Thank you :) that's a huge compliment! and she is A&O x4, very easy to talk to. She acknowledges what's going on with her health but it seems like she doesn't acknowledge what's causing it. She is...
I am a little confused on the urinalysis results though. I mean her urinalysis was HORRIBLE. and this may be a dumb question-but why was it SO bad? Can septic & poorly managed DM cause that? I...
Thank you =] good to see you on my post! & I feel like I'm missing something because I don't really know what to DO about it. I think I see the some of the big picture- poor DM control (A1C lab),...
Her BUN was 11, creatinine 0.9 & gfr >60. She didn't have any ABG's done =/ I feel like the big things to focus on for my pt. are infection management, nutrition (albumin), DM education,...
Hello All! =] I'm doing my 2nd Med Surg care plan. & as always, I'm having some trouble connecting the dots & seeing all the pieces. By no means, do I just want "answers". I would really...
I feel like I don't see my pt's 'bigger picture'. I also want to be able to do a good care plan focused on the big picture of my pt. I don't know where to
Hello all! I am doing my care plan for my Med-Surg clinical rotation and I've picked a pt. It's kind of a unique pt. and I guess I'm just looking for a little bit of guidance or reassurance that I'm...
I did talk to my nurses and cnas. I am a cna so I was right at home with them. I have noooo confidence so I found it hard to follow them around because I felt like I was bothering them. So they didn't...
Hey guys, SOOOO I just failed out of my second semester of my nursing program. I guess I really didn't "fail out". I was told by my professors that I wasn't going to pass my clinical evals. This whole...
And your right, I don't think its requires a higher level of thinking. It requires common sense :/ and I don't think common sense is something that someone can grow. I'm starting to think that you...
Exactly!!!! That is exactly my problem. I don't connect the information/facts from lecture to the clinical world. I don't see those connections. And that is SO dangerous!!! That is a serious safety...
From what they are telling me, I can't connect the dots. I don't see that big picture when it comes to my pt's. And with med passing-it's not that I can't do it, I just don't thinkkkkk while doing it....
Hey guys! I am doing my second care plan; and my pt. was a bit more complicated than I originally thought. SO now I am sitting here with a million and one conditions and complications and s/s and have...
Hey guys! I need major help with my care plan! This is my second care plan; and I'm having trouble figuring out which d/x I should use and im concerned that im not making the right choice or that I'm...
I am working on the ineffective breathing pattern. I have it as: [TABLE=width: 936] [TR] [TD]Ineffective Breathing Pattern [/TD] [/TR] [TR] [TD]Related to: severe pain (secondary to d/x of GOUT) and...
Would diuretics be a good thing for this pt? I'm thinking-duiretics to promote the excertion of the Uric acid which would help the gout and help the AKI. I was thinking of including that with some of...
as far as his DM magaenment-I didn't see his ALC in the labs but I did see that his glucose levels were stable\, a tiny pbit on the high side but that's to be expected because he is under stress, he...
also, I did look for a urine alaysis in his chart and there wasn't one done. could his high wbc count be r/t the gout? and about his meds-he said that he stopped taking them because he thought he...
The pt. does not have any edema. he has a urine output of 500cc. I know for a fact that he did take in 960cc during my 6-noon shift ALONG with getting a copntinous infusion of NS at 100 and hr. BUT...