Phillygryl LPN

Phillygryl has 25 years experience as a LPN and specializes in Pediatric home care, assisted living.

Latest Activity

1. Refresher courses for LPN's

   Phillygryl posted a topic in LPN/LVN

   Does anyone know of a refresher course for an LPN who has been out of the field for a few years! I live in the Philadelphia, Pennsylvania area

2. Clogged feeding tubes

   Phillygryl posted a topic in General Nursing

   Does anyone have any tips on how to clear clogged feeding tubes? Almost everytime I come on the floor the feeding tubes are clogged!! Any easy to unclog them?

3. Client with Mental Retardation

   Phillygryl posted a topic in General Nursing

   I have a case with a client who has Soto's Syndrome and Mental Retardation. I do not know why, but this client gets very agitated and bites the back of his hands (knuckles) and his lower arms. Is there anything that would help prevent this. I don'...

4. Helene Fuld College of Nursing

   Phillygryl replied to Phillygryl's topic in LPN-RN

   Snow Bunny: I really am not trying to be hostile toward Helene Fuld, or maybe I am. I just think they provide inferior education. By the way, I graduated from LIU in 1976 and pursued an MBA in 1980. When I was in undergraduate school, it was all ...

5. Helene Fuld College of Nursing

   Phillygryl replied to Phillygryl's topic in LPN-RN

   Dear Snow Bunny: You are living in a dream world!! Yes, from what I can understand and from what I observed when exams are given at Helene Fuld, they take extreme precautions NOW because they know a lot of cheating goes on. The facts, however, will ...

6. Lantus

   Phillygryl replied to Phillygryl's topic in General Nursing

   Yes, some of the clients in this facility get large doses of insulin 70/30 bid, but the one person I am thinking of is severely overweight and can apparently handle the insulin. This client is about 150 lbs and has fingersticks that can be as high a...

7. Lantus

   Phillygryl posted a topic in General Nursing

   In the description of Lantus, I have read that (1) It can be given irregardless of food intake and (2) It works over a 24 hour period. I just had a client go into a diabetic coma because of administration of Lantus. The client had a fingerstick of...

8. Diabetic patients

   Phillygryl replied to Phillygryl's topic in General Nursing

   It is an assisted living facility and the diet is not the greatest, in fact no matter what is served to the clients, they can leave the facility to go and get whatever food they want to eat!!!

9. Diabetic patients

   Phillygryl posted a topic in General Nursing

   Several of the clients in the facility where I work are insulin dependent and regularly have blood sugar readings in the 300's and above. What kind of care will I have to give them in the future, they get insulin coverage 4 times and day and a dose ...

10. Vicodin and Percocet

    Phillygryl posted a topic in General Nursing

    Is it appropriate for a client to have and order for Vicodin q 6 hrs and an order for Percocet q 8 hrs and concurrent orders for prn motrin and tylenol prn. The client just had eye surgery for cataracts and she has a history of CHF and COPD, In any...

11. How much pain medication is "too much pain medication"?

    Phillygryl replied to Phillygryl's topic in General Nursing

    Another client in the facility was on Vicodin q 8 hrs prn in addition to the tylenol 325 prn. She had surgery for cataract removal and the doctor ordered additionally Percocet q 6 hrs prn. One of the nurses gave the client the Vicodin at 7 am ...

12. Vital signs

    Phillygryl replied to Phillygryl's topic in General Nursing

    I have to call back and find out about the client myself!! The client is non verbal but thankfully the assistant who takes care of her observed her exagerated body movements. No syncope and since she doesn't talk she cannot express how she feels!!!

13. Vital signs

    Phillygryl posted a topic in General Nursing

    Can anyone direct me to a website that would help me understand what vital signs indicate? For instance a client in the assisted living facility where I work had a reading of 75/42 hr 76. She has Parkinson's and is 68 years old. I sent her to the ...

14. How much pain medication is "too much pain medication"?

    Phillygryl posted a topic in General Nursing

    I work in an assisted living facility! A client there who needs knee surgery but is refusing it has Hepatitis C. A chronic user of pain medication and a former IV drug abuser gets 500 mg of Tylenol and 50 mg of Trammadol q 6 hrs. She also has prn or...

15. Belly fat

    Phillygryl posted a topic in General Nursing

    A while ago on the MSN webpage, they were talking about belly fat. The article stayed that excess fat in the belly was a bad sign healthwise and that it was more dangerous than excess fat in other areas of the body!!! Anyone know the reason for this...