Rg0709

she needed to use restroom, but couldn't.. Foley was just taken out. Tried to do straight cath to remove fluid, but only 450cc was removed. so had to redo foley to remove 750mL... I don't don't know why she was retaining it. she did have edema on lower extremities and on her hands. she had surgery on her rt hip so she wasn't able to move out of bed without assistance from physical therapy. she was extremely weak and had tremors in her hands. she minimal pain because of meds. I am still not sure what the bradycardia was related to. that was just here secondary diagnosis. her pulse would change from 78 to 68 within an hr. I never witnessed her feeding herself, always someone doing it for her.... her H & H were low... her sodium was always low her GFR always low.. and her creatinine serum was always high....

Most of that information was because i witnessed it... fluid retention per bladder scan, constipation...and for self care deficit pt wasn't able to move from bed unless assisted with physical therapy... so I am very thankful that I have a real patient so I have the opportunity to try and figure this out and being able to put the pieces together. So much to learn in this field!!! but I love it.. :-)

I am currently in my second semester and yes this was real... I wrote down all kinds of information and even lab values and abnormal values. I was having a hard time deciding which would be a priority. I had so much information and trying to put the drugs that go with the abnormal values was so much information and just a complete overload.. but I know the more I do and the more understanding I get from doing all of this research may make it a little bit easier in time.. But thank you so much for your input. I will have go back over it all and follow some of your input so maybe I can get a better insight to it all.. :-)

yes it was... I was just making sure I was on the correct path. If I could have made improvements than I would have had an idea in which direction to go and to know if I was doing it wrong... :-)

I get like this as well..... I even try the relaxation techniques.. lol .. but it always fails!!

I have a concept map that I am currently working on... my patient was admitted for hardware failure with a secondary Dx of bradycardia. prev illness of chronic kidney disease, diabetes type 2, hypertension, anxiety, depression, schizophrenia, paroxysmal tachycardia. So I have #1 decreased cardiac output #2 Falls #3 self-care deficit #4 fluid retention #5 constipation #6 anxiety #7 risk for bleeding #8 risk for infection. so my question is are those in order and/or should I choose different diagnosis that would better suit my pt.