Krazziekid78 replied to dariah's topic in Stress 101
I had to reply to this old post because after working 4 13-14 hours shifts on a short-staffed rehab unit (knowing I had 2 more shifts to go), my thighs were a hot mess. By the end of my 4th shift, I could barely walk. I had two open sores on my thigh...
Wow. Too many stories and I've only been an RN for 8 months! all time favorite.... Upon completing a very thorough skin assessment on a 450 lb woman that was just admitted, I noticed an AWEFUL smell. Lifted her one of her multiple abd folds,found a s...
I'm throwing out a scenario. Please tell me what you would do (especially regarding oxygen therapy...how much to give and through what device) Patient with COPD is found with oxygen saturation of 62% after working with therapy. Lungs have fine crackl...
I'm a new grad working in a rehab facility. We get a lot of patients with COPD who seem to always de-sat. Nursing school pounded it into my brain to be very cautious about administering too much oxygen to ensure patients don't lose their drive to bre...
Krazziekid78 replied to Krazziekid78's topic in General Nursing
Baseline is 88-92%. SOB resolves after resting in upright position. BP was 140s/90s. HR was in 95-100 (usually runs tachy). Respirations were about 25. These vitals are typically baseline for patient. Respirations were elevated above baseline (usuall...
Krazziekid78 replied to Krazziekid78's topic in General Nursing
Wow okay. Should have been more specific. We OBVIOUSLY tried to titrate through the NC, once we hit 6 Ls and patient was sill in the 70s, we started the non-rebreather on 10 lpm, when his sats finally started to rise. Once he was stable and non-sympt...
Krazziekid78 replied to EmBSNStudent's topic in General Nursing
I actually just shared that article on my Facebook this morning. Too funny. I graduated with my BSN in August and have been working as a rehab nurse since January. This article is spot on as it totally shares a lot of the struggles nurses face. I rea...
Krazziekid78 replied to Krazziekid78's topic in General Nursing
Thank you for your reply. This answered my question. Rather than focusing on a amount of oxygen being delivered, it's best to titrate to the 88-92%. I was just shocked at the amount of COPDers receiving up to 8-10 LPM, none the rest on a rehab floor!...
I'm a new nurse on a med-surg floor. I had a lovely patient who had really been through the ringer that I cared for for 10 shifts. When I was saying my goodbye, she got teary eyed, thanking me for my care. She then said "perhaps I could call you some...