Dear Nurses

Tuesday, April 29, 2008

EKG SERIES JUST FOR YOU





Updated 7/24

Are you having a difficult time understanding how to read an EKG?
Learning to read an EKG can be easy.
You may also enjoy watching the video: EKG READING 

Dearnurses.com is no longer available.
(Sessions 16).

Sunday, April 27, 2008

HAVE A GOOD WEEK



Dearnurses,

Updated 9/23
I am back from a much needed break. I, however have not forgotten my fellow nurses. I love you guys and I appreciate your visits to my blog. Thank you for your support. It is a pleasure to serve you. Please browse through :

I hope there is something you can learn from this collection of clinical situations. 
The clinical setting step by step is no longer available.
Have a good week!

THE CLINICAL SETTING STEP BY STEP HERE AT LAST

Updated 12/24

The Clinical Setting Step by Step is no longer available.
It has been replaced by : Quizmenurse

BLOOD TRANSFUSION REACTION

Updated 6/24

Scenario: In the image above, Jay was admitted for Gastrointestinal bleeding.
His H/H was low and two units PRBC's were ordered by the doctor.

The first unit of blood has been started. Thirty minutes later, he is having a reaction.
He is having chills.

IDENTIFYING HYPOKALEMIA

Updated 2/25

Scenario:Mrs.C is a 65 year old female who has a history 
of CHF ( Congestive Heart Failure ). She receives Lasix
twice daily. This morning she is having severe leg cramps.

Her Potassium is 3.0. Normal Potassium =3.5 -5.0. Her
Potassium level is low ( hypokalemia) and calls for
immediate intervention. Potassium is an electrolyte.
Low levels may also cause U waves on the EKG.
Learn more by watching the video: Electrolytes



Electrolytes are basically minerals in the blood and body 
tissues that give the electrical charge necessary to keep the
heart, kidneys and vital organs functioning well.
learn more about : Electrolytes

ADDRESSING HYPOVOLEMIC SHOCK

Updated 2/25

The clinical  scenario above shows a patient who
is in the ER following a traumatic event. The nurse
does an assessment and notices significant
changes in vital signs.

When an assessment is done, suspect hypovolemic
shock if there has been a large volume of blood loss
following trauma. 

Warning signs

- decrease in oxygen saturation, blood pressure or
   level of consciousness
- rapid respirations or heart rate
- cool, clammy skin