nfeese

Latest Activity

1. Pausing IV, clotting?

   nfeese replied to SilleLu's topic in Medications

   IV RUS could you pause the IV and then close the rollerclamp to prevent backflow? I get that pausing IV and then clamping ext set prevents backflow but wouldnt pausing and then closing rollerclamp do the same?

2. chest tube and cvad

   nfeese replied to nfeese's topic in Safety

   I meant if tube is disconnected from unit use 2in of sterile water to place it in...

3. chest tube and cvad

   nfeese replied to nfeese's topic in Safety

   Ok... love your detail. So, if I'm assessing for a leak 1. Clamp with 1 clamp closest to the patient, if there is still a leak then use the 2nd clamp to clamp a small ways down from the patient? If the leak has still not been found do i move both set...

4. chest tube and cvad

   nfeese posted a topic in Safety

   Hi all, Just a few questions: 1. Why do we need two sets of clamps at bedside for a chest tube? 2. If we use them to assess for a leak where are they placed? If we use them to change the system (full cdu) where do we place them? 3. Whwn changing ...

5. CVAD and chest tubes

   nfeese replied to nfeese's topic in General Nursing

   Two sets lol

6. CVAD and chest tubes

   nfeese posted a topic in General Nursing

   Hi all, I have a few questions about chest tubes and CVAD dressing changes: 1. Why do we need to sets of clamps bedaide for a chest tube? 2. If the clamps are for leak assessment, how are they placed? 3. Where do you clamp the tube when changin...

7. Chest tube is accidentally pulled out, why occlusive dressing?

   nfeese replied to HelloM1M1's topic in NCLEX

   So, I'm studying for my boards and have a few questions: 1. What is the purpose of having two hemostats or clamps at the bedside? I've read a few conflicting things. 2. How do you actually assess for a system leak? Do you use both clamps? Read confli...

8. about ascites

   nfeese replied to nfeese's topic in General Nursing

   Ok, but how does the protein leave vascular volume? It states protein remains within vascular spaces to keep osmotic pressure and endothelial cells do not permit their passage except in cases of burns and such when inflammatory substances cytokines a...

9. about ascites

   nfeese replied to nfeese's topic in General Nursing

   If protein is what "keeps" fluid in vascular spaces and a lack of protein causes ascites as in malnutrition, then how is ascitic fluid caused by portal hypertension "protein rich"?

10. about ascites

    nfeese posted a topic in General Nursing

    Hi, I have been reading up on ascites and have a few questions. With liver damage and portal hypertension I've read that the ascitic fluid is "protein rich" yet a patient with a nutrition and protein deficiency has ascites from a lack of protein to c...

11. prolapsed cord

    nfeese replied to nfeese's topic in Student Assist

    See, that's what I would think also. Like a complete blockage of flow... in which case increasing moms BP and O2 isn't going to matter. Maybe once a nurse pushes on the presenting part to relieve compression, the O2 and bolus would help... idk

12. prolapsed cord

    nfeese replied to nfeese's topic in Student Assist

    So, if it mirrors a CTX in respect to timing but appearance is rapid onset and recovery ud still call it a variable rather than an early? Also ATI suggests 8-10 L of O2 to mom for a prolapsed cord... um I hardly see the necessity. If moms o2 sat are ...

13. prolapsed cord

    nfeese replied to nfeese's topic in Student Assist

    Ok, so if the decel is happening with the CTX as the cause wouldn't it then be classified as either late or early?

14. prolapsed cord

    nfeese replied to nfeese's topic in Student Assist

    Also, if a CTX is causing the compression, then why would it be a variable decel which I thought had nothing to do with a contraction??? Like variable decels aren't related to ctx and can happen anytime...

15. prolapsed cord

    nfeese replied to nfeese's topic in Student Assist

    See, that's my thought but my teacher said "cord compression" causes variable decels and threw prolapse on the list. Welp, I've researched and variable decels actually resolve and the FHR returns to baseline meaning perfusion is restored. So, I was l...