Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Archive for January, 2010

Clip Art

Posted by Laura on January 31, 2010

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EKG P Wave Chart

Posted by Laura on January 31, 2010

I made a chart to help me remember my class work. This chart is only in reference to the P wave. Using the P wave to answer some questions and fitting some rules to identify the arrhythmia.

 P Waves  .pdf  full chart

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Student Nurse Flo

Posted by Laura on January 31, 2010

It’s those new beginings Vicki was emailing about…

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FAFSA

Posted by Laura on January 29, 2010

http://www.fafsa.ed.gov/

Free Application for Federal Student Aid (FAFSA)

Yes, you have to apply! So you may make too much money. You don’t make money.  They may only give you loans, no grants. It is like getting the bowl out to make salad. Unless you prepare with a foundation (the bowl), the opportunity to fill it up with lots of greens won’t happen (the money!)

Filling out the FAFSA isn’t that hard. First you have to apply for a pin number. After you complete this part and have a pin you can fill out a temporary FAFSA form that will be good until later in the year.

Just get a rough idea of what your W2s may say and fill in the form. After you have filed your taxes in April, you can then finalize your FAFSA.

The thing is, you don’t really know what your school is going to do unless you fill this form out. I personally like salads, lots of greens, and other colors of vegetables with fruits thrown in. My husband makes a great salad! Some years it has paid off. It really pays off if you fill out the preliminary one before FEBRUARY 10th.

Do the work. Maybe one hour of your time. Think of it this way, is your 1 hour of time worth a few thousand? Do you need your vegetables? Yes, and the more the better right?

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IV Math

Posted by Laura on January 28, 2010

1. The doctor’s order is for an intravenous infusion of one liter of 5% Dextrose with Lactated Ringers (D5LR) to infuse at 125 ml/hr. How many hours will it take for the IV bag to infuse?

Since we are talking about infusion I would automatically start thinking what I am looking for is Hrs.

Hrs |

So I know my first conversion factor must have hrs as the numerator, and I like to start usually with what the doctor wants or what is on hand.

Answer

2. The physician’s new order is to infuse 1000 ml 5% Dextrose and 0.45 Normal Saline (D5 1/2 NS) with 40 mEq KCL, over 10 hours.  (a) what will the rate be using an infusion pump?  (b) How many milliliters will the patient receive in one day?

Here I think “rate” is always ml/hr. I’m also thinking infusion which is again Hrs. So I would start with Hrs or look for the mL/hr.  Remember from the answer above, infusions are total volume divided by mL/hr.

answer

3. You are to infuse an antibiotic via IVPB. The order is for Cefazolin one-gram q 8 hrs. The medication book recommends the the infusion time of 30 minutes. The drug is supplied in 50 ml of NS. The tubing drip factor is 15 gtt/mL. (a) what will the drip rate be for the infusion?  (b) What will the rate be using an infusion pump?

Drip rate? Well, we know that means gtts/min right?

answer

4. The order is for Erythromycin 750 mg in 250 mL of 5% D5W to infuse over 1.5 hours. The tubing drop factor is 15.  (a. ) what will the drip rate be for the infusion?  (b) What will the rate be using an infusion pump?

This one gets tricky. Drip rate again means gtts/min we are looking for, but you think where is the gtt conversion?  When it says factor, know it means per min or hr. If we are talking drops it will be per min, so use the 15gtts/min.

answer

5. The physician’s order is to infuse a continuous IV of 1 liter or 1000 mL of NS with 20 mEq of KCL at 75 mL/Hr. (a) How many mL will the patient receive per day?  (b) If the infusion was started at 1:30 pm, at what exact time will the bag be totally infused?

This one is fun. I think the question (a) is a little off. You figure it will get infused before a full 24 hrs is complete. So then figure out how many hours it will take. For (b) I changed my hours to military or 2400 hrs, and added the total time. Make sure you have changed the part of an hour into minutes by multiplying the .33 of an hour by 60 to get you true minutes.

answer

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New 1st Semester Students of the ADN at AVC

Posted by Laura on January 28, 2010

There is an orientation of the new (can I say “probies” ? – too much NCIS!) students entering the nursing program at AVC. Some of us, second semester students, will be going to say hi and let them know we support them, along with what they can do to support themselves through the first few weeks.

Of course I’m going to promote the new chapter of the National Student Nurses’s Association, see flyer I made here.

And I will give them a copy of some of the learning center’s workshop courses available on this preliminary schedule they did up for us.  see here

My dear friends will also talk about support study groups, tutoring (Lisa, Kendra) and even Diane is bringing cupcakes! We will all wear our uniforms, so they can see what they look like on. Should be fun. I think there are many students who I went through pre-reqs with in this class.

So here’s to –

 CLASS of FALL 2011!!!!!

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Reading Cards for OB & Professional

Posted by Laura on January 27, 2010

8×5’s

012710 reading cards   .pdf

012710 reading cards .doc 

See any errors, please let me know

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Be careful using Tylenol, it could save your life

Posted by Laura on January 26, 2010

At this time, many products by McNeil are recalled. According to their site it is due to only an “unusual moldy, musty, or mildew-like odor that, in a small number of cases, was associated with temporary and non-serious gastrointestinal events. These include nausea, stomach pain, vomiting, or diarrhea.”

Products include: Tylenol, Motrin, Benadryl, Rolaids, Simply Sleep, and St Josephs

But as with the past September 09 recall (http://www.examiner.com/x-14041-Charlotte-Health-and-Happiness-Examiner~y2009m9d24-Bacteria-prompts-Tylenol-recall-2009), the recall was due to a bacteria found in the product. Gram-negative bacteria Burkholderia cepacia (B. cepacia) can kill. 

Many people have not heard of these recalls, so I am posting this info to warn my friends to use caution. Check your medications against the McNeil list  using the link below. Throw away the old, check those expiration dates, and make sure you are only using new products. Heck, it’s probably time to go through you medication closet anyways and clean out the old!

Be safe.

For all current recalls, check out the McNeil page. Images and product numbers can be seen at http://www.mcneilproductrecall.com/ 

Image found at (http://iai.asm.org/cgi/reprint/68/1/24.pdf)

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EKG or ECG

Posted by Laura on January 25, 2010

I know it is originally the “elctrokardiogram” or EKG by Einthoven. As a new student in this health field, my physiology teacher taught us it is now called the ECG (Electrocardiogram).

I have browsed through a neon orange book called, Rapid Interpretation of EKG’s by Dale Dubin, MD. I say browsed because the first 4 chapters out of 10 where easy, relatively speaking. Then I got half-way through the 5th chapter. It has me bogging down.

According to Mr. Dubin, EKG stands up for tradition and uses this acronym in his book.

Well, today I am taking a “ECG” class. Basic ECG Course for Healthcare Providers. I’m hoping this will put me though my reading material, and I’ll try not to show my age by saying EKG 🙂

1/27/10

 – Dang, the instructor called it EKG also!  The class was good. By halfway through the second day of worksheets, my mind was tired. I think most of the class felt that way, as the volume of unrelated chatter increased every time he stepped out the door. It was a positive learning experience. I do have a better knowledge base of trying to read EKGs. I understand where the P wave comes from, and if it doesn’t – why. The shape of the P wave is one of the biggest clues, and helps you categorize the arrhythmia. Then using our rules, I should be able to make a good judgement. I really look forward to using some of this knowledge in my upcoming classes.

This looks like a good on-line site to reference http://www.nottingham.ac.uk/nursing/practice/resources/cardiology/function/sinus_arrhythmia.php

Posted in Semester II | Tagged: , , , | 4 Comments »

Classification of Hypertensive States of Pregnancy

Posted by Laura on January 23, 2010

 .doc

Hypertension is defined as a systolic BP greater than 140mm Hg or a diastolic BP greater than 90 mm Hg. There must be 2 measurements at least 4-6 hours apart for diagnosis.

Proteinuria is a concentration of >30 mg/dl in a random urine specimen, or >300 mg/24 hours (preferred method).

Pathologic edema + generalized accumulation of fluid of the face, hands, or abdomen not responsive to 12 hours of bed rest –  or rapid weight gain of more than 2kg in 1 week. (this is no longer considered a diagnostic of preeclampsia alone)

Preeclampsia progresses from mild to severe preeclampsia, to HELLP syndrome or eclampsia.

Severe preeclampsia

  • systolic 160 or diastolic 110by laura barron
  • proteinuria > 2g in 24 hr
  • oliguria < 500 ml / 24 hrs
  • ALOC
  • hepatic involvement
  • thrombocytopenia w/platelet  < 100,00/mm3
  • pulmonary edema or cyanosis
  • fetal growth restriction

HELLP syndrome

  • H – hepatic dysfunction characterized by hemolysis
  • EL – elevated liver enzymes
  • LP – low platelets < 100,000/mm3

Lab Tests: Blood

  • CBC (including a platelet count)
  • clotting studies (bleeding time, PT, PTT, fibrinogen)
  • Liver enzymes (lactate dehydrogenase LDH, AST, ALT
  • Chemistry panel (BUN, creatine, glucose, uric acid
  • Type and screen

    Urine

  • volume of at least 30 ml/hr, or 120 ml/4 hr
  • Proteinuria

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New Temporary Reading Cards

Posted by Laura on January 23, 2010

I put together the new reading cards for OB 1st half, leaving some room for Professional. Will update with Professional once we have the Syllabus. These pages reflect the new set-up and any red is new pages, any grey is repeat reading. This way I could see what is different and what I need to cover.

8×5’s

012210 reading cards .pdf

012210 reading cards .doc

If anyone doesn’t know what a basement cat is – check this out: http://icanhascheezburger.com/tag/basement-cat/

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Student Nurse Flo

Posted by Laura on January 23, 2010

Let’s hope those rainy days have gone!

Looks like just under 4″ of rain has fallen. Our average per year is less than 8″.

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Starting a Chapter of CNSA at AVC

Posted by Laura on January 22, 2010

https://nsnamembership.org/

I am working to start a chapter of the National Student Nursing Association at Antelope Valley College. I think it offers AVC’s nursing program, both students and teachers alike, an opportunity to network amongs the four semesters, encourage professional development and leadership opportunities. Our school deserves to be on the NSNA map and part of CNSA.

Please let me know if you want to be involved. We have many students and teachers already who are excited to get it going. 

I’m also applying for a grant through NSNA to get $1000 towards creating this chapter. Check out the Grant Statement so far. (still working it, any advice is good 🙂 )

And for all you 1st semester students, by being a member you can apply for this scholarship:

The Foundation of the
National Student Nurses’ Association

In Memory of Frances Tompkins

ATTENTION ALL UNDERGRADUATE STUDENTS

 The deadline to submit an application for the 2011 – 2012 academic year will be in May 2010. Updates regarding the application process will be made on the website in spring 2010. An application will also be made available for download at that time.

Download the FNSNA Scholarship Fact sheet, if you would like more information regarding the scholarships that we offer or contact the FNSNA at (718) 210 – 0705.

The Foundation of the National Student Nurses’ Association
Attention: Undergraduate Scholarship Program
45 Main Street Suite 606
Brooklyn , NY 11201

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Maternity Common Abbreviations

Posted by Laura on January 21, 2010

Go to flashcardexchange.com to find cards for AVC or studentnurselaura. Or click on the flashcard link to the right.

Here you will find OB abbreviation cards. Takes 24 hrs to show on their site sometimes.

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Donations Needed!!

Posted by Laura on January 21, 2010

Hi Laura! Katie here. I wanted to talk to you about something and see if this could maybe happen. My friend Annie has a foundation called Project81, http://www.project81.com. Her and her husbands foundation has done alot of past work in Haiti, and she is going down there soon. She sent me a messege looking for donations of shoes and clothes. I was wondering, and I will take care of shipping, if maybe we can talk to our class and maybe the other classes about donating to the cause. Let me know, thanks!Katie

    – Wow, what a great idea Katie. I posted this here so others would be sure to read it. Also you should send and email out to the other students through AVC to let them know. Perhaps we can pick a day at AVC for a drop off at the APL. Let me know when and I will help you box them up! – Laura.

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NANDA-I

Posted by Laura on January 20, 2010

A few months back I did a research paper for NANDA-I concerning patient safety. I recieved notice today that I was a finalist! (Not the winner) It is so cool to see my name next to these other nursing students from around the world!

Clouded Vision

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APGAR SCORE

Posted by Laura on January 19, 2010

APGAR SCORE

Score Card by me. Definition by Tabers @

 http://www.tabers.com/tabersonline/ub/view/Tabers/143071/12/Apgar_score

Apgar score  (ăp′găr)

Virginia Apgar, U.S. anesthesiologist, 1909–1974]
A system for evaluating an infant’s physical condition at birth.
The infant’s heart rate, respiration, muscle tone, response to stimuli, and color are rated at 1 min, and again at 5 min after birth. Each factor is scored 0, 1, or 2; the maximum total score is 10.

Interpretation of scores: 

  • 7 to 10 – good to excellent
  • 4 to 6 – fair
  • less than 4 – poor condition.

A low score at 1 min is a sign of perinatal asphyxia and the need for immediate assisted ventilation. Infants with scores below 7 at 5 min should be assessed again in 5 more min; scores less than 6 at any time may indicate need for resuscitation. In depressed infants, a more accurate determination of the degree of fetal hypoxia may be obtained by direct measures of umbilical cord blood oxygen, carbon dioxide partial pressure, and pH.

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Gravida

Posted by Laura on January 18, 2010

     

All material on this site is the ramblings of a student nurse. Not a Medical Doctor. Please consult your doctor with any and all questions or concerns.

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Nurses Respond to Quake in Haiti

Posted by Laura on January 18, 2010

     

Such a disaster and I know it must be pulling on the strings of nurses everywhere on how they can help. According to the US officials over 70,000 people have died and placed in mass graves. 200,000 lives  may be taken due to the earthquake of 7.0 that rocked Haiti’s world 5 days ago on January 12, 2010. Infection, desperation, fear and violence are beginning to take their toll.

Over 7000 nurses have volunteered to help in Haiti, but the country’s broken infrastructure can’t support the aid coming in.

Read one nurse’s real-time blog in Haiti as she helps babies at an orphanage in Haiti. http://heartsongsfromhaiti.blogspot.com/

The ANA is recommending registered nurses who wish to help, wait till the current response system is working within the limited boundaries Haiti now has.  Nurses will be needed weeks to months, from now on, according to ANA –  as well as donations.

“The American Nurses Foundation – the charitable and philanthropic arm of ANA – has established a fund that will benefit restoring the nursing infrastructure in Haiti through assisting the International Council of Nurses member Association Nationale des Infirmières Licenciès d’Haiti.  You can click here to donate”   This and more found through the ANA at  www.nursingowrld.org .

Also the American Red Cross has requested nurses to seek other possible volunteer opportunities needed until the emergency response workers are in need there.  “To help, you can make an unrestricted donation to the International Response Fund at www.redcross.org or by calling 1-800-REDCROSS (1-800-733-2767). You can also contribute by texting “Haiti” to 90999 to send a $10 donation to the Red Cross; this fund drive is backed by the U.S. State Department.” More on this can be found at http://allnurses.com/volunteer-nursing/how-respond-haiti-450281.html#post4072259

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Mornings

Posted by Laura on January 16, 2010

One of the greatest things about living in this Antelope Valley

 is walking up on the aqueduct, listening to some uplifting music (for me this morning – Josh Gorban) and seeing the outstanding valley all around me. Amazing and so inspiring!

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