HAVE A GOOD MEMORIAL DAY

Hi nurses,

Have a great Memorial Day!

WHAT IF YOU WERE LINDA

Hi guys,

Hope you had a good week. Read about Linda who loved to work overtime. Would love to hear your comments. This story continues below. For helpful information in the Clinical Setting

enjoy visiting this site.

LINDA CANNOT GO ON

This story continues below.
Please visit :http://www.dearnurses.net/the_clinical_setting_step_by_step
for more helpful clinical information.

WHY LINDA WHY ?

Updated 11/24

Linda is responsible for the patients in her care. Making decisions 

using bad judgement, could ultimately impact a patient's outcome.

Scenario 1: In the image above, the nurse in the green 
top has been enjoying a lengthy conversation with a friend. 
She has no idea one of the patients is having chest pain.

The doctor arrives to confront the situation. It is important 
for the nurse in a clinical area to be vigilant and use good
clinical judgement. Monitoring of the patients in the ER, 
is a priority.

This topic continues here.

CARE ABOUT YOUR COWORKERS

This story continues below. Enjoy more Clinical issues by visiting:
http://www.dearnurses.net/the_clinical_setting_step_by_step

HAVE A HEART FOR OTHERS

Nurses, you can enjoy reading more information about The Clinical Setting.

HAVE A GREAT WEEK

Enjoy learning more about Assessment from Head to Toe 1, 2 and 3.

HOPE YOU HAD A GOOD WEEK

Hi guys,

Hope you had a good week.

A CHF CASE STUDY

A patient in Congestive Heart Failure may become very anxious. Cardiac assessment, lab values and EKGs are all part of the management. Mechanical ventilation Chapter 8)may be necessary. For the complete CHF Case study, just click on the link:

http://dearnurses.com/congestive_heart_failure_chf_case_study


  

CHF CAUSES SHORTNESS OF BREATH

To learn more about Congestive Heart failure (CHF) and Myocardial Infarction(heart attack), simply click on the link:http://www.dearnurses.com/home

CHF IS RESOLVED

Dear nurses,

Updated 3/24

Dearnurses.com / CHF Case study is no longer available. Please click
on the links below, for more updated information:
Do you know your heart

Cardiogenic shock

WHAT HAPPENS IN CHF

Damage to the heart like Myocardial Infarction may cause CHF.

The EKG will show changes.Enjoy reading and learning more about CHF.

Simply click on the link:

http://www.dearnurses.com/congestive_heart_failure_chf_case_study

CLINICAL ASSESSMENT OF CHF

To learn more about Congestive Heart Failure(CHF), simply click on the link:

http://www.dearnurses.com/congestive_heart_failure_chf_case_study

and enjoy learning.

HAPPY MOTHER'S DAY

Happy mother's day to all moms and enjoy learning more about the Clinical Setting.

WHAT IF YOUR PATIENT HAD AN ILEUS

This story is continued below. There is a lot more to learn more about
 the Clinical Setting.(chapters 9 & 16)
Enjoy reading.

PARALYTIC ILEUS

Paralytic ileus is a postoperative complication. It may occur in any 
post surgical patient. It is caused by anesthetics.

What are some of the symptoms of this condition?
Absent bowel sounds, abdominal pain and distention.

It is important to check for bowel sounds in the postoperative period.

Documentation is also important. 

If there are no bowel sounds, MD should be notified for further orders.

The doctor orders tests such as X-Ray and CT scan  to confirm diagnosis. 
Insertion of a nasogastric tube is also ordered by MD .

PARALYTIC ILEUS

A paralytic ileus is a postoperative complication.
It may occur in any surgical patient and is caused
by anesthetics.

Absent bowel sounds, abdominal pain and distention
usually occur. Learn more about this topic by clicking 

on the link: Bowel obstruction.

Scenario: Alice had surgical intervention and developed
a paralytic ileus. Her doctor ordered insertion of a naso-

gastric tube to suction , IV fluids and correction of electrolytes 
if necessary. 

Her nurse shares what the doctor ordered to help relieve 
the abdominal discomfort. Her progress will be monitored 
and documented.

HOW GOOD ARE YOUR BLOOD PRESSURE TECHNIQUES?

Dear nurses,
Updated 8/23

Regardless of how long we have been nurses, there is always something more 

we can learn about the clinical setting. 
For more on blood pressure click on the link: 

Helpful information
Enjoy reading.

WHAT IF YOUR PATIENT IS IN ARDS (Adult Respiratory Distress Syndrome)?

To learn more about ARDS (Adult Respiratory Distress Syndrome) and how to recognize it in the clinical setting, simply click on the link:

http://www.dearnurses.net/the_clinical_setting_step_by_step

(Chapters 5 and 14 )and enjoy reading.

TOM IS CARED FOR IN ICU - ARDS

 Updated 4/24

Dear nurses,

Dearnurses.com is no longer available.

Please click on the link: ARDS

for more updated information.

To learn more about the treatment of ARDS in the ICU setting, simply click on the link:

http://www.dearnurses.net/the_clinical_setting_step_by_step

Chapter 14 (A Day in the ICU) and enjoy reading.

LUNGS IN ARDS (Adult Respiratory Distress Syndrome)

ARDS ( Adult Respiratory Distress Syndrome) is identified as a condition in which
the lung tissue becomes stiff and oxygenation is difficult. The air sacs ( alveoli) fill
with fluid and white patches are seen on X-Ray.

Mechanical ventilation becomes necessary to assist the workload of breathing.
Breath sounds are decreased as ventilation of lung tissue becomes difficult.

ARDS usuallyc accompanies some other illness. Trauma, pancreatitis, pneumonia,
and massive blood transfusion account for reasons ARDS may occur.

(Adult Respiratory Distress Syndrome)

in the Clinical Setting, simply click on the link:

http://www.dearnurses.net/the_clinical_setting_step_by_step

Chapter 14 (A day in the ICU) and enjoy reading.

Updated 12/23

The Clinical Setting step by step is no longer available.
Please click on the links below for more information.

Mechanical ventilation

ARDS

TOM RECOVERS FROM ARDS

Updated 5/24

Dear nurses,

Dear nurses.net is no longer available. Please click on

the link: What is ARDS
for more updated information.

Recovery from ARDS may be a long and complicated process. Mechanical ventilation,(video Sessions 44)
sedation, NMB and Respiratory treatments are generally used in the ICU care of these patients.
To learn more about this topic, simply click on the link:
http://www.dearnurses.net/the_clinical_setting_step_by_step
Chapter 14(( A day in the ICU) and enjoy reading.