Myxel67

Myxel67 has 15 years experience and specializes in Diabetes ED, (CDE), CCU, Pulmonary/HIV.

Latest Activity

1. does DKA or HHNKS always accompany high blood sugar

   Myxel67 replied to afteralltheseyears's topic in Endocrine

   BG values associated with HHS range from 600 to 2000 mg/dl. So pt with BG in 700's might not yet have the level of dehydration associated with HHS. Most pt's I have seen with HHS have had BG values from around 900 to 1300 or 1400. DKA occurs at mu...

2. Was I taught the wrong thing in school?

   Myxel67 replied to qaqueen's topic in Endocrine

   Sliding scale insulin is correction insulin given to correct a blood sugar that is already high and should be given even if pt is NPO. Even though many/most physicians will order it as the only insulin coverage, use of sliding scale only often leads...

3. Lantus insulin question

   Myxel67 replied to evans_c1's topic in Endocrine

   Many people with diabetes (including type 1) still use NPH for basal coverage. This is especially true for patients of pediatric endocrinologists. Although the NPH nsulin dose might need to be decreased, it should not be held. After treating the l...

4. insulin pump concern

   Myxel67 replied to ShantheRN's topic in Endocrine

   Try tucking the pump into your bra. That's a fairly common place for women who don't want to wear it at the waist.

5. I need some help for my CDE test on Sat.

   Myxel67 replied to Xstytcher's topic in Endocrine

   How did you both do? Hope all went well.

6. CDE Salary

   Myxel67 replied to AimersTriageRN's topic in Endocrine

   cde salaries in south florida are similar to those of nurse clinicians, endocrinologists here are more likely to hire arnps. are the nurses working as independent contractors? we bought a vacation/retirement home in ormond beach last year and will...

7. Support the Diabetes Educator's Bill

   Myxel67 replied to country mom's topic in Endocrine

   Medicare still provides coverage as you stated, but unfortunately Medicaid stopped covering DM education over 2 years ago--and that's a shame.

8. SSC w/ pt skipping meal

   Myxel67 replied to deftonez188's topic in Endocrine

   The Med-Surg textbook I used in nursing school back in 1993 stated that SS insulin is given for an already high BG,, and is not in anticipation of any additional meal/food. To me this means that the SS insulin would be given even if the pt was NPO, ...

9. New nurse's daughter just diagnosed with Type 1

   Myxel67 replied to bandas's topic in Endocrine

   A friend's grandmother picked up her toddler's type 1 DM in an unusual, but very logical way. She noticed that ant's were attracted to the child's wet diapers!

10. Any ideas?

    Myxel67 replied to gagezoie's topic in Endocrine

    The 90 degree angle tip comes from Dr. Pita--an endo in Miami who spoke at a meeting I attended a few years ago. My theory of why it works is that the Lantus microcrystals form a more regularly shaped depot that maximizes the sub q surface area from...

11. Any ideas?

    Myxel67 replied to gagezoie's topic in Endocrine

    First, it's important that there be a scheduled set dose of Novolog before each meal--not just a sliding scale if BG exceeds a certain level. Usually the Lantus (basal) dose should be about 50 - 60% of total daily insulin. If she really needs 40 ...

12. testosterone and curly hair?

    Myxel67 replied to LanaBanana's topic in General Nursing

    perhaps cutting 4 inches off reduced the weight pulling the hair down and allowed the curls/waves to form. i've always had very curly hair, but it curls more when it's not too long. one of my brother's had beautiful blond straight hair. he hit pub...

13. Lantus insulin question

    Myxel67 replied to evans_c1's topic in Endocrine

    When there are frequent problems with low BG values--especially in older adults, there may be kidney or liver problems which interfere with treatment. If kidneys are not functioning well, insulin stays in the body longer and may lead to hypoglycemia...

14. Do you ever massage your patients?

    Myxel67 replied to Sassybottom's topic in General Nursing

    I used to use massage often when I worked as a floor nurse. I think human touch goes a long way to help a pt. relax and feel calm. It's too bad the nurse doesn't often have time to give a short massage -- something that used to be a regular part of...

15. Cortisone

    Myxel67 replied to Hoozdo's topic in Endocrine

    It doesn't matter where they put the steroids--BG values will soar. I've had pts whose BG rose because of cortisone injections into a joint or the foot. Ask your doctor about using Novolog or Humalog instead of Regular. You'll get much better contr...