CTrain

CTrain

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All Content by CTrain

  1. How do you deal with untherapeutic situations on the unit?

    CTrain replied to RNdynamic's topic in Patient, Colleague Relations

    This is really disappointing to read. I work in the ER and actually have a coworker who hid in the bathroom while HER patient coded. I honestly don't trust her with anyone at this point and have zero...

  2. Nurse pt ratio in the er

    CTrain replied to floridaRN38's topic in Emergency

    We have a 4:1 ratio for ER patients. If the patient is ICU, you are 2:1 unless the patient is unstable then its 1:1, or someone else gets the patient set up until the primary nurse can care for both....

  3. Confused with new onset CHF

    CTrain posted a topic in Nursing Student Assistance

    My pt. is a 67 yo male (BMI 24) Chief complaint: SOB, weakness, syncope HX: HTN, hypotension, syncope, GI bleed - av malformation in stomach (2 negative guaiac as of my shift), GERD, ESBL in the...

  4. Confused with new onset CHF

    CTrain replied to CTrain's topic in Nursing Student Assistance

    So, is it possible that he has early emphysema that could also be interfering with O2 exchange. He does have home albuterol, and clubbing of the fingers which shows me something has been going on for...

  5. Confused with new onset CHF

    CTrain replied to CTrain's topic in Nursing Student Assistance

    As far as I know, there was no mention of valve dysfunction, and no mention of right side having any issues. The pt. denied SOB with exertion but was on bedrest, so that may be why he denied it. I...

  6. Postpartum Nursing Dx. Help

    CTrain posted a topic in Nursing Student Assistance

    Pt. Info: 22 year old, G3P3, repeat c-section with intrathecal analgesia at 21:52 on 3-27 (I gave care on the 28th), dermabond to incision. GBS negative, Rubella immune. NKA. Pt. has been given...

  7. Postpartum Nursing Dx. Help

    CTrain replied to CTrain's topic in Nursing Student Assistance

    I have to use a wellness

  8. Risk for neurovascular dysfunction

    CTrain posted a topic in Nursing Student Assistance

    Hello, I had a pt. who was a 91 year old male with right hip fracture and right wrist fracture from a fall, mind you this is before surgery. He was in moderate pain from his hip fracture. His right...

  9. Risk for neurovascular dysfunction

    CTrain replied to CTrain's topic in Nursing Student Assistance

    Also, the "Risk for peipheral neurovascular dysfunction related to swelling" came from my med/surg book required by my program, which is from 2010. That may have been the

  10. Risk for neurovascular dysfunction

    CTrain replied to CTrain's topic in Nursing Student Assistance

    Please disregard previous post. I couldn't figure out how to change it, so this is what I want to say. Okay this is what I was wanting to know! Thank you, you are a godsend! I wasn't even thinking...

  11. Risk for neurovascular dysfunction

    CTrain replied to CTrain's topic in Nursing Student Assistance

    I bought Nursing Diagnosis Handbook by Betty J. Ackley. The section under peripheral neurovascular disease just confused me because my med/surge book flip flopped about compartment syndrome and DVT,...

  12. Infant risk for injury

    CTrain replied to CTrain's topic in Nursing Student Assistance

    Grn Tea thank you so much. I always feel like I'm not quite getting it or not paying attention to important

  13. Infant risk for injury

    CTrain posted a topic in Nursing Student Assistance

    I'm working on a care plan for an 8 month old female child who was admitted for broncholitis due to RSV. She was in respiratory distress when she came to the hospital as I was told by the night shift...

  14. Infant risk for injury

    CTrain replied to CTrain's topic in Nursing Student Assistance

    I just ordered a nursing dx book yesterday, but it won't be in until next week

  15. Need care plan help.

    CTrain posted a topic in Nursing Student Assistance

    My patient had a transient ischemic attack and came to the hospital ER complaining of severe dizziness and nausea. Her medical history includes hypertension and osteoporosis. After she was admitted an...

  16. Need care plan help.

    CTrain replied to CTrain's topic in Nursing Student Assistance

    Also, I'm working on getting the Nanda

  17. Need care plan help.

    CTrain replied to CTrain's topic in Nursing Student Assistance

    I am a first semester student. I understand the concept of assessing the patient to find their problems; however, I am finding it difficult to put a nanda dx to the patient. The way my teacher has...