Grizzlyadamz

Grizzlyadamz

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  1. After an IM, vitals to be assessed after 15 min

    Grizzlyadamz replied to RUBYMARTINEZ's topic in Nursing Student Assistance

    1st semester students probably aren't familiar with shock yet, (I know I certainly wasn't). Better to ask Ruby: Why does the patient become flushed? What's the body doing that makes the skin change...

  2. Massive PE hemodynamics

    Grizzlyadamz replied to Grizzlyadamz's topic in Nursing Student Assistance

    Certainly, here's about half the article: Sample image. Looks like they don't specify how much IVF is ordered so-- Makes sense, thanks to both of

  3. Massive PE hemodynamics

    Grizzlyadamz posted a topic in Nursing Student Assistance

    Alright, so, a patient gets a big 'saddle embolism' that restricts blood flow to both of the lungs. This would present like cardiogenic shock, correct? In particular, something like cardiac tamponade....

  4. Massive PE hemodynamics

    Grizzlyadamz replied to Grizzlyadamz's topic in Nursing Student Assistance

    I understand they're different. I'm asking, wouldn't a big PE which mimics right-sided MI or cardiac tamponade in regards to the patient's hemodynamic changes be ill-treated by attempted fluid...

  5. Wheezing questions

    Grizzlyadamz posted a topic in Nursing Student Assistance

    Hey everyone, looking to absorb some experience while I'm working on my paperwork. I had a middle-aged patient recently who came in complaining of SOB. RR & HR were elevated, spO2 was low and they...

  6. Wheezing questions

    Grizzlyadamz replied to Grizzlyadamz's topic in Nursing Student Assistance

    So does lactate only really rise with inadequate perfusion, or can an anaerobic septicemia cause it as well? Also, do blood cultures always catch the bacteria causing the SIRS, (assuming it's not...

  7. Wheezing questions

    Grizzlyadamz replied to Grizzlyadamz's topic in Nursing Student Assistance

    Lactate was normal but they suspected a false low due to 'NAPQI & NAC'. (something about acetaminophen

  8. Wheezing questions

    Grizzlyadamz replied to Grizzlyadamz's topic in Nursing Student Assistance

    Also, if mucolytics & drainage aren't advisable (patient has HTN & is being watched for possible sepsis, so I'm guessing it might go uncontrolled), would a cough suppressant be a bad idea? The...

  9. Need help interpreting ICU ABGs

    Grizzlyadamz replied to Grizzlyadamz's topic in Nursing Student Assistance

    Patient wasn't on a vent, and metabolic acidosis is 100% one of their main diagnoses. At least a few hours earlier, the low CO2 was the compensatory mechanism for an excess of lactic acid, and I...

  10. Need help interpreting ICU ABGs

    Grizzlyadamz posted a topic in Nursing Student Assistance

    Alright, here are the most recent labs. Patient was probably on O2 when these were taken. pH: 7.43 pO2: 115 (H) pCO2: 18.5 (V-L) HCO3: 12 (L) BE: -10.7 (L (base deficit)) O2 saturation:...