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 

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(Sessions 16).

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 :

quizmenurse

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!

Clinical scenarios are a normal part of nursing.
Above there are five clinical scenarios unfolding.

Scenario 1- A patient who is admitted to a healthcare
facility and will need teaching. Click on the link:

ER experience for the layperson

Scenario 2- The patient on mechanical ventilation
and the nurse is unsure what to do.Click on the link:

  The patient on mechanical ventilation

Scenario 3 -A patient has arrived in the Emergency
Room, both the doctor and nurse are at the bedside
to do an assessment. Learn more by clicking on the link:

An ER experience
 

Scenario 4 - A nurse does an assessment. Click on the links:

IV assessment
An arterial line

Scenario 5 - A nurse tries to encourage a patient to
do breathing exercises. Click on the link:

Care planning

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It has been replaced by : Quizmenurse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