true or false

Critterpuss · Mar 22, 2007

#1. Not that they are more busy, but the types of cases can be bizarre. Many people who may have a bit of a "personality disorder" may become very active during a full moon.

#10, Not always, assess your pt.

DusktilDawn · Mar 22, 2007

#1) Emergency are more busy in full moon

There are no studies that will verify this, however, I'm sure most ER nurses (and the rest of the nurses in a facility) will tell you that : YES IT IS MORE BUSY DURING A FULL MOON.

#3)Po meds are more efficient the IM or IV on orthopedics injury

Can be dependent on how the pt perceives the effectiveness of PO VS IV.

#7)BP greater then 100 is not very significant of a shock

Not necessarily, depends on the person's baseline. You need to look at: pulse (weak, rapid, & thready), temp (hypothermic), skin assessment (cool, clammy mottled), hydration (dry mouth, thirst),mental status (anxious, restless, changes in ), respirations (rapid, deep).

#9)squeezing finger is very significant of the motor power

The grasp reflex is a primitive one and not the best indicator of strength. Primitive reflexes reappear in adults under certain conditions (dementia, traumatic lesions, stroke, head injury).

#10)saturation is represent very well the oxygenation of a patient

Just had a patient where we were unable to obtain an O2 sat (and we tried everything to get one), we referred to her ABGs and assessment of the patient.

HairCanada · Mar 22, 2007

I have a simple full moon theory, it is brighter, and people can see better and are more apt to be out an about.

More people out at night....more chance for injury.

who knows, I would love to see study as well!

dewey69usa · Mar 23, 2007

Here's more on the moon theory. I have worked at both an ER and a locked Psych unit. You can tell when the moon is full simply by how wild it gets. Perhaps it is a physical thing. The moon affects water and is part of the reason for the tides of the oceans. Knowing this and adding the water content of the human body. Well.........perhaps there is a connection.

Nurse2bducky86 · Mar 23, 2007

The moon thing...I know that the moon's gravity pulls on the amniotic fluid of a pregnant woman causing it to rupture and induce labor therefor a more busy Maternity ward. The same theory may be the same with the fluid in the brain maybe causing a change in the processes of the brain therefore more accidents and crazy people. Just my thinking.

CRNI-ICU20 · Mar 23, 2007

1) emergency are more busy in full moon the tendency is that this is true...although, we are all too busy during a full moon to do an actual evidence based study.

2)the different bilateral bp in aaa is very specific for the most part...this is true...due to the preload and afterload circ. to the heart...if the aorta is dissecting...one side will be different than another...

3) po meds are more efficient the im or iv on orthopedics injury this is varable between pt. populations...size of pt. muscle mass vs. fat mass...etc...one has to consider the absorption capability of the stomach...some people don't digest well. etc...bone pain does seem to respond better to hydrocodone with tylenol than just straight morphine iv....but it still depends on the patient.

4) capnograph are good indicator of cardiac output in patients who have healthy lungs and who have constant ventilatory support or drive, this can be a good measurement....but anyone with bad lung disease, this isn't a good way to measure cardiac output.

5)back to back ventolin treatment are very effective in asthma attack back to back treatments are sometimes done....although...if the medication has side effects of elevated heart rate >130....and depending on any other underlying medical issues, one might not want to administer that second dose back to back, but might want to consider steroids, and oxygen support....

6)cp radiating to the left shoulder is more specific then the right shoulder if you are referring to cardinal signs of cardiac infarction, this can be one of many signs of cardiac infarction...but is not limited to...many people have referred pain to their jaw...some just to their two middle fingers....sometimes their right arm...sometimes no pain at all...

7)bp greater then 100 is not very significant of a shock are you referring to cardiogenic shock? volume depletion shock? i don't understand the question...but if it is volume depletion shock, you don't just go by the number in front of you...you treat your patient...not the number...some people can be 'shocky' with a systolic of 100....if they have a wide pulse pressure...or if they are used to a pressure in the 160's systolic....we treat mean arterial pressure...usually in the 60 to 70 range...this is what is known to at least perfuse the kidneys and other organs...if the patient is symptomatic with a pressure of 100 sys. then, you need to treat....ie, if they are dizzy, incoherent, sweaty, clammy...etc...or if they become increasingly sob...or tachy....or have concurrent chest pain.....

8)reproductive cp is unlikely to be cardiac i have not heard the term reproductive chest pain....do you mean recurrent? chest pain?

if chest pain is persistent...beyond the main steps of nitro, asa, o2, 12lead ekg, and cardiac enzymes...and all prove to be negative or not changing the chest pain....then the doc. must look for differential diagnosis...possibly gall bladder....stomach issues...lung probs...etc.

9)squezing finger is very significant of the motor power

yes...if you are assessing the neuro function of a patient, this is one way to not only determine the gross motor movement path, but also cognitive path, as well as the patient's ability to follow a command...

10)saturation is represent very well the oxygenation of a patient

no....this isn't representative of whether or not a patient is breathing and exchanging oxygen well at the aveoli level....people can have a 95% sat on 3l of o2....but they can be not doing well at all....you have to look at the patient....are they increasing their work of breathing? are they breathing less, or more shallow? are they using their chest muscles and accessory muscles to breath....what are their breath sounds? are they able to carry on a sentence of conversation without becoming short of breath? are they remaining oriented, or are they becoming more confused? are they increasingly sleepy? the best diagnostic tool of o2 exhange is a blood gas....

hope this helps... :nurse:

meandragonbrett · Mar 23, 2007

10)saturation is represent very well the oxygenation of a patient

No, oxyhemoglobin dissociation curve. Temperature, Acid/Base Balance?

ernurse4ill · Mar 27, 2007

1) emergency are more busy in full moon the tendency is that this is true...although, we are all too busy during a full moon to do an actual evidence based study.
2)the different bilateral bp in aaa is very specific for the most part...this is true...due to the preload and afterload circ. to the heart...if the aorta is dissecting...one side will be different than another...
3) po meds are more efficient the im or iv on orthopedics injury this is varable between pt. populations...size of pt. muscle mass vs. fat mass...etc...one has to consider the absorption capability of the stomach...some people don't digest well. etc...bone pain does seem to respond better to hydrocodone with tylenol than just straight morphine iv....but it still depends on the patient.
4) capnograph are good indicator of cardiac output in patients who have healthy lungs and who have constant ventilatory support or drive, this can be a good measurement....but anyone with bad lung disease, this isn't a good way to measure cardiac output.
5)back to back ventolin treatment are very effective in asthma attack back to back treatments are sometimes done....although...if the medication has side effects of elevated heart rate >130....and depending on any other underlying medical issues, one might not want to administer that second dose back to back, but might want to consider steroids, and oxygen support....
6)cp radiating to the left shoulder is more specific then the right shoulder if you are referring to cardinal signs of cardiac infarction, this can be one of many signs of cardiac infarction...but is not limited to...many people have referred pain to their jaw...some just to their two middle fingers....sometimes their right arm...sometimes no pain at all...
7)bp greater then 100 is not very significant of a shock are you referring to cardiogenic shock? volume depletion shock? i don't understand the question...but if it is volume depletion shock, you don't just go by the number in front of you...you treat your patient...not the number...some people can be 'shocky' with a systolic of 100....if they have a wide pulse pressure...or if they are used to a pressure in the 160's systolic....we treat mean arterial pressure...usually in the 60 to 70 range...this is what is known to at least perfuse the kidneys and other organs...if the patient is symptomatic with a pressure of 100 sys. then, you need to treat....ie, if they are dizzy, incoherent, sweaty, clammy...etc...or if they become increasingly sob...or tachy....or have concurrent chest pain.....
8)reproductive cp is unlikely to be cardiac i have not heard the term reproductive chest pain....do you mean recurrent? chest pain?
if chest pain is persistent...beyond the main steps of nitro, asa, o2, 12lead ekg, and cardiac enzymes...and all prove to be negative or not changing the chest pain....then the doc. must look for differential diagnosis...possibly gall bladder....stomach issues...lung probs...etc.
9)squezing finger is very significant of the motor power
yes...if you are assessing the neuro function of a patient, this is one way to not only determine the gross motor movement path, but also cognitive path, as well as the patient's ability to follow a command...
10)saturation is represent very well the oxygenation of a patient
no....this isn't representative of whether or not a patient is breathing and exchanging oxygen well at the aveoli level....people can have a 95% sat on 3l of o2....but they can be not doing well at all....you have to look at the patient....are they increasing their work of breathing? are they breathing less, or more shallow? are they using their chest muscles and accessory muscles to breath....what are their breath sounds? are they able to carry on a sentence of conversation without becoming short of breath? are they remaining oriented, or are they becoming more confused? are they increasingly sleepy? the best diagnostic tool of o2 exhange is a blood gas....
hope this helps...

i think what the original post meant about "reproduction cp" is if we are able to "reproduce" the chest pain by palpation, deep breath, movement etc. i could be wrong, but that is how i read it.

Altra, BSN, RN · Mar 27, 2007

Did OP mean reproducible CP?

Is there a language barrier here - a native language other than English?