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Hi! Can anyone recommend a good program or website to assist me in writing my papers in APA format? I am starting WGU's RN to BSN next month and want to be on top of things from the beginning. Thanks in advance!

Hi everyone! I need input. I had a patient this week with 3+ edema in bilateral lower extremities and ascities. She is throbocytopenic with hematuria and a bloody sputum with her cough. She has alcoholic cirrhosis, and her condition is not looking good. She signed a DNR 3 days ago. My ? is, would it be correct to say she has fluid volume deficit r/t bleeding even though she has edema and ascities? If not, what is a good diagnosis for someone who is actively bleeding? Thanks for your input!

hhs? i was told blood sugar needed to be atleast 700

DKA???

I am currently working on the following case study and need a little guidance on which way to go with the info. Any ideas? I think the patient is possibly septic r/t her leg??? I am not sure though. There is so much going on. Thanks for any input! 48year old Mexican American female admitted with fever,difficulty breathing, pleuritic chest pain, weakness, and shaky chills. Hx of flu like symptoms from approximately one week ago, took over-the-counter medications with moderate resolution of symptoms. On the day of admission, pt sleeping more than usual and seemed confused. In ER, pt's chest x-ray revealed left lower lobe pneumonia. Health History Data:diagnosed with type 2 diabetes and hypertension about15 years ago and a "thyroid problem" for a year or two. Prescribed Oral Medications: Glucophage (Metformin) 500 mg twice a day. Pravastatin(Pravachol) 40 mg daily at bed time Levothryoxine100 mcg daily Vasotec(Enalapril) 5 mg twice a day Diltiazem(Cardizem) 240 mg daily Reportfrom ER nurse Vitals:HR 116, BP 88/56, RR 26, T 96.4°F, Wt 180, Ht 5'4", Neuro:lethargic, responds to verbal stimuli and oriented to self CV:heart tones distant, S1S2S4audible, capillary refill 3 > seconds Pul:lungs clear bilaterally GI:abdomen protuberant, hypoactive bowel sounds in all 4 quadrants Integ:skin dry with tenting present over sternum, lips and oral mucus membranes dry and cracked, left lower leg edematous and erythematous with serous fluid oozing from lateral aspect of calf. AdmissionLabs: SerumChemistry: Glu 550, K 5.6, NA 132, Cl 80, Cr 2.3, BUN 82 ABGS: pH 7.30, Pa0270, PC0247, HC0320mEq/L Hematologypanel:HCT 30. %, HGB 10.1 g/dL, RBC 3.9 x 106/µL WBCwith differential: WBC 17,000/mm³, segmented neutrophils 79%, bandneutrophils 10%, monocytes 9%, lymphocytes 30%, eosinophils 4%, basophils 3%

Hi everyone, I am a new LPN to RN nursing student and I am having a hard time with ABG's. Can anyone help me please. I have a case study with the following ABG... pH 7.30, Pa0270, PC0247, HC0320mEq/L I am interpreting this as Compined Respiratory and Metabolic Acidosis. Can anyone recheck my work please. Thanks so much!