Susie2310

Susie2310

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All Content by Susie2310

  1. Let me hear your perspective...

    Susie2310 replied to mi_dreamin's topic in General Nursing

    Around 1500 a patient with known history of substance abuse presented to the ED. UDS was positive for methamphetamines and cocaine and functional ability at this time was unclear. We are told that at...

  2. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    The patient was diagnosed with pneumonia/sepsis from the CXR and symptoms which were tachycardia, fever, severe hypotension with systolic BP in the 70's, diastolic BP in the 50's, elevated lactate...

  3. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    Muno, I didn't add the fever part. It's right there on page 3 - a comment by the OP. Here's the OP's quote from page 3 of the thread: "She also had a fever. I'm sorry, I keep leaving details out....

  4. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    The patient was diagnosed with sepsis/pneumonia - the patient was severely hypotensive - BP was 70's systolic 50's diastolic at the start of care, with a fever, elevated lactate, elevated WBC,...

  5. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    Did you read that the patient with pneumonia/sepsis was reported by the OP to have had an ejection fraction of 20 and a history of A-fib? It appears the patient had serious pre-existing heart...

  6. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    The patient's blood pressure at the start of care was 70's systolic and 50's diastolic. This would have been consistent with severe sepsis (hypoperfusion of vital organs, and could also reflect in...

  7. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    I want to add that the priority in the ED was rapidly determining the problem, providing initial stabilizing care, and admitting the patient to the appropriate level of care to receive acute care...

  8. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    The patient's symptoms were severe hypotension and fever and we were told they had an EF of 20 and a history of A-Fib. The ED MD determined pneumonia/sepsis from the CXR (pneumonia on a CXR has...

  9. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    I know the OP does not know the triage information but this would be important to consider also. I am not asking the OP to provide any more information about this in view of patient...

  10. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    I agree completely. I thought about this

  11. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    I agree. The patient's cardiac history led me to suspect that cardiac problems (maybe possibly renal problems also) were being taken into account in the treatment for pneumonia/sepsis. We need to...

  12. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    I was thinking that the patient had presented as fluid overloaded and/or in heart

  13. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    I was thinking that this may have been because of the patient's ejection fraction. It appears to me they used pressors to restore the MAP initially instead of fluid

  14. Code Blue: Just Trying Figure Out What Happened?

    Susie2310 replied to Binz's topic in General Nursing

    From the information you've given so far I'm not seeing a reason to discount the MD's diagnosis of pneumonia and sepsis as I recall has been previously suggested (you said the MD had reviewed the CXR...

  15. Exploring the World of Freelance Writing for Nurses

    Susie2310 replied to Elizabeth Hanes's topic in Nurse Entrepreneurs, Innovators

    Can you direct us to samples of your published work so that we can see the types of writing you

  16. Oh dear . .Audited for proof of CEUs and don't have

    Susie2310 replied to Norma_Saline's topic in General Nursing

  17. Oh dear . .Audited for proof of CEUs and don't have

    Susie2310 replied to Norma_Saline's topic in General Nursing

    If you take the easiest, least challenging CEU's, you can't expect to learn very much. Or are you saying that there are no courses, nursing or medical, that offer CE contact hours that could challenge...

  18. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Susie2310 replied to tnbutterfly - Mary's topic in Nursing News

    This is your comment that I am asking you to explain. Who are "the people?" Who are the qualified persons that they will

  19. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Susie2310 replied to tnbutterfly - Mary's topic in Nursing News

    I have no idea what you meant by your statement about "the people sending qualified persons to replace the CEO etc." Perhaps you would care to

  20. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Susie2310 replied to tnbutterfly - Mary's topic in Nursing News

    No, you are misrepresenting what I have said. Both industry/facilities AND individual nurses have responsibility/accountability as I said earlier on this thread. Nurses by virtue of their license...

  21. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Susie2310 replied to tnbutterfly - Mary's topic in Nursing News

    You have made a number of points that refer to the culpability of the system, i.e. industry/employer expectations. While those points are valid, the bottom line is that nurses by virtue of their...

  22. Do male nurses face gender bias in nursing education?

    Susie2310 replied to SafetyNurse1968's topic in General Nursing

    Women usually carefully select their MD's (male or female) especially for OB/GYN. They build relationships with their MD's that allow for trust to be developed, usually over time. This is a very...

  23. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Susie2310 replied to tnbutterfly - Mary's topic in Nursing News

    Perhaps you would like to properly read my post that you quoted: I said "I think that SOME of the posters who are so opposed to the charges etc." Since you chose to generalize my comment to everyone...

  24. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Susie2310 replied to tnbutterfly - Mary's topic in Nursing News

    I agree with

  25. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Susie2310 replied to tnbutterfly - Mary's topic in Nursing News

    What a ridiculous comment. Of course the industry has responsibility; hence my comment about the need for increased government oversight and regulation. Individual practitioners have responsibility...