Student Nurse Laura

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

Archive for the ‘Semester IV’ Category

Updated Categories

Posted by Laura on June 22, 2011

SNL – Quick Notes

Fluids
Electrolytes
 

Posted in Day-to-Day, IVP Medications, NS 241 - Med/Surg II, Shock | Comments Off on Updated Categories

Last One!

Posted by Laura on May 18, 2011

Week 18 Reading NS240&241 Rm114   DOC

Week 18 Reading NS240&241 Rm114  PDF

Posted in ED, NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241, Semester IV | 1 Comment »

Posted by Laura on May 16, 2011

Top Hospitals in the United States? Check this out Reuters

be sure to click on the interactive tab on the left.

Posted in NS 240 - Professional IV, Semester IV | Comments Off on

Weekly Reading

Posted by Laura on May 11, 2011

Week Starting May 16th  NS240&241 Rm114   .doc

PDF version  

Posted in Muscular Skeletal, NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241, Semester IV | Comments Off on Weekly Reading

Shock Class for Hypovolemic State

Posted by Laura on May 8, 2011

I updated the class one to include all the factors

.pdf

Posted in NS 241 - Med/Surg II, Semester IV, Shock | Comments Off on Shock Class for Hypovolemic State

Weekly Reading

Posted by Laura on May 4, 2011

Week Starting May 9th .doc

Week starting May 9th .pdf
These are my reading cards for my classes in RM 114, so I can stay up with the reading and know how to obligate the time. Only 2 more cards to go!!

Posted in Hepatic DO, NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241, Semester IV | Comments Off on Weekly Reading

Weekly Reading

Posted by Laura on April 27, 2011

Week May 2nd Reading NS240&241 Rm114 .doc

Week May 2nd Reading NS240&241 Rm114 .pdf

8 x 5 cards

Posted in NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241, Semester IV, Shock | Comments Off on Weekly Reading

Endocrine

Posted by Laura on April 22, 2011

Updated 042711

Posted in Endocrine, NS 241 - Med/Surg II, Semester IV | Comments Off on Endocrine

Weekly Reading for April 25th

Posted by Laura on April 19, 2011

Weekly Reading NS240&241 Rm114

Posted in Day-to-Day, Reading Schedule 240 241, Semester IV | Comments Off on Weekly Reading for April 25th

Posted by Laura on April 16, 2011

BURNS

Alisa Ann Ruch Burn Foundation,  http://www.aarbf.org

American Burn Association  http://www.ameriburn.org

Burn Children Recovery Foundation, http://www.burnchildrenrecovery.org

Burn Foundation, http://www.burninstitute.org

Burn Prevention,  http://www.burnprevention.org

Chemical Educational Foundation, http://www.chemed.org

Cool the Burn; http://www.regionshospital.com

Firefighters Pacific Burn Institute,  http://www.ffburn.org

Integra Life Sciences Corporation,  http://www.integra-ls.com

International Association of Fire Fighters Burn Foundation, http://www.iaff.org

International Medical Education Foundation; http://www.burnsurgery.org/

International Society for Burn Injuries, http://www.worldburn.org/

Lifecell Corporation, http://www.lifecell.com

National Burn Center Reporting System Report Form, U.S. Consumer Product Safety Commission; http://www.cpsc.gov/burnctr.html

Phoenix Society for Burn Survivors, http://www.phoenix-society.org

Care of outpatient burns. http://www.worldburn.org/documents/burncare/pdf

Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. (2004). http://www.cdc.gov/safechild/Burns/index.html

10 leading causes of unintentional injury deaths, http://www.cdc.gov/ncipc/pub-res/unintentional_activity/2004/01_overview_UI.htm.

Posted in Burns, NS 241 - Med/Surg II, Semester IV | Comments Off on

Sites For HIV and AIDS

Posted by Laura on April 16, 2011

HIV AIDS

Department of Health and Human Services Panel (DHHS Panel) on Antiretroviral Guidelines for Adults and Adolescents—A Working Group of the Office of AIDS Research Advisory Council.Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents,  http://www.aidsinfo.nih.gov/

AIDS Action Council, http://www.aidsaction.org

AIDS Community Research Initiative of America, http://www.acria.org

AIDS Education and Training Centers (ETCs) Program, AIDS Information Service, All About Blood; http://www.aabb.org/Content/About_Blood/

American Red Cross; http://www.redcross.org

 Antiretroviral medication information Web sites:

http://www.projectinform.org

http://www.sfaf.org

http://www.HIVInSite.com

http://www.amfAR.org

http://www.natap.org

http://www.thebody.com

(many of these sites are coordinated by persons living with HIV/AIDS).

Centers for Disease Control and Prevention, http://www.cdc.gov

Gay Men’s Health Crisis Network; http://www.gmhc.org

 Hemophilia and AIDS/HIV Network for the Dissemination of Information, The National Hemophilia Foundation,  http://www.hemophilia.org

Living with HIV/AIDS; http://www.cdc.gov/hiv/pubs/brochure/livingwithhiv.htm

National Association of People With AIDS, http://www.napwa.org

University of CA, Women, Children and HIV http://www.womenchildrenhiv.org

Posted in HIV, NS 241 - Med/Surg II, Semester IV | Comments Off on Sites For HIV and AIDS

Posted by Laura on April 13, 2011

Degenerative Disorders

American Brain Tumor Association, http://www.abta.org

American Cancer Society, http://www.cancer.org

American Parkinson’s Disease Association, http://www.apdaparkinson.org

Amyotrophic Lateral Sclerosis Association, http://www.alsa.org

Huntington’s Disease Society of America, http://www.hdsa.org

Muscular Dystrophy Association—USA, National Headquarters; http://www.mdausa.org

National Brain Tumor Foundation, http://www.braintumor.org

National Parkinson Foundation, Inc., Bob Hope Parkinson Research Center, http://www.parkinson.org

Posted in Neurological Nursing, NS 241 - Med/Surg II, Semester IV | Comments Off on

Posted by Laura on April 13, 2011

Neurological Dysfunction

American Headache Society, http://www.ahsnet.org

Brain Injury Association, http://www.biausa.org.

Brain Trauma Foundation, http://www.braintrauma.org

Epilepsy Foundation, http://www.epilepsyfoundation.org

Hydrocephalus Association, http://www.hydroassoc.org

National Headache Foundation, http://www.headaches.org

Hemorrhagic Stroke

American Stroke Association, http://www.strokeassociation.org

National Institute of Neurological Disorders and Stroke, http://www.ninds.nih.gov

National Stroke Association, http://www.stroke.org

Posted in Day-to-Day, Neurological Nursing, NS 241 - Med/Surg II, Semester IV | Comments Off on

Weekly Reading – 11

Posted by Laura on April 13, 2011

Week 11 Reading NS240&241 Rm114 .doc

Week 11 Reading NS240&241 Rm114 .pdf

Posted in NS 240 - Professional IV, Reading Schedule 240 241, Semester IV | Comments Off on Weekly Reading – 11

Review

Posted by Laura on April 12, 2011

These review sheets are from Kendra. There may be a couple answers or questions that need a second look – to keep you on your toes!

Hope it helps for the final !

Answer Key – Delegation of Care

The Nurse Practice Act – Practice Questions

The Nurse Practice Act – Answer Key

Practice Questions – Nrsg Mngmnt

Practice Questions – Delegation of Care

Leadership and Management – Practice questions

Leadership and Management – Answer key

Conflict and Change – Practice Questions

Conflict and Change – Answer Key

Communication Nurse – Practice Questions

Communication Nurse – Answer key

Answer key – Nrsg Mngmnt

Posted in NS 240 - Professional IV, Semester IV | Comments Off on Review

Weekly Reading

Posted by Laura on March 29, 2011

Week 9 Reading NS240&241 Rm114

Week 10 Reading NS240&241 Rm114

Posted in Endocrine, NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241, Semester IV | 1 Comment »

Posted by Laura on March 28, 2011

Posted in Acute Cardiovascular Disease, NS 241 - Med/Surg II | Comments Off on

CVD Notes:

Posted by Laura on March 28, 2011

Atheroma: abnormal accumulation of lipid & fibrous tissue in intima of coronary artery walls that changes their structure and function

Major manifestation : CP due to impaired blood flow > 70% blockage

What are the various Metabolic Syndromes which will increase risk of Coronary Artery Disease?

Elevated C-Reactive Protein          > 3mg

Central Obesity                               > 35” W, 40” M

Fasting BS                                       > 100

Elevated BP                                      > 140/90

Triglycerides                                    > 150

Angina Pectoris – not completely occluded

♥     Stable Angina – Reversible, relieved by rest

♥     Unstable Angina –  Progressive, plaque ruptures, occurs at rest (Pre-infarction, Crescendo)

♣ Prinzmetal (variant or resting) Angina – Coronary Artery ‘Spasm’, occurs only at rest.

♥     Intractable (refractory) Angina – severe incapacitating chest pain

♥     Silent Ischemia – objective evidence, but asymptomatic. DM

Myocardial Infarction (MI) – Occlusion

♥     Non ‘Q’ Wave MI (nontransmural) – only myocardium

♣   T Wave Inversion Ischemia

♣   Elevated ST segment Injury

♥     Q Wave Infarct (transmural) – involves all 3 layers

 

Ischemia & Tx Differences

Unstable Angina: thrombus partially or intermittently occludes the coronary artery; CP, s/s occurs at rest with exception: limits activity > 10 min.; Bio-markers are NOT elevated. Tx: MONA, ABCS-Ph,

Non-ST Segment Elevation: thrombus partially or intermittently occludes the coronary artery; CP, s/s occurs at rest with exception: limits activity – longer in duration and more severe than in unstable angina; Bio-markers ARE elevated. Tx: MONA, ABCS-Ph, include cardiac catherization and possible PTCA

Non-ST Segment Elevation: thrombus FULLY occludes the coronary artery; CP, s/s occurs at rest with exception: limits activity – longer in duration and more severe than in unstable angina; ST segment elevation or new left bundle branch block on EKG, Bio-markers ARE elevated. Tx: MONA, ABCS-Ph,  – PTCA within 90 minutes of medical evaluation to keep vessel open; Fibrinolytic therapy within 30 minutes of medical evaluation.


TPA

Tissue plasminogen activator (alteplase) activates plasminogen to break clot.

IV bolus → infusion → IV heparin or LMWH and ASA

*relief of pain, early peak enzymes, reverses EKG changes, saves cardiac muscle.

*complications: hemorrhage, reperfusion arrhythmis – Tx: with amiodarone!

Reperfusion injury: damaged tissue from reperfusion leads to dysrhythmias.

 

Cardiogenic Shock (end stage of LV dysfunction due to extensive damage. Loss of contractility, marked reduction in CO, inadequate perfusion to vital organs) : Too much fluid volume – leads to inadequate tissue perfusion / shock syndrome: Tx: If hypervolemic=diuretics, if hypovolemia=albumin,

Norepinephrine

S/S: Weak rapid pulse

 

Pulmonary Effusion: fluid is normally only 50mL. Tx: Pericardiocentesis, pericardiotomy

Pulmonary Edema: when head is above heart (HOB ele.) you have Jugular vein distention, and blood – tinges frothy sputum. (RV is supplying more blood than LV can handle and accumulates into pulmonary beds leaking from capillaries into airways.) = Hypoxemia!

Cardiac Tamponade: falling systolic BO, narrowing Pulse Pressure, Rising venous pressure (increased JVD) muffled heart sounds.

 

 

Hypothermia

What is hypothermia good for: Neuroprotection.  Unconscious adults  w/spontaneous circulation (<1 hr) , out of hospital cardiac arrest for 12-24hrs at 32-34C when initial rhythm was V Fib. MAP > 60, Systolic BP > 90

Contraindicated: bleeding, infection, head trauma, unstable arrhythmia, downtime > 10min w/o BLS, < 18 not an adult, Pregnancy

Works if <10 to BLS  a witnessed Arrest!

 

CCP for R ventricular function and systemic fluid status.  Normal 2-6

http://www.rnceus.com/hemo/cvp.htm

Posted in Acute Cardiovascular Disease, NS 241 - Med/Surg II, Semester IV | Comments Off on CVD Notes:

Burn Cards

Posted by Laura on March 23, 2011

Burns drug cards .doc

Burns drug cards.pdf

Posted in Burns, Drugs | Comments Off on Burn Cards

Can you name it?

Posted by Laura on March 23, 2011

This ECG is abnormal – what is going on? Leave a comment

Posted in Acute Cardiovascular Disease, NS 241 - Med/Surg II, Semester IV | 1 Comment »