js2016

I have the coloring book (lots of fun!), and will definitely check out the Guyton & Hall textbook. I haven't really thought that I did as bad on the pathophysiology for my care plans (or the nursing diagnoses and interventions) when compared to how I was graded. After speaking with several students in my cohort over several semesters, we have figured out that our grades really depend on who we get graded by. That changes all the time. Many of my major assignments have been graded by instructors who are notorious for being bad graders. I also stood up for myself against bullying by my instructors and my grades got even worse. And trying to make an appointment to discuss my grade went over even worse. I was written up for it. Any advice to protect myself against that to improve my grades? ...It's amazing to me how so many in nursing talk about the negative aspects of nursing culture, then the very ones mentioning it go and do the very thing they are lecturing students not to do.

I already have an old one I put together using my textbook, but it needs revision. I'm in an accelerated program and legitimately do not have time to re-do the quick reference guides I have already made. I'm looking for something that I can keep in my pocket to use when needed.

Hello! :) Another quick question... I am looking for a lab value quick reference cheat sheet to carry on me during clinical. I have one from one of my text books, but it's not as good as I would like it to be. I'm looking for one that is comprehensive for lab values of BMP, LFT, electrolytes, ABGs, CBC, urine analysis, differential WBC, cardiac enzymes, PT, INR, and PTT. I'd also like it to include problems, signs & symptoms, possible causes, and remedies/actions. Does anyone know of a resource that already exists? It would save me a lot of time in putting one together myself. Any recommendations are helpful!

Hello! :) I am wondering if anyone has any recommendations for a really great book or website to use as a pathophysiology resource for care plans? I have some care plan assignments coming up, but in all my previous care plans completed, my textbooks have never gotten down to the level of detail my instructor wants us to provide in our care plan. He is looking for a step-by-step evaluation in formation of disease down to the cellular level. Any suggestions are appreciated! :)

Thank you SO much for the clarification! :)

What's throwing me off is the extra 10mL, and I cant seem to find an explanation on it in my book. ...So do I find how many of the 10mL's will equal 0.9g? Like this: [2 g / 10 mL] = [0.9 g / (x) mL] = 4.5 mL Is that what you mean? Then: 75 mL + 4.5 mL = 79.5 mL And flow rate would then be: [79.5 mL / 30 min] x [60 min / 1 hr] = 4770 mL / 30 hr = 159 mL/hr

Can someone tell me if I am calculating this right? Here is the problem, as well as my work: Order: 0.9 g Ampicillin IV q6h to be diluted in 75 mL of D5W and infused over 30 minutes Available: 2 g Ampicillin, which when reconstituted in NS gives a total of 10 mL What flow rate should the pump be set at? 1) Finding Amount to Administer: [2 g / 85 mL] = [0.9 g / (x) mL] --> x = 38.25 mL 2) Finding Total Volume: 75 mL + 10 mL = 85 mL ***Is the 10 mL even added to the total volume? 3) Finding Flow Rate: [38.25 mL / 30 min] x [60 min / 1 hr] = 2295 mL / 30 hr = 76.5 mL/hr

Thank you for all the explanations! I turned my assignment in before seeing any of these. I tried to explain what I thought was going on with the patient the best I could, but learning these ABGs is a hard concept to grasp. This particular patient was actually not on O2 therapy... I think that some of the meds he is taking are effecting the values, and that's making it harder for me to really grasp what is happening at a cellular level in his body. For example, he is on a lot of strong pain meds, and because of his reason for treatment (trauma injury), I do think he is at risk for fluid imbalance. Plus, he's on lactated ringer's which is really where I got confused because I know it contains sodium, chloride, potassium, calcium and lactate which is metabolized into bicarbonate. Combining those factors, I also think the meds he was taking were having an effect on respiratory depression, and if so, could that have an effect in the lab values too? Please correct me if I'm totally wrong. I'm working on my next patient's labs now for a different assignment... HTN and cirrhosis!!

I think he's got compensated respiratory acidosis, but I do not quite grasp the understanding of whether it's true respiratory acidosis, why it's considered compensated, and if it is, does that mean it could potentially be metabolic alkalosis? He's also on lactated ringer's, so I am also trying to figure out how that plays a role in what I am seeing in the lab values. And I've had a VERY difficult time with lactated ringer's because it's not in ANY drug book I've looked at so far, and it's only mentioned very briefly once in my text books.

I am doing a care plan on a patient who has a rather complex set of lab values (at least to me). I need help understanding how to interpret these lab values. Here are his values: pH: 7.36 pCO2: 48 (High) pO2: 141 (High) HCO3: 27.1 Anion: 7 Na: 135 Cl: 104 K: 4.6 Ca: 8.2 Any acid-base pros out there who can break this down into simple terms and explanation?

I'm trying to write a care plan for a patient with compartment syndrome. I need to list 5 priority medications and list 2 priority PRN medications. With the list of meds the patient is on, I am having trouble prioritizing them because, to me, some of them have very similar uses. I am looking for help prioritizing the medications and understanding what exactly makes them the priority. Here is my list of scheduled meds: 1. Famotidine (Pepcid) IV injection 2. Heparin subcutaneous injection 3. Lactated Ringers IV 4. Bactitracin Topical Ointment 5. Sodium Chloride (Saline Flush) Here is my list of PRN meds: 1. Bisacodyl (Dulcolax) 2. Ondansetron (Zofran) Injection 3. Docusate (Colace) PO 4. Acetominophen PO 5. Morphine Injection 6. Percocet PO 7. Naloxone IV Input with explanations are very much appreciated!

I will contact them tomorrow just to explore how their program is set up. I could not be more disappointed in the UA MEPN program.

Thank you SO much for sharing this information! The MEPN program should be classified as academic malpractice. Simply put, their methods are negligent. How long did it take you to get in to CEP program?

I am a student in an accelerated nursing program. I just completed the first level, and it was super hard! The hardest part about it for me was not necessarily the content, but the lack of organization in the program structure. We did not really get lectures, were expected to sit in class M-F from 8am to 5pm discussing case studies; then go home, read, and fully comprehend 5-10 chapters a night. We did not get worksheets to guide our understanding, no notes, or power point presentations -- nothing! Considering this is a 2nd degree for me, I can't imagine that's normal? Or is it? Oh, yeah, and the university does not have a student learning support center available for us to seek out assistance on our own. And instructors are terrible at responding to emails. Or look at you like your dumb, stupid, and annoying if you ask them a question. ...Anyway, enough of that, what I am really looking for is the overall big picture in organization of content and material. Pharmacology is supposed to be one of the hardest subjects in nursing to understand. I am a multi-modal learner who must organize info to be able to remember it, recall it, and make it useful. Any advice for what would be the best way to tackle what I need to know in pharmacology? Any ideas on a good plan? Or can anyone recommend an excellent tutoring service? Any help is appreciated. Sincerely, Stressed Out Student Nurse