Hello, my name is Font. nice of you to drop by! I'm currently in the LVN program (graduation date: August 15th) and plan to transition to the RN program by next year, god willing!If you are lost and confused by the fact that you don't know how you ended up here, its OK! feel free to scroll around, you might like what you see. On the other hand, if you do know how you ended up here, you are probably a person with a wonderful sense of humor or simply a procrastinating student nurse looking to escape from the endless nights spent studying/worrying for that upcoming test that will decide your future, like me! :P. who ever you are, I'm glad you're here!
in this blog you will find many educational nursing-like posts that i personally found helpful and may aid in your studies.
and because student nurses need a break from studying, you will also find abunch of random, funny, non-medical posts. of course, they will be things i found funny in some way, but i hope you guys enjoy them as well.
-------------------------------------------------------------
one day more, one day less.
Good guy Type O. douchebag Type AB.
Annoying sound of the day: Mosquitoes flying near your ear
![teamcoco:
Ladies and gentleman, a pimp on a treadmill. [more photos from last night]](http://25.media.tumblr.com/tumblr_m4jmhaA3tT1qdqyxho1_500.gif)
Ladies and gentleman, a pimp on a treadmill. [more photos from last night]
![tastefullyoffensive:
[via]](http://25.media.tumblr.com/tumblr_m4k3thZ0bT1qewacoo1_500.jpg)
![nurse-with-a-smile:
Hyponatremia:
Risk Factors:
GI loss
SIADH
Adrenal insufficiency
Diuretics
Water intoxication
Decreased intake
Manifestations:
Na+ < 135 mEq/L
Weakness
Lethargy
Confusion
Seizures
Coma
Interventions:
Daily weight
Assess CNS changes
I/O
Administer IVF [hypertonic (acute); isotonic (restore volume)]
Seizure precautions
Teach sodium-rich food
If etiology is FVE, restrict fluids
NOTE: risk for hypertonic solutions is cerebral edema](http://24.media.tumblr.com/tumblr_m4hsohjF7I1rviy83o1_1280.jpg)
Hyponatremia:
Risk Factors:
- GI loss
- SIADH
- Adrenal insufficiency
- Diuretics
- Water intoxication
- Decreased intake
Manifestations:
- Na+ < 135 mEq/L
- Weakness
- Lethargy
- Confusion
- Seizures
- Coma
Interventions:
- Daily weight
- Assess CNS changes
- I/O
- Administer IVF [hypertonic (acute); isotonic (restore volume)]
- Seizure precautions
- Teach sodium-rich food
- If etiology is FVE, restrict fluids
- NOTE: risk for hypertonic solutions is cerebral edema
![nurse-with-a-smile:
Hypernatremia:
Risk Factors:
Water deficit
GI loss
DI
increased intake
Manifestations:
Na+ > 145 mEq/L
Thirst, dry mucous membranes
Restless, weak
Orthostatic hypotension
Muscle irritability, seizures
Coma
Interventions:
Daily weight
Assess CNS changes
I/O
Administer IVF: isotonic [restore volume]
Seizure precautions
Teach Na+ food sources](http://24.media.tumblr.com/tumblr_m4hsz31wmI1rviy83o1_1280.jpg)
Hypernatremia:
Risk Factors:
- Water deficit
- GI loss
- DI
- increased intake
Manifestations:
- Na+ > 145 mEq/L
- Thirst, dry mucous membranes
- Restless, weak
- Orthostatic hypotension
- Muscle irritability, seizures
- Coma
Interventions:
- Daily weight
- Assess CNS changes
- I/O
- Administer IVF: isotonic [restore volume]
- Seizure precautions
- Teach Na+ food sources
Respiratory Acidosis:
Risk Factors:
- Respiratory depression
- Pneumothorax
- Airway obstruction
- Inadequate ventilation
Manifestations:
- pH < 7.35
- PCO2 > 45 mmHg
- Dizziness
- Palpitations
- Muscle twitching
- Convulsions
Interventions:
- Maintain patent airway
- Reversal agents for narcotics
- Regulation ventilation therapy
- Bronchodilators
- Mucolytics
Respiratory Alkalosis:
Risk Factors:
- Hyperventilation
- Hypoxemia
- Altitude sickness
- Asphyxiation
- Asthma
- Pneumonia
Manifestations:
- pH > 7.45
- PCO2 < 35 mmHg
- Tachypnea
- Anxiety, tetany
- Paresthesias
- Palpitations
- Chest pain
Interventions:
- Regulate oxygen therapy
- Reduce anxiety
- Rebreathing techniques
female, early 20s came into the emergency room with multiple lacerations to the face, ecchymosis around eyes, possibly do to trauma. epistaxis noted. possible intracranial hemorrhage/ ICP. Monitor vital signs and airway every 3-5 minutes. obtain baseline neurological status.
(via rotatingtriangles)
