thumperxx

He had just voided actually, Has a history of cva. Would he need to be catheterised if he was retaining that much? thans

I understand that we bladder scan in order to check the post void residual urine in the bladder. So on the ward yesterday I was working with a nurse who was bladder scanning an elderly patient as he was not voiding very much. It showed up 550 mls. There was nothing done, she just took note of the volume and documented it. What do you do when you discover the patient has a large residual volume. I know he urinated later, but what would we do if he didn't? Can someone explain this to me. The patient is confused also so I guess he doesn't always know when he needs to void and maybe that is why he is retaining that amount?

Thanks guys x

thamk you, you have reassured me quite a bit . thanks so much :)

Hi everyone, i am a qualified nurse and am just about to start back on a general ward (medical / surgical). The thing is I just have 15 months of medical and surgical (some gynae) nursing experience and that was back in 2008. I then did some elderly care. Then i took a career break and travelled, for the past 2 years i trained as a peadiatric nurse, but i have decided to go back to adult nursing. Now i have a job as a medical and surgical nurse again? will i be able for it?Im really nervous that I will have forgotten how a medical and surgical ward works! i remeber it was chaos where i worked before!

so i was back to work today and of course i had a patient on 1.2g co amoxiclav. So i went about putting the water in (20mls) very carefully. Of course once 10mls went in, it got very tricky and i was unable to continue pushing the rest of the water in without feeling like it would blow up. the nurse with me did a trick, she put a seperate needle in the top while she put the rest of the water in, she said that this lets the air escape. Im loving nursing except for this. It cant be that hard, why cant i do it? when i tried the needle trick it just splilled everywhere. Im actually good at everything else. but this is getting really annoying...

Im on a few weeks off at the moment. I work in a medical and surgical ward. I should be enjoying my time off but im trying to find out about drawing up antibiotics without all the crap. I have had help off of collegues but its always so busy and i get it all , except for the pressure part. And i cant seem to find the answer anywhere. No matter how much i practice, and you cant really practice in work , you cant waste medication to practice. It just always seems to go wrong, i get it mixed evetually , but alot of times the water is spewing out and ive lost about 3 mls. Im better to learn things, get it in my head and then practice it, At the moment im practicing with not knowing what im doing to stop all the pressure/spewing. Im off at the moment and want to feel more confident when i go back. But i do understand everyhting about iv abxs except reconstitution with an antibiotic that needs 20 mls mixed. I know it sounds dumb, but this is my main problem at the moment.. Im fine mixing for example 2mls with a 600mg of crystapen for example. Its just getting 20mls of water into a vial containing 1.2g of co-amoxiclav .

Thanks for your reply Silverdragon102! So basically when i begin , i shouldnt have to inject air into the vial is that correct? So then i just slowely as you said admit my 20mls of water for injection into the vial using the plunger intermittently? So it wont blow up if i do this? Always when i let go of the plunger (when i take a break to stop syringing the water into the vial) it still fells like alot of pressure to keep the syringe as far as ive got it without the plunger autimatically pulling back on me. Is that normal? Should it feel a little hard like your pushing the water into it?Is that normal And do you say when i have it mixed (reconstituted), and i turn the vial upside down, am i meant to just draw back as i would any injection. Sounds so confusing when typing this. I wish i could watch a video of someone doing this with every single step mixing 1.2 co- amoxiclav.Sorry for sounding so dumb, but if i just got it into my head id be ok. I always find it so hard, Its ok mixing something like crystapen, as i only inject 2mls or whatever into those tiny vials, but co- amoxiclav is much bigger and needs much more water!!!

i meant is it that you withdraw 20mls of air like scotte said?ive never seen this done before? how do you do that?

Thanks guys,I hope ye can help me.What I am i am doing is I draw up 20mls of water for injection into a syringe. Then I open the vial by flipping off the blue cap. Now I see a brown rubber thing on the top of the vial which i insert my needle into this. My needle is attached to the syringe with the water for injection. I am now literly syringing the water for injection into the vial, but there is so much pressure that when i do it after a couple of mls i find it really hard to insert the water. i am afraid because the vial is glass? if i stop syringing with my needle still in the vial , it will automatically come back up into my syringe (with the pressure??). So is it that i should first inject 20mls of air into the vial first? would that not make it blow up or smash? I know i must sound so stupid, but if i could just get this, understand this id be so happy

Hi everyone, I am new here.I am a new Nurse also and have just started my first job on a medical/ surgical ward.I am enjoying it alot. I am having difficulty though with preparing IV antibiotics. Ok so i want to give 1.2g of co- amoxiclav to a pt (bolus). I need to reconstitute it with 20mls of Water and give it over 3-5 minutes. I get that. But i am new to IVs and as a student we didnt get trained in this area at all. I cant seem to add the water to the vial without GREAT difficulty. I dont get it?? it just sprays all over my hand (and i am allergic to penicillin , i must wear gloves!!). Please tell me what im doing wrong? there is great pressure trying to get the 20mls of water into the vial. please give me some tips on how to reconstitute this powdered medication and then draw it up? HELP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! thank ye in advance :)

Hi everyone, I am new here.I am a new Nurse and have started my first job on a medical/ surgical ward.I am enjoying it alot. I am having difficulty though with preparing IV antibiotics. I am getting help from senior nurses and i am studying as much as i can about it re the aid of books. But I feel stupid when im preparing Iv antibiotics. It always sprays everywhere and i think the more i worry about it the worse i am getting. For example i was drawing up iv augmentin the other day , you know mixing it with 20mls of h2o. it was going to be administered IV push (under senior nurse supervision) , but as i was preparing it, it just seemed so hard. i just dont get it. The suction/ the air/ the vacuum/ the pressure!!! Has anyone any good articles/ videos that really explain it all. Because the containers are glass when i put water in it to mix it their is all this pressure and it spews everywhere.Where i trained as a student we were never thought this. I have done the IV training last week and am currently doing it under supervision. I want to learn all about it so that i do it correctly without it spewing everywhere.i would LOVE if someone had a really great explanation or helpful tips!!! Any body help?