Sunday, July 22, 2007

NEMC-4G & SPA

This was splitt week for me.Thursday I had Pt. adm. with severe abd. pain, 6th day post-op of laparoscopic cholecystectomy. Her pain was most of the time 10/10. I gave her Q2 hrs. 4mg of Morphine Sulfate IVP.I started a IVPB of 20 mEq KCL to regulate her potassium loss. So finally doctors decided what they will do with her. A litlle stone stuck in her common duct and she had jaundice and itchy skin from high level of bilirubin. AST and ALT were high too.They will perform the second laparoscopic cholecystectomy.
First one was done at CMC in Charlotte.Poore,sweet lady.
Friday was my day at SPA. First 2hrs. I was observing Triage nurse praxis (Brenda, RN). She gave me so much info. about her job in detail and the jobs other employees.Last 2 hrs a followed Dr. Craighead. I saw Pt. from different backgrounds and different age. All Pt. were between 20 days to 2yo. Most of them came for regular check ups with small issues such as babies abd. gas etc. Dr. Craighead is excellent teacher, he explains so much to the parents that they can feel pretty comfortable when they leave the SPA. I felt comfortable too because all the personal was so receptive.
The last four weeks were so huge experience for me that I could just imagine. I thank all of you who help me to achieve my goals.
Thanks
Zdenka Duric

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