Isis Phoenix

Isis Phoenix

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About Isis Phoenix

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  1. Is This a Difficult Patient,or is it a Genuine Concern?

    I thought this was a forum where students come together to discuss cases,as well as pertinent issues affecting the nursing profession;if it is not please accept my apology. The scenario is plain.....how do we proceed? Shouldn't we begin by looking a...
  2. Is This a Difficult Patient,or is it a Genuine Concern?

    I have a correction of this post .....please see other. This is a case study, thanks for your kind cooperation. “I do not have all the answers, but together we can find them.” (M Ecallawh
  3. Is This a Difficult Patient,or is it a Genuine Concern?

    Lung sounds are clear......
  4. Ms.M is a 26years patient admitted to the medical/surgical ward for overnight observation RE: complaint of shortness breath since the last two weeks..... there is no significant medical history. The nurse she is assigned to measured her vital signs ...
  5. Could it be a heart attack or Pneumonia?

    Medical Management: RE: Dranger :For lowering the BP and improving profusion Nitro drip can be titrated until a satisfactory BP is achieved, or once the patient is intubated Morphine drip could be considered, although he may need more medication fo...
  6. Could it be a heart attack or Pneumonia?

    Even in the case of a MI the patient needs oxygen,an iv line ,and he would be placed on monitor as one of our participants mentioned. We would still need the vitals,medical history etc as well as alerting the medical,and respiratory teams.
  7. Could it be a heart attack or Pneumonia?

    This is a case study..... Proceed by using the ABC method, that is obtain the O2 Sat, give emergency Oxygen, alert the MD,and the Respiratory team for possible intubation ,and establish an IV line. “I do not have all the answers,but together we ca...
  8. Patient M. Dean is a 53 years old male with a DX of CVA with Left sided weakness who came to the ER to be evaluated for chest pain, and respiratory discomfort which started two days ago, but suddenly escalated .... RR. 9 irregular and guarded, HR...
  9. How well do you deal with vomit

    RE: A patient vomiting at the hospital,or at a nursing home;not a pleasant situation,but as nurses we learn to manage it. Nursing: Maybe we could begin by looking at the age of the patient, medical history, current diagnosis,diet,food recently consu...
  10. Case Study #2

    Answers!Answers! Good insight....... Measuring a patient's vital signs,and examining the patient will reveal to the medical,as well as the nursing teams how to proceed;thus if the BP is high a drug protocol would be in place, it will be ordered,and i...
  11. Case Study #2

    What I gather from the scenario above is that the patient is having a stroke, thus I would want to activate the stroke team, use the ABC method: check the O2 sat, and administer O2 if necessary, vital signs,neurocheck, check for facial symmetry, spee...
  12. Nurses letting other nurses chart on their account

    Addendum: Charting for another nurse This problem should be addressed via the facility's policy manual, and also a bulletin to be displayed conspicuously, then everyone will know it is not legal to chart for a colleague. However, if a nurse has ...
  13. Nurses letting other nurses chart on their account

    This problem should be addressed via the facility's policy manual, and also a bulletin to be displayed conspicuously, then everyone will know it is not legal to chart for a colleague. However, if a nurse has assessed, and rendered care to a patient ...
  14. What prompts you to suction a trach....?

    B. Crackles indicate the need to suction,while wheezes indicate air,and constriction of the airways in lung diseases e.g asthma, acute bronchitis,or allergy...in most cases a bronchodilator is used for asthma,acute bronchitis ,and epinephrine in th...
  15. Everybody has different learning styles, but definitely group study can enhance learning as each person contributes some aspect of the subject, or topic that others may overlook.