roses1130j

Latest Activity

1. Hyperkalemia and order of meds

   roses1130j replied to RoyalNurse's topic in Emergency

   I just read you should give insulin then glucose. Insulin transports K across the cell wall...then glucose is given to prevent hypoglycemia 2ndary to insulin. The dextrose will decrease the action of insulin on K so give dextrose last

2. Would you marry a Doctor?

   roses1130j replied to fleurafor's topic in Relations

   As a somewhat new nurse, 2 years in, I had the passing thoughts...Oooo a Dr., but at this point in the game I realize, they are not "powerful" or "rich" (well richer then I am but after 12+ yrs of schooling and residency, and 100000+ in college expen...

3. ICU hold in ED, baffeled

   roses1130j posted a topic in Critical

   ER RN here, I had an ICU pt who became a HOLD-over in the ED this AM. His only history was throat cancer with tumor removal surgery and hx of pneumonia. He came in to ED presenting like a pt who was septic, CXR revealed b/l lower lobe pneumonia. The ...

4. Hyperkalemia and order of meds

   roses1130j replied to RoyalNurse's topic in Emergency

   Ok so I just doubled checked this with the rx'ing dr. the other day and basically was told this: Calcium is given for cardiac disturbance or risk of ventricular dysrhythmias represented by a prolonged QRS or absence of p-wave, calcium is not necessar...

5. What was the MOST ridiculous thing a patient came to the ER for?

   roses1130j replied to JUSTYSMOM's topic in Emergency

   Just last night I had a pt brought in by the police for SI via Facebook. An acquaintance of the pt was surfing his Facebook and saw a suicide note post. The pt said it was his girlfriend whom made the posts and he was not at all suicidal. Not only wa...

6. best CEN review

   roses1130j replied to laurainri's topic in Emergency

   ...me to! The review with Jeff Solheim was excellent. I am using the review book provided, the Pockel Pal books from Jeff Solheim and my A & P book from Nsg. School. I think I need an additional review book because there are a few topics I don't ...

7. Measuring Weight/height in ED routinely

   roses1130j replied to reholi4's topic in Emergency

   My ED also always obtains a weight on infants and children under age of 12. In triage, it's important to critically think ahead what may be in store for the patient. If its an obese 60 year old women c/o RT lower extremity pain with errythemia, warmt...

8. Drawing cell count off of PD cath

   roses1130j posted a topic in Urology

   I work in the ED. I had a pt last night whom developed a fever 3 days after realizing her PD catheter cap was off for a day. I have had no experience with PD cath's until now and felt incompetent with the whole situation. I didn't feel too bad becaus...

9. Reglan and Compazine IV push policies?

   roses1130j replied to MollyMel's topic in Emergency

   I push Reglan and hang Compazine in a 50cc bag of ns. I push every med slow slow, over 2 minutes. Unless it's a code situation or adenosine. I have never had an incident of reaction of restlessness or anxiety attach with either drug. Phenergan is an...

10. Take the IV out... yourself.

    roses1130j replied to Kaileeia's topic in General Nursing

    All I know is I work in an ED, and some of my patients take out their own IV's all the time. It is usually a person who is either a "seeker" or someone who is of poor health, in and out of the hospital all the time. I hate it when patients do this. I...

11. heparin and cardizem thru the same line?

    roses1130j replied to wrkoutgirl's topic in General Nursing

    Yeah! Pharmacy never fails. I just found out they are compatable. But of course make sure to stop the drip of either between bolus's.

12. International Nurse (French)

    roses1130j replied to nini571's topic in General World

    Hi, My name is Rose, a nurse in New Jersey.I was just curious if you ever got your visa straightened out and were hired without too much turmoil involved? I actually have been thinking about nursing overseas and wanted to know if you had any insight ...

13. IV tips and tricks

    roses1130j replied to kloock's topic in Emergency

    No way, through the nipple? I guess whatever works. For some reason I feel like if I attempted anything like that in my ED, the other RNs would look at me like I was a nut. I have yet had a situation where I have had to go beyond the upper extremitie...

14. Public Service Announcement

    roses1130j replied to ThrowEdNurse's topic in Emergency

    shuu girrl let it outtt... but you know on the good days you love what you do...or you would have long moved on...and you know that even though you might not hear it from patients much as they watch you sweat, grunt, tear up, and curse under your bre...

15. The Trauma after the Trauma

    roses1130j replied to ScrappyED's topic in Emergency

    Wow Trauma is surreally scarey. I watched that show True Life in the ER on Discovery Health last night and let me tell you...You Trauma RN and Doc's amaze me! Of course on the show they show mostly survivors to keep watchers coming back because death...