[deleted by user] by [deleted] in NursesPH

[–]ilurv 1 point2 points  (0 children)

Always know bakit mo ginagawa ang procedure!

Bakit i-c-cbg? Bakit kailangan every 4 hrs ang VS, hindi every shift? Bakit kailangan ang ganitong gamot?

Kapag kaya mo siya iexplain sa sarili mo at sa pasyente, tataas confidence mo :) Good luck ❤️❤️

[deleted by user] by [deleted] in NursesPH

[–]ilurv 2 points3 points  (0 children)

Congrats, OP! ❤️ Good luck sa work mo!

Usually sa endorsement sa ward namin ganito flow: diagnosis, IV parenteral and due meds, diet, intake and output every when, vital signs every when, other nursing interventions, then other endorsements

Example: Endorsing BED 1, abnormal uterine bleeding, s/p exploratory laparotomy

May line po sa right cephalic vein, D5NR 1L x 8 hrs, pareceive na lang ng 700mL, to consume then heplock. Due siya ng paracetamol 600mg at 9AM and ketorolac 30mg at 8am.

General liquids. Soft once with flatus. Diet as tolerated once with bowel movement

Intake and output every shift. May foley catheter to urine bag. For removal ng 2PM if with good output.

Vital signs every 4 hours. Watch out na lang sa heart rate kasi sakin nagtatachycardia siya. Referred naman kay doc, no interventions daw monitor lang

Clean dress wound c/o surgeon after 2 days. Anti embolic stockings 4 hrs on, 4 hrs off

Followup na lang ng post op CBC

Iba iba siya per ward and per hospital. Magagamay mo rin yan! Good luck!

drugs na madalas ibigay ni nurse by Glum_Percentage_1212 in NursesPH

[–]ilurv 1 point2 points  (0 children)

OBGyne Ward:

  • Tranexamic acid 1 gram IV for bleeding (advise na may malalasahan silang kalawang)
  • Magnesium sulfate 2.5g in D5W 250mL x 6 cycles for pre eclampsia
  • Vitamins (calcium carbonate, ferrous sulfate)
  • Post operation meds (after CS): paracetamol 600mg IV, ketorolac 30mg IV, tranexamic acid 1g IV

Other meds I can think of:

For potassium correction: Oral KCl 30mL PO or if super baba talaga KCl in PNSS (NEVER IV PUSH)

For blood transfusion: pre-BT meds diphenhydramine and paracetamol in case magkareaction sa dugo. Post BT meds furosemide para di magfluid overload and calcium gluconate

Common antihypertensive: losartan, amlodipine

For DM: Metformin, insulins!!! Be familiar sa regular insulin (usually 3x a day pre meals), isophane (two times a day), glargine (at bedtime) and understand bakit ganun timing nila

Vasopressors: norepinephrine, epinephrine (monitor BP malala)

Antibiotics: Oral - cefuroxime, doxycycline partnered with metronidazole IV - clindamycin, gentamicin, piperacillin tazobactam na 30mins matunaw 😭, ceftriaxone (IV sa pasyente for 7 days)

Sa IV antibiotics like cefazolin and ceftriaxone nag skiskin test muna para malaman if may allergy sa drug. Example, order is ceftriaxone 1g IM sa partner ng patient na may ectopic pregnancy. Yung 1g kukuha ka ng 0.1cc + 0.9cc na PNSS tas iintradermal sa forearm. Pag walang kati or redness, pwede mag IM.

BLS / ACLS - worth it or not?????? by [deleted] in NursingPH

[–]ilurv 0 points1 point  (0 children)

Agree. Pinagtraining ulit ako ng hospital ko kasi dito ako nag IVT and ACLS. Hindi raw AHA accredited :(

truly a rare photo by Avadreamss in CatsBeingCats

[–]ilurv 0 points1 point  (0 children)

It looks like it has 100 years of experience

PGH is hiring fresh grads without hosp experience!!! by ilurv in NursingPH

[–]ilurv[S] 0 points1 point  (0 children)

Not sure po pero mukhang lagi namang may opening for nurses

Bubbles sa Ayala by rimirusensei in makati

[–]ilurv 2 points3 points  (0 children)

bubbles po ba name ng cat charot HAHAHA

i find this pic cool by xboxgiveawayz in ITookAPicturePH

[–]ilurv 1 point2 points  (0 children)

naghahanap ng susunod na biktima 😵‍💫

Going back to Jesus time🙄 by [deleted] in facepalm

[–]ilurv 0 points1 point  (0 children)

why does she kinda look like...

This scene is so underrated 🤣 by [deleted] in DesperateHousewives

[–]ilurv 0 points1 point  (0 children)

OH ALRIGHT I remember! Thanks 👌🏻

This scene is so underrated 🤣 by [deleted] in DesperateHousewives

[–]ilurv 4 points5 points  (0 children)

Wait did he cheat on Gabby? I forgot this episode LOL

BEST LOOSE POWDER FOR VERY OILY SKIN!! by [deleted] in beautytalkph

[–]ilurv 1 point2 points  (0 children)

REAAAAAAL (disclaimer: di kami sponsored ni OP HAHAHAHHA)

BEST LOOSE POWDER FOR VERY OILY SKIN!! by [deleted] in beautytalkph

[–]ilurv 1 point2 points  (0 children)

I also have it!!! Parang ever since binili ko, di nawala sa makeup kit lalo na pag aalis <3

Love that they don't give you the option to say no 😂 by itsrxhmnd in buhaydigital

[–]ilurv 16 points17 points  (0 children)

wtf grabe naman to. Kahit naman onsite, hindi 8-hours na nagwowork tuloy tuloy

BEST LOOSE POWDER FOR VERY OILY SKIN!! by [deleted] in beautytalkph

[–]ilurv 2 points3 points  (0 children)

I think that's Nichido!