Student Nurse Laura

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

Archive for the ‘Semester IV’ Category

Week 8 Reading

Posted by Laura on March 22, 2011

Week 8 Reading NS240&241 Rm114 .doc

Week 8 Reading NS240&241 Rm114 .pdf

Posted in Burns, Day-to-Day, HIV, NS 241 - Med/Surg II, Reading Schedule 240 241 | Comments Off on Week 8 Reading

Heart Sounds

Posted by Laura on March 18, 2011

S1, Lub Dub

watch MV on TV

S2, Lub Dub

have some fun in AV & PV

 

S3, Ken-(tuck-y)

Too much fluid, in little old me.

 

S4, (Ten-ne)-see

The artrial gallops, and I’m as stiff as can be.

(by HTN & CAD)

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

Week 7 Reading

Posted by Laura on March 15, 2011

Week 7 Reading NS240&241 Rm114 .doc

Week 7 Reading NS240&241 Rm114 .pdf

Posted in Acute Cardiovascular Disease, NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241 | Comments Off on Week 7 Reading

GI Medications

Posted by Laura on March 15, 2011

Gastrointestinal Medications

Posted in Drugs, GI/Biliary, NS 241 - Med/Surg II, Resources, Semester IV | Comments Off on GI Medications

What is the Gleason Scale used for?

Posted by Laura on March 13, 2011

(http://en.wikipedia.org/wiki/Gleason_Grading_System)

Drag your cursor over the image for the answer

According to the Wiki site mentioned above – this is how the math is done:

Primary, secondary, and tertiary

A pathologist examines the biopsy specimen and attempts to give a score to the two patterns.

  • First called the primary grade, represents the majority of tumor (has to be greater than 50% of the total pattern seen).
  • Second – a secondary grade – relates to the minority of the tumor (has to be less than 50%, but at least 5%, of the pattern of the total cancer observed).

These scores are then added to obtain the final Gleason score.

Increasingly, pathologists provide details of the “tertiary” component. This is where there is a small component of a third (generally more aggressive) pattern. So there could be a Gleason 3+4 with a tertiary component of pattern 5 – this would be considered to be more aggressive than a prostate cancer that was Gleason 3+4 with no tertiary pattern 5. Although it is debatable as to what the full extent the tertiary component has on the aggressiveness of a cancer. (http://en.wikipedia.org/wiki/Gleason_Grading_System)

Posted in Male Reproduction, NS 241 - Med/Surg II, Semester IV | Comments Off on What is the Gleason Scale used for?

Week 6 Reading

Posted by Laura on March 8, 2011

Week 6 Reading NS240&241 Rm114

Week 6 Reading NS240&241 Rm114

Posted in Day-to-Day, GI/Biliary, Reading Schedule 240 241, Semester IV | Comments Off on Week 6 Reading

Crackles to Tamponade

Posted by Laura on March 7, 2011

Posted in Acute Cardiovascular Disease, Concepts, Physiologically, Renal, Resources | Comments Off on Crackles to Tamponade

Another way to look at ABG’s – Love this!!

Posted by Laura on March 6, 2011

This helps to identify the Compensated ABGS – is it Metabolic or Respiratory? Just follow your arrows!

Posted in Acute Respiratory, NS 241 - Med/Surg II | Comments Off on Another way to look at ABG’s – Love this!!

Nasal Fracture, Nasal Obstruction and Epitaxis

Posted by Laura on March 6, 2011

Okay Epitaxis should be done in 3rd semester right off the bat. Probably the most common thing I saw in Pediatrics at the schools (besides DM) was a bloody nose!

These are Topic Sheets for the above Respiratory Problems.
epitaxis
nasal fracture.
nasal obstruction

Posted in Acute Respiratory, NS 231 - Peds, Semester IV | Comments Off on Nasal Fracture, Nasal Obstruction and Epitaxis

KUB

Posted by Laura on March 6, 2011

The first radiologic test that is performed is the plain abdominal X-ray or KUB. The majority of stones (90%) are radiopaque and can be easily identified on X-rays. The KUB, or Kidney-Ureter-Bladder X-Ray is a simple, noninvasive procedure to identify the location of stones. Some stones are radiolucent such as uric acid and some cystine stones. These may not appear on plain X-rays.

Posted in Renal, Semester IV | Comments Off on KUB

Male Repro Drugs

Posted by Laura on March 2, 2011

My notes on Tx Drugs from Brunner’s and other places.

male repro drugs

Posted in Drugs, Male Reproduction, Semester IV | Comments Off on Male Repro Drugs

Week 5 Reading

Posted by Laura on March 1, 2011


Week 5 Reading NS240&241 Rm114 .doc

Week 5 Reading NS240&241 Rm114 .pdf

Posted in Male Reproduction, NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241 | Comments Off on Week 5 Reading

name that breath sound

Posted by Laura on February 26, 2011

A.

B.

C.

D.

Vesicular, broncho-vesicular, bronchial or tracheal

intensity is Very loud, loud, intermediate or soft

Pitch is Relatively high, intermediate or relatively low

Move your cursor over the image for the answer

Posted in Acute Respiratory, Day-to-Day, Semester IV | Comments Off on name that breath sound

IVP Med Cards

Posted by Laura on February 26, 2011

These are the med cards I made for IV pushes. There is room at the bottom for you to figure the math for each scenario.

IVP Cards 8×5 SNL

Posted in Drugs, IVP Medications, NS 241 - Med/Surg II, Resources, Semester IV | 2 Comments »

ECG and K+

Posted by Laura on February 19, 2011

K+

Hyperkalemia

Peaked narrow T waves, ST segment depression, Shortened QT interval

PR interval prolonged

Disappearance of P-waves

Decomposition and prolongation of QRS complex

Other S/S: Peripheral nervous system: muscular weakness, paralysis of respiratory and speech muscles. GI: nausea, colic, diarrhea. CNS: little effect

Tx – from fastest – slowest

  • IV Calcium Gluconate

o   (antagonizes adverse cardiac conduction abnormalities – only lasts a few minutes)

  • IV Glucose-Insulin-bicarb

o   (shifts K+ into cells)

  • Albuterol
  • Kayexalate
  • Hemodialysis

Posted in Acute Cardiovascular Disease, Semester IV | Comments Off on ECG and K+

Weekly Reading – 4

Posted by Laura on February 18, 2011

.pdf

Posted in Cardiac Dysrhythmias, NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241, Semester IV | Comments Off on Weekly Reading – 4

Weekly Reading – 3

Posted by Laura on February 15, 2011

.pdf

SWEEEET!

Posted in NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241 | Comments Off on Weekly Reading – 3

Acid-Base Compensation

Posted by Laura on February 13, 2011

NormalNormal pH, Normal HCO3- and a Normal PCO2

Uncompensated – Abnormal pH, an Abnormal PCO2 or HCO3-

Partially Compensated – Abnormal pH, Abnormal PCO2 and Abnormal HCI3-

Compensated – Normal pH, Abnormal PCO2 and an Abnormal HCO3-

Posted in Acute Respiratory, NS 241 - Med/Surg II, Semester IV | Comments Off on Acid-Base Compensation

Core Measures

Posted by Laura on February 12, 2011

Pneumonia Core Measure Guidelines

1. Blood cultures prior to Amoxicillin (ABX) w/in 24 hrs for ICU
2. Antibiotic given w/in 6 hrs of arrival – immunocompetent w/in first 24hrs
3. PNA vaccine for > 60
4. Flu vaccine for > 55
5. Smoking cessation handout

 

Assessment of Oxygenation Status, Pneumococcal & vaccination screening

Posted in Acute Respiratory, NS 241 - Med/Surg II, Semester IV | Comments Off on Core Measures

For Laura’s Clinical Group!

Posted by Laura on February 11, 2011

This link will give you Lanski’s Clinical

If you are in different class rooms, maybe you can adjust this word doc.  Spring 2011 rm 114

Posted in Day-to-Day, NS 240 - Professional IV, NS 241 - Med/Surg II, Semester IV | 1 Comment »