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 Posted: Wed Feb 27, 2008 8:44 pm
XD; So I'll copy down the practice/fake orders for chapter 13 that has to deal with the MAR. (Medical Administration Record)
Admit to oncology Dx Osteocarcinoma
CBR - semi fowolers position
Eggcrate mattress to bed
VS q 4 h until stable then q shift
DAT - allergy to all dairy products
IV of 1000 cc D5LR c 40 mEq KCL TRA 125 cc/hr - call if infiltrates
Prednisone 0.5 mg PO qd
Ampicillin 250 mg IVPB q 8 h
Digoxin 9.125 mg PO Daily
Synthroid 0.1 mg PO daily
Tylenol i or ii PO q 4 h for H/A
Lomotil i or ii tabs qid for diarh
Demerol 100 mg IM q 4 h for severe pain
may use soft restraints if need
XD; Yes, all that broken and abbrivated language is the order. Not to mention that I have to piece together all of this through really crappy hand writing.
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Posted: Wed Feb 27, 2008 9:05 pm
XD Quick translation -
Admit to oncology diagnosis osteocarcinoma (cancer)
Complete bedrest - semi fowoler's position (it's a position, how elevated the bed needs to be)
Vital signs every four hours until stable, then every shift change.
Diet as tolerated - allergy to all dairy products.
Eggrate mattress to bed.
IV of 1000 ml of 5% dextrose in lactated ringer with 40 mili equivalent potassium chloride to run at 125 ml per hour - call if the IV infiltrates.
Prednisone 0.5 by mouth ever day
Ampicillin 250 mg IV piggyback every 8 hours
Digoxin 0.125 mg by mouth daily
(same thing but with synthroid)
Tylenol i or ii (these marks aren't commonly used by doctors as they're apothocary notes; it's a different way of measuring than the pharmacy does, but it stands for grain, I do believe XD;; ) for headache
Lomotil i or ii tabs four times a day for diarrhea
Demerol 100 mg intramuscular every 4 hours for severe pain
May use soft restraints if necessary.
Now from that I have to Kardex all of that information in the proper areas on the Kardex, order an IV pump and tubing as well as the soft restraints and the eggcrate that will go under the sheets, then I have to ask the nurse what the patient can tolerate eating and order that, then I have to add ALL of those medications to the MAR. Which means finding which side and area it goes under.... @.@ And sometimes, write it twice if it has, for instance, a or attached to it. (One or two tabs. I have to write out the order for one, then for two tabs separately.)
Not to mention the marks I have to properly make to cover my a** in case of some sort of legal problem or to just remember that I last left off at since I'm also answering questions and answering phones, and doing stats or calling a crash cart if a patient codes. (XD; Heart stops.)
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Posted: Thu Feb 28, 2008 2:03 pm
omg i cant even read it when its translated
my school is killing me as well
my history teacher assigned us 50 vocabulary words and an essay on the french revolution/napoleonic era , that has to follow a specified outline on how to write the essay and include two of the following changes or continuities that occur
political
economic
religon
social
intellectual
artistic
and on top of that i have to complete a project on the holocaust that my partner and i are doing.
and thats only one class crying
and stupid florida makes us take the F.C.A.T ( Florida Comprehension Assesment Test ) and thats comming up soon.
leaving me no time for gaia or my art work or fanfictions
but i guess its not as bad as what your doing seeing how im only in 10th grade.
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Posted: Thu Mar 27, 2008 10:54 am
yeah we have so much homework sometimes but it should be expected since i was on all day co-op last semester
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Posted: Tue Jul 08, 2008 9:20 pm
AP HOMEWORK OVER THE SUMMER SUCKS BADNESS!!!! GAHHHH
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