personified's topic in General Nursing

    I am frequently called to crazy patient's rooms when they are out of control. It is part of being a guy in nursing that the women will call you for extra help (not all women, some still do). You...

  5. You Know You're A Nurse If...

    MattNurse replied to Joe V's topic in Nursing Humor

    you ask your father-in-law what color his stool is and when is the last time he moved his bowels (true story, got the strangest

  6. help with case study

    MattNurse replied to minemine's topic in Nursing Student Assistance

    Are you in medical school or nursing school? (rhetorical) Why are your teachers asking you to make medical diagnoses? I thought the trend in nursing school was to have you make NURSING diagnoses....

  7. Pro-Stat 64 Drug Info

    MattNurse replied to lacl's topic in Nursing Student Assistance

    Your nursing considerations are going to be things like don't give this drug within this period of time of this supplement. For instance if you were to give your patient levothyroxine, you would want...

  8. Pro-Stat 64 Drug Info

    MattNurse replied to lacl's topic in Nursing Student Assistance

    http://www.pro-stat.com/pro-stat_indication_use.asp?product=pro-stat_64 Ordered reason: Does your resident have a wound of some kind? Or are they on tube feeds? Drug class: Vitamin, protein, and...

  9. Medical dosage question

    MattNurse replied to dm61's topic in Nursing Student Assistance

    1.1 M2 x45mg/m2 = (1.1x45)mg =49.5mg m2 is you denominator and numerator so they cancel each other out and milligrams is left in your numerator for the

  10. chimera studies

    MattNurse replied to 208187's topic in General Students

    A chimeran is a single organism with two different sets of genetic material. For instance when a set of twins (two separate zygotes) fuse together during the germ layers being formed in development....

  11. Has Nursing hardened you?

    MattNurse replied to ThePrincessBride's topic in General Nursing

    I don't recall ever being called mean or nasty in my nursing practice by students or new nurses. Yet when I started as a male nursing student in 1971 I recall being bullied and told by many nurses...

  12. first day high..

    MattNurse replied to iamgabrielle's topic in Medical-Surgical

    COPD, diabetes, hypertension, asthma, HIV/AIDS, alcohol withdrawal, pain control, anemia, diverticulitis, Parkinson's disease, c-diff/colitis, coronary artery disease, epilepsy/seizures, GERD, sepsis,...

  13. Practicing NG Tube on each other?

    MattNurse replied to pjharrelson's topic in General Students

    You don't have to do anything you don't want to do when it comes to your body, including injections, IV's. This is the reason you have clinical time and if anything makes you uncomfortable talk with...

  14. False documentation... more common than you think.

    MattNurse replied to OnlybyHisgraceRN's topic in Patient Safety Issues

    how come you have an hour window for a calcium chew? I am just curious. If I am going to have to give the med late I just reschedule the med. Does your facility not allow the nursing staff to make...

  15. Can anyone give me some ideas on this case study? thx

    MattNurse replied to kcvo's topic in Nursing Student Assistance

    Floridatrail2006 This is a little exerpt from the uptodate article "Use of oxygen in patients with hypercapnia" I read the whole article and quoted the part that I copied and pasted. It was...

  16. Same patient's over and over again

    MattNurse replied to MattNurse's topic in General Nursing

    Patti_RN I have empathy for ETOH who are in the hospital to quit, even if their intention is to quit but this is the 40th time. My family has many alcoholics who actively battle alcoholism daily. My...

  17. Can anyone give me some ideas on this case study? thx

    MattNurse replied to kcvo's topic in Nursing Student Assistance

    Do you find answers from American nurses helpful? I am sure the laws and standards of care are similar but

  18. Can anyone give me some ideas on this case study? thx

    MattNurse replied to kcvo's topic in Nursing Student Assistance

    Look at all your vitals too. You have a patient who has a heart rate 130's to 140's with pre-existing ischemic issues. The heart perfuses during diastole (relaxation). What do you think of when you...

  19. Same patient's over and over again

    MattNurse replied to MattNurse's topic in General Nursing

    come to the internet to vent a bit

  20. Can anyone give me some ideas on this case study? thx

    MattNurse replied to kcvo's topic in Nursing Student Assistance

    Ultimately the patient can be in respiratory distress for so many reasons. You might see the doc even prescribe morphine for anxiety too and possibly nitro paste & beta blocker combo for the...

  21. Can anyone give me some ideas on this case study? thx

    MattNurse replied to kcvo's topic in Nursing Student Assistance

    I always get concerned when you are at the 88-89% o2 saturations. kcvo look at the oxyhemoglobin dissociation curve in all of your en-devours. I totally agree with you Floridatrail2006 about how...

  22. Can anyone give me some ideas on this case study? thx

    MattNurse replied to kcvo's topic in Nursing Student Assistance

    It is respiratory acidosis w/ partial metabolic compensation. [TABLE=class: cms_table_cms_table] [TR] [TD]ABG [/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]pH 7.33 (partially compensated if 7.35-7.45...

  23. Same patient's over and over again

    MattNurse replied to MattNurse's topic in General Nursing

    I have been considering a change after 40 years with adults I think about applying to a pediatrics hospital all the time. I realize the babies can come back, but for a limited amount of time. I...

  24. Same patient's over and over again

    MattNurse replied to MattNurse's topic in General Nursing

    It gets worse every year and the patient's are getting

  25. Can anyone give me some ideas on this case study? thx

    MattNurse replied to kcvo's topic in Nursing Student Assistance

    First stop feeding the patient and see if it improves the vitals. If not then: ABC's.... I would crank up the oxygen, call a rapid response w/ those vitals. Get an EKG, get cardiac enzymes, put the...