MedTrans68

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That does help a lot. Really a lot. It opens my eyes to a bigger picture, has helped me understand the situation better. Thank you!!

It was given by nebulizer. RT was at doorway. Watching him. Watching the halls. watching him. Watching the halls. I was about 15 feet away in a nurse station unaware of exactly what she was giving him. RT always just comes on the floor and does their thing then leaves. Suction is on the wall with canister. It is bagged unless hooked up and on standby. O2 sat is right there at bedside on a long cord because there is an MP5. I work on telemetry. The RT staff is very much older, early 60s. Not sure of years of experience but assume not nearly a newbie. Pt just kept saying afterwards that something felt stuck in his throat and he couldn't breathe to the point he like passed out. I dunno. It was just chaotic and I am trying to work smarter and learn from it. The suction part stood out for me from school because they kept reiterating that but i just don't get why RT never heard of it, especially when it is clearly a bolded warning on the clinical pharmacology paper for mucomyst.

All my points exactly. This is a hospital with suction on the wall. RT Department is in charge of administering all nebulized treatments and was standing there watching him the whole time. I don't get it either. I really don't. I don't get why staff of however-many years in practice do not know these procedures. Two other staff rushed in and immediately HOISTED him up onto the bed. I was yelling to clear his airway and get the O2 sat monitor on him. A 25+ year RN yelled back at me that we are not concerned with his O2 sat. Oh but throwing him on the bed is important? The patient is full code. I was going with ABCs, not getting him back in bed. These people scare me, and I have no say because I've been an LPN for 1 year and these people have been RNs for 20+ years.

Mucomyst has this warning attached to it. It says "When cough is inadequate, the airway must be maintained open by mechanical suction if necessary." Am I missing something here? [h=2]Warnings[/h]After proper administration of Mucomyst (acetylcysteine), an increased volume of liquified bronchial secretions may occur. When cough is inadequate, the airway must be maintained open by mechanical suction if necessary. Where there is a mechanical block due to foreign body or local accumulation, the airway should be cleared by endotracheal aspiration, with or without bronchoscopy. Asthmatics under treatment with Mucomyst should be watched carefully. Most patients with bronchospasm are quickly relieved by the use of a bronchodilator given by nebulization. If bronchospasm progresses, the medication should be discontinued immediately.

I swear we learned in school that when Mucomyst is adminstered to have suction on standby. Well, a patient was given it, started coughing profusely, blocked his airway with phlegm or whatever, fell off the bed, hit his head, lost consciousness, and fractured a rib. I questioned staff about why wasn't suction on standby. All said no, never heard of that practice. Anybody have an opinion here?

Study your butts off. Study anything and everything you can possibly think of. Expect the unexpected. Some of my C grade classmates said it was easy but me (honors) and another honors classmate left the test pretty sure we bombed it. She passed and as i said i find out tomorrow. This is going to be the longest 11 hours of my life. Good luck ya'll.

I bought Sylvestri nclex pn study guide and did the whole book. Then i retook almost every single ATI that we did in school including one of the two comp predictors which i scored 97% on soooo we will see!! I broke down and did the PVT and got the good popup. Should know tomorrow if i made it for real.

it shut off at 85 but it was SOOOOO hard. i graduated with honors so i can't be that dumb to fail but it was SO hard that i am questioning if i really passed or not. it's going to be a long night and i don't trust the PVT to try it. it freaks me out too bad.

No, it was the "related to" part of of the nursing dx. The instructor marked it wrong and said not to use medical diagnoses but to use the definition. Okay so the definition of left hip surgery is what? Surgery of the left hip? I'm just tired. Nursing school is kicking my butt. Two months left and I'm done!! (graduated). :)

What is the definition then of left hip surgery? Surgery of the left hip? I don't get it.

the book doesn't say anything close to any of the answers. my thoughts are the gate doesn't swing back and forth. i think the theory relates to a lot to b. because it's based on all the ways you can shut pain off. i also see where c. could fit in because if the gate is open then the pain is perceived. i'm leaning more towards c. because i don't think saying you can train yourself to shut off pain is true ALL the time.

The nurse clarifies the basics of the "gate theory" of pain control as: (1pts) a. the "gate" can be closed to pain by the use of nonpainful stimuli b. the patient can be trained to close the "gate" to pain. c. pain is perceived as opening a "gate" to pain symptoms. d. the "gate" swings back and forth, first allowing pain, then blocking it.

I bought a rolling backpack. My first week of school wreaked havoc on my body. I have 16 books and the heaviest laptop in existence that I was forced to buy by the school (would have much rather had MacBook). BUT it is what it is. I am 44 years old and have been a medical transcriptionist (sitting on my butt) for 16 years. I am in an adjustment period of learning how to write (with a real pencil), learning how to wear clothes (not pajamas), and learning how to wear actual shoes (not be barefoot in my house 24/7). LOL! The first week with the 50-pound backpack didn't cut it for me. It made me crabby. I fell down in the parking lot and twisted my ankle. It was 105 degrees outside one day. It hasn't been fun at all. SO, I bought the rolling backpack. I could care less how weak I LOOK. I only care about how I FEEL. I will proudly wheel my backpack to and fro! :)

You're not crazy. You just have a little anxiety - perfectly normal. I'm 42 and starting over with NS. Think positive all the time. Keep focused on the future and the excitement of it.