sundowners2

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1. My Lament Over the Decline of Nursing

   sundowners2 posted a topic in Critical

   ]...it's not the decline of nursing only. It's healthcare in general. Maybe it's that we only view the past through rose-colored lenses, but it seems to me that it hasn't always been this way. In only the four or so years I've worked in healthcare, I...

2. Statins and side effects

   sundowners2 replied to granzanz's topic in General Nursing

   Agree w/all above posts. Also, other medications (amiodarone, for example) can drastically increase the risk of statin-assoc. rhabdo.

3. Severe Hypoglycemia before Death?

   sundowners2 replied to sundowners2's topic in General Nursing

   What would you have done with these things? Would you have stopped the pressors (which would have almost certainly killed the pt)? Would you have stopped the TF? What part of DNR= no tube feeding? Would you stop checking BG? Again, since when does D...

4. Severe Hypoglycemia before Death?

   sundowners2 replied to sundowners2's topic in General Nursing

   Thanks, Blondy, for being the only one who addressed the question at hand rather than criticizing the care we provided for my pt. Can any of you other posters think of a situation in which a full DNR would be on pressors? Like, for example, if he was...

5. Severe Hypoglycemia before Death?

   sundowners2 posted a topic in General Nursing

   Not too long ago I took care of a dying patient (DNR). He was severely hypotensive even with norepinephrine and vasopressin (both maxed out) and dobutamine (5mcg/kg/min, set rate). The interesting thing was that for the entire shift he was also sever...

6. CRNA and family life:

   sundowners2 replied to RunninDad's topic in SRNA

   Can't speak to the question about family life and CRNA. But I can suggest that you take the cardiovascular ICU for critical care experience rather than trauma ICU. CVICU RN's work closely with alot of the equipment that CRNA's use (i.e., vents., art...

7. ICU Help!

   sundowners2 replied to NewTexasRN's topic in General Nursing

   I would definitely recommend starting out in the ICU if you are the type of person that is cut out for critical care. Every new grad struggles with time management, but we all find our way. I know nurses who believe a new grad should start out in a l...

8. Hypochondriac Patient? How to deal with the unknown?

   sundowners2 replied to CanuckStudent's topic in General Nursing

   She may be addicted to the ATTENTION she gets when you bring her a Tylenol. A sugar pill would probably have the same therapeutic effect. Or hey, she may truly be in pain. Often times chronic pain has no identifiable cause and poorly correlates with ...

9. ?'s about Med Rec

   sundowners2 posted a topic in General Nursing

   Hello all, I have some quick questions about med rec: I haven't been a RN for long, but I've admitted enough ICU pt.'s who came in through the ER to notice that medication reconciliation is a process with which hospitals struggle. Several times I hav...

10. Hep C Diagnosis --- Now What???!!!

    sundowners2 replied to CNA_MISSY's topic in General Nursing

    Even if the HCV result was positive AND it was not a false positive, about 1/3 of those who acquire HCV are able to clear the virus from their systems without medical tx. It sounds like you have the right attitude. Keep your head up, and I'll say a p...

11. Hep C Diagnosis --- Now What???!!!

    sundowners2 replied to CNA_MISSY's topic in General Nursing

    If I were you, I'd wait for someone to explain the results to me. I did the EXACT same thing once. I had an exposure at work and had to have a Hepatitis profile done. Same situation with me: I was able to peek at my labs and saw that the Heb B surfac...

12. For a hypochondriac RN

    sundowners2 posted a topic in General Nursing

    I know that it is not uncommon for health care professionals to have hypochondriac tendencies, but I'm beginning to think that I am taking it to the extreme. Self-diagnosed ailments to date: abdominal aortic aneurysm (on the verge of rupture, of cour...

13. care plans

    sundowners2 replied to church123's topic in General Nursing

    Yea, get a Nsg care-plan text book that lists NANDA approved nsg diagnoses. First you need to come up with a nsg diagnosis statement. Match your pt's problems to one of the nsg dx's listed (e.g., acute pain for a pt. status post hip surgery or decrea...

14. The difference between Med-Surg nurses and ICU nurses

    sundowners2 replied to uscstu4lfe's topic in General Nursing

    My experience has been that ICU RN's tend to encounter alarming situations on a daily, even hourly basis. If my pt. had a low sbp on the floor when I was an intern, my first thought might have been "tx to the unit." Now that I work as an ICU RN, my f...

15. Night shift nursing

    sundowners2 replied to namaste_71's topic in General Nursing

    Night shift in the ICU can be very exciting.. especially when there's a full moon out...