NewNurse91D

NewNurse91D

Geriatrics, In-Home Care, Community Based Nursing

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All Content by NewNurse91D

  1. ICU Care plan help please =]

    We just did our acute respiratory module in lecture too. I need to do a little bit of digging into my understanding of her respiratory situation (like with the ventilator and her specific settings...
  2. ICU Care plan help please =]

    And thank you for the articles, i'm reading them
  3. ICU Care plan help please =]

    Yes she is breathing spontaneously during ventilation. She does have gag or cough reflex. And have cultures did grow
  4. ICU Care plan help please =]

    Oh okay! I get it now. Thank
  5. ICU Care plan help please =]

    Agh! I see, okay that makes sense. What about her 101 pO2? I didn't know that could raise over 100 honestly
  6. ICU Care plan help please =]

    But she doesn't have any other indicators of tissue hypo perfusion. Her cap refill was good, good peripheral pulses,
  7. ICU Care plan help please =]

    HOWEVER, I did just find that high lactic acid levels can indicate tissue hypo perfusion. And my patient had high lactic Acid levels. That's interesting
  8. ICU Care plan help please =]

    AND I am SO confused with her abg results. I've been trying to look up info on the internet but can't find anything useful. Any
  9. ICU Care plan help please =]

    yeah! I am definitely going to incorporate
  10. ICU Care plan help please =]

    good point!! thank
  11. ICU Care plan help please =]

    I ALSO think that a big thing is making sure the care giver (the husband, who has been her primary care giver for 10+yrs) is informed and has resources. Making sure that he is educated on her...
  12. ICU Care plan help please =]

    Yes very true. And my thought process: She has impaired ventilation/respiratory function and neourology thinks that she is unweanable. SO their talking about a more perminant repiratory device like a...
  13. Hello All! I finally got through 2nd semester! I did have to retake it once, but I found medsurg 1 incredibly hard. I had a really tough time with the critical thinking and 'connecting the dots'...
  14. Care plan help!

    Hello All! I'm having some trouble connecting the dots & seeing all the pieces w/ my pt for this care plan. Im in med-surg 1. I would really appreciate a few ideas and some guidance; what do you...
  15. Care plan help!

    I have defining characteristics but no risk factors for over half of them. I know the defining characteristics are like what define the dx and what your pt needs to exhibit but there's barley any r/f...
  16. Care plan help!

    True that! And I would have an easier time with the dx. Cause the edition I have doesn't really list the r/t factors for every dx, less than half
  17. Care plan help!

    Yesss I keep doing that =/ I have the book but its one edition behind. I deff need to get the new book. I gotta stop making this too complicated. I'm looking at the r/f now for the other dx on my...
  18. Care plan help!

    there is also an "impaired physical mobility" dx which MIGHT be what i'm looking for.
  19. Care plan help!

    OKAY guys! So I have narrowed it down! (about time -_-) But I have narrowed it down to three dx... lol I have my 2nd one good and solid but my first one is a little harder because I don't know which...
  20. Care plan help!

    OH okay. You explained that very well, thank you. You are really smart! What type of nurse are you? Like, ICU/ER, Med-surg, etc? And how do you stay up-to-date on all of the information/news in the...
  21. Care plan help!

    ahhhh I see. okay I have a hard time picturing the cardiac stuff. I can picture respiratory, endocrine, GI, etc BUTTT cardiac is very unfathomable to me. I mean its SOOOOO big and effected by...
  22. Care plan help!

    We can only have 2 dx =/ and my last care plan was really good but my instructor saw that I had a big problem with condensing stuff and she noticed that im trying to do TOO much, making everything too...
  23. Care plan help!

    Okay =] SOO decreased CO can be from CAD, atherosclerosis, HTN and anything that really AFFECTS the vessels, right? ITs about the effect on the vessels? And DM causing macro and micro complications,...
  24. Care plan help!

    Also, I'm feeling kind of stuck. I know what N/I I can do for my pt. But I'm having trouble with getting 2 dx In order to sum up my N/I. I have activity intolerance, impaired tissue integrity,...
  25. Care plan help!

    I have a question that might sound really stupid BUT I can't seem to trying to find the answer to it when I look it up. I know HTN decreases CO but how does DM decrease