JRDeeRN

How many patients do you normally have ?

Love talking about the heart :) no problem:)

and also after surgery we have a lot of patients who third space their fluid rather than pulling it in their vessels... these patients will often have a lot of swelling or in your patients case it sounded like he had some fluid build up in his lungs.. which most of them the docs will put on lasix

Then i would definitely say with my patients they are at risk for decreased cardiac output because this heart surgery has irritated the heart significantly and it is trying to heal at the same time from the surgeons stitching the graft and what not. When the heart is healing some of our patients with go into dysrhythmias such as afib, vfib, aflutter, svt, VT, A MULTITUDE of cardiac dysrhythmias. of course if your heart is not in normal sinus rhythm, these rhythms will impair cardiac output because it's not the normal electrical pathway of the heart to follow, so it wont pump as effectively as it should providing the necessary cardiac output. This is when we either start a cardiac drip (for afib) or of course if they are coding we will do more intense interventions :) From experience, that is the way that I am looking at it. OF course their EF will never be great because of possible heart injury before the cabg. but as far as why a patient is at risk for decreased cardiac output after cabg, that would be my answer. hope that helps.

Also did you mean after the CABG procedure as to what could affect cardiac output or before the CABG intervention? if before CABG intervention, i agree with the previous poster.

graduated in May 2012 and have been working on a critical care heart unit for a year in June... i have a FT position and will sometimes pick up an extra 12 or or 8 hr shift.. or both in one week :) helps when you really love your unit :) I really think it should be easy to find a FT position

not bad. youre human and youre a nurse dealing with literal life and death situations. Just today I had a nurse cry to me talking about a patient deciding on end of life decisions. It's normal. :)

In working on a cardiac floor I would say pt is as risk for decreased cardiac output if they develop a dysrhythmia after surgery which is very common. Happens to about 30% of patients after CABG...Is that maybe what you are looking for ? Or am i even hitting close lol

The middle was the hardest for me.... beginning is simple nursing and getting introduced. middle is man it's getting harder and im not quite thinking like a nurse should and now i really have to learn critical thinking and content.. the end is a little easier yes we deal with harder concepts but have almost mastered thinking like a nurse so it doesnt seem impossible like it did in the middle. I spent about 3-4 hours a day studying. However the 10 days to a week leading up to a test I would increase my time by a lot. The day before it wasnt really unusual to spend about 8 hours if I had the free time just sitting in the library all day finding different ways to study.. group study.. individual study/notes, book, videos on the internet, re writing notes.. nclex trial questions. I might have done overkill with it but i wanted a fail proof plan so I wouldnt have to worry about whether or not I could succeed or not. It's worth the hard work and its my greatest accomplishment to me in my life so far. Just try to look at it that way :)

we are 3:1 dealing with vascular, heart, lung and endocrine (thyroidectomy) patients. as well as overflow ER patients... i honestly dont see how I could manage a 4:1 ratio with the work list i have with my patients. i was running around all day it seemed like today. barely enough time to eat lunch much less making sure every patient felt like they received the care they needed. luckily my unit is a very team oriented unit so that helps.

Oh lol I used those kind of NDs in school all the time but maybe they weren't as strict about them at my school as long as it got the point across lol nevermind then

Ex. Risk for injury related to disturbed sensory perception secondary to disease process

Is his eyesight bad related to the disease process of diabetes ?? That would be a good one a lot diabetics have eye problems because of uncontrolled diabetes ... Just a thought !

Honestly depends on the person. I did an ASN program and could barely work 10 hrs a week but my friend could work 2 twelves as a cna and got thru it. Depends on your dedication and self discipline and how much time you study to grasp a concept. I always needed to study 10x more than the person next to me to get thru nursing whole some people got it all within 4 hrs of studying. I know that's not very helpful but that's about all I can offer

Also the Kaplan setup of questions looks just like nclex... So I felt like I was doing Kaplan questions when I was taking the nclex