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My client was admitted with confusion, delirium & possible TIA or CVA. My client might have obstructive sleep apnea, OSA, as well. In my doctor's progress notes it states... R/O CVA - Ct read negative, no neuro deficit, confusion resolved R/O OSA - O/N oxymetry & RT to see for CPAP 1. Here does R/O mean CVA or OSA had been "ruled out" meaning CVA/OSA has been diagnosed as NOT the issue anymore? or 2. Does R/O mean in order to "rule out" CVA, Ct result must read negative with no neuro deficit etc..... or in the case of OSA, in order to "rule out" OSA, an O/N oximetry & referral to RT needs to occur to establish a diagnosis? Which one is it? Thank you Notes: OSA: Obstructive Sleep Apnea O/N: Overnight CPAP: Continuous Positive airway Pressure

Hi I was just wondering, i had a patient who has a delayed response to questions and sometimes my patient will have difficulty answering descriptive questions. I would like to start a Mini Mental State Examination. My question is do i still need a doctor's order for that? Thank you!

THANK YOU for the reply!... and sorry for the incomplete info..... Additional info: My client had pleural effusion and lung cancer. Initially my client had a chest tube in the left lower lung with suction -20 cm H20, tidaling was present but no bubble in the air leak chamger. The CT on the left lung got discontinued and a second chest tube was inserted in the right lower lung. R CT was on gravity (no suction) and there was no tidaling or bubbling in the air leak.

THANK YOU for the reply!... and sorry for the incomplete info..... Additional info: My client had pleural effusion and lung cancer. Initially my client had a chest tube in the left lower lung with suction -20 cm H20, tidaling was present but no bubble in the air leak chamger. The CT on the left lung got discontinued and a second chest tube was inserted in the right lower lung. R CT was on gravity (no suction) and there was no tidaling or bubbling in the air leak.

Hi, I just observed a patient who had chest tube today. From what i know, you want your chest tube to be tidaling because that corresponds to the client's inspiration and expiration. When my client had a chest tubeinsertion, i noticed that the tidaling was absent. I asked my nurse about this and my nurse told me that it was fine. The client didn't appear to be sitting on the tube. (I know that if tidaling is absent it could be because of these reasons: the tube is blocked, the lung has reexpanded to the point of blocking the opening of the tube that is in the lung) My questions are, does tidaling need to always occur? is it ALWAYS a worry if tidaling is absent? I would really appreciate your feedback. Thank you!

Hi there, I'm currently a student. I just have a question regarding proper charting when discharging a patient. I know you would put something like this..... "Pt d/c'ed with daughter. VS stable as per flowsheet.....[then i would put what teaching i did etc], prescription given" Could you please share to me how you do your discharge charting?

Hi there, I'm currently a student. I just have a question regarding proper charting when discharging a patient. I know you would put something like this..... "Pt d/c'ed with daughter. VS stable as per flowsheet.....[then i would put what teaching i did etc], prescription given" Could you please share to me how you do your discharge charting?

Hi nurses/student nurses!! I'm just having a little problem with my homework and I would like to get some insights from you guys...any help would be greatly appreciated. here is the question. Describe how patient's personal meaning (pain, suffering, anger) of COPD help a nurse collaboratively make decisions regarding the client's health and potential for health and healing?