nfeese

nfeese

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All Content by nfeese

  1. Pausing IV, clotting?

    nfeese replied to SilleLu's topic in Patient 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...

  2. chest tube and cvad

    nfeese posted a topic in Patient Safety Issues

    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...

  3. chest tube and cvad

    nfeese replied to nfeese's topic in Patient Safety Issues

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

  4. chest tube and cvad

    nfeese replied to nfeese's topic in Patient Safety Issues

    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...

  5. 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...

  6. CVAD and chest tubes

    nfeese replied to nfeese's topic in General Nursing

    Two sets

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

    nfeese replied to HelloM1M1's topic in NCLEX Exam, Programs

    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...

  8. 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...

  9. 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...

  10. 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

  11. prolapsed cord

    nfeese posted a topic in Nursing Student Assistance

    So, if a prolapsed cord causes variable decels this indicates that at some point compression is letting up? Ok, if this is true how does an engaged fetus with a mashed cord relent? That makes no...

  12. prolapsed cord

    nfeese replied to nfeese's topic in Nursing Student Assistance

    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...

  13. prolapsed cord

    nfeese replied to nfeese's topic in Nursing Student Assistance

    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......

  14. prolapsed cord

    nfeese replied to nfeese's topic in Nursing Student Assistance

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

  15. prolapsed cord

    nfeese replied to nfeese's topic in Nursing Student Assistance

    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...

  16. prolapsed cord

    nfeese replied to nfeese's topic in Nursing Student Assistance

    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...

  17. Saline locks

    nfeese posted a topic in Patient Medications

    Hi, I am very confused on the concept of saline locks. Yes, I know it's for vascular access, but how does it actually keep blood from traveling back up the catheter? Does the catheter remain full of...

  18. Saline locks

    nfeese replied to nfeese's topic in Patient Medications

    So say a patient has a periphereal IV removed and saline locked wouldn't it have a positive pressure cap at the end? So basically the positive pressure cap acts as your finger would over a straw? And...

  19. Saline locks

    nfeese replied to nfeese's topic in Patient Medications

    Btw the straw example is grrreeeaaattt love it. I have to ahave clear understanding of concepts and that straw reference is going in my back pocket. I'm gonna share that with my

  20. Saline locks

    nfeese replied to nfeese's topic in Patient Medications

    ok so the catheter inside the vein remains full of NS or hep whichever is ordered? Like it remains in the catheter without dripping out into the vein? That's what's got me a