CASE SCENARIO (NURSING).WOUNDCARE QUESTIONS.

To measure your wounds you need measuring Tapes,Gloves, Cotton Swab,digital camera,and clock. Have all your supplies ready because you do not want to be going back and forth for supplies. Provide privacy. Wash your hands and wear your glove. Get the measuring tools ready.(Write patient initial ,date,time and your name and title). Patient initial and […]

26TH CASE SCENARIO. (NURSING) Rheumatoid Arthritis.

Age/Sex 52years woman. Patient name:Ignorez,Maggi. Doctor: Dr.Garcia, Nonyez. MR :Q00000005. Chief Complaint: Rheumatoid arthritis. A 52years old woman with Rheumatoid arthritis comes to the clinic with her husband for a routine visit. The wife ask the nurse to explain Rheumatoid arthritis to her husband. The nurse answer should be based on the knowledge that rheumatoid […]

18TH CASE SCENARIO. (NURSING)APPENDICITIS.

Age/Sex 37years Male. Unit : Q00000071 Admitted. 07/19/2007 MR:Q0008242624. Diagnosis Acute Appendicitis. Secondary Diagnosis : Hx ESRD HD Monday/Wednesday/Friday. Left kidney removal 06 /01/2004. Left permacatheter for Hemodialysis. General Surgery consult: Dr. Not Nice. On 07/19/2007 S/P Laparoscopic Appendectomy. Allergy: NKDA. Lungs clear on RA(Room air) DIET: Renal diet. Patient on dialysis = 90g protein, […]

16TH CASE SCENARIO.(NURSING) RESTRAINT

Age/ Sex 35years Male,named Mike Wine,full code Attending doctor: Erosion,James. CODE STATUS: Full code. Medical record number:Q0000664505 Diagnosis: Etoh abuse,Altered mental status. Drug overdose, Aspiration Pneumonia. Lethargic. Allergy: NKDA. Diet : Strict NPO. Jevity 1.0 at 55ml/hr. Left nare. Medications: IJ : Right subclavian 0.9NS @75ml/hr. Levaquin 750mg IV Q24hours. Zosyn 3.375gm IV Q8hrs. Morphine […]

5TH CASE SCENARIO.(Nursing)FALL.

Mr B.G 35years old male was brought in by ambulance due to fall. Diagnosis : Right Humerus Fracture. Right Pneumothorax, right ribs 4,6 fracture. Sacral,bilateral acetabular and nasal fracture .None Operable.. Right Humerus reduction done at the emergency room.Right pelvic, (B)Acetabular fracture ,Sacral percutaneous fixation of right pelvic pelvic done by doctor Don’t Hate. Dressing […]

NURSING QUESTIONS(comfort and mobility)

(1) A 69 years old  female  is living with her handicapped daughter.She develop pain and swelling on her left leg,she was brought in by ambulance to the emergency room.      The emergency room doctor diagnosed her with thrombophebitis which is inflammation of blood vessels.She is placed on bedrest 5-7 days, and admitted to Medical /Surgical […]

PROCEDURES. WHY?

Why do we undergo surgeries or procedures? So many people undergo surgery or procedure without asking questions. Surgery is the use of instrument to create incisions so that injuries or disorders in the body is treated.It is usually done under general anesthesia. Some people ask questions before the procedure or surgery. But some people don’t […]

PERSISTENT/SCD/LOVENOX.(My little poem)

I like to stick to what I believe in. I persisted on my speech. I must persist To persist you must know He said NO. But I persisted . Where is NO? I t does not fit. I have no time to waste. Push ,push on. In Nursing School you persist. No is not an […]

TOOLS FOR WOUND ASSESSMENT AND MEASUREMENT.( The way I understand it as an RN).

To measure your wounds you need measuring Tapes,Gloves, Cotton Swab,digital camera,and clock. Have all your supplies ready because you do not want to be going back and forth for supplies. Provide privacy. Wash your hands and wear your glove. Get the measuring tools ready.(Write patient initial ,date,time and your name and title). Patient initial and […]

ELECTROCONVULSIVE THERAPY(THE WAY I UNDERSTAND IT AS A NURSE).

FOR DEPRESSION? Electroconvulsive Therapy (ECT) is an effective treatment for major depression with an eficacy rate of 80% or more,which is equal to or better than response rates to ANTIDEPRESSANT medications in some patients.It is particularly useful for people who cannot tolerate or fail to respond to the use of medication treatment. There  are various […]