MunoRN 25,309 Views
Joined Nov 18, '10.
Posts: 7,226 (68% Liked)
Lorazepam (Advan) is an anti-anxiety medication and could also be used to treat seizures. Many people (mire than you know) do take that...in some cases including nurses. No one will penalize you for taking Lorazepam! It is not their business to go into your confidential medical history to see if you have a prescription or not. You are worried for nothing! Stay Calm and get ready to start tour BScN program. [emoji4]
I am not exactly sure what you mean by this. The psychoactive component of marijuana is delta-9-tetrahydrocannabinol which itself is lipophilic and thus stored in the body readily and is extremely potent, measured in nanograms. If it is extracted or leeched from fat cells, both it and its psychoactive metabolite 11-OH-THC, result in long-term potential impairment. Alcohol is almost immediately psychoactive but quickly clears the body. It's metabolite, acetaldehyde, is also found in marijuana smoke...
There is also no doubt that nurses (or any HCP) should care for patients under the influence of alcohol, so the same should be true for marijuana, and acute impairment has been demonstrated at significantly longer intervals than alcohol.
I don't think chronic alcohol abuse is any more benign than marijuana use, but it is legal, for better or worse.
My kid was watching yo-gabba-gabba when I was picking a name, Muno is this guy: Yo Gabba Gabba! Muno Action Figure | Tv's Toy Box
At the time, I found it funny that he looks like a mascot for some sort of STD awareness campaign.
There is a difference, alcohol is federally legal and marijuana is not. Alcohol also does not accumulate in the body and impair function several weeks out from a single use, there could be an argument that chronic alcohol abuse does have lasting cognitive effects, but again, the law is the law regardless.
Li, M. C., Brady, J. E., DiMaggio, C. J., Lusardi, A. R., Tzong, K. Y., & Li, G. (2012). Marijuana use and motor vehicle crashes. Epidemiologic reviews,34(1), 65-72.
Salomonsen-Sautel, S., Min, S. J., Sakai, J. T., Thurstone, C., & Hopfer, C. (2014). Trends in fatal motor vehicle crashes before and after marijuana commercialization in Colorado. Drug and alcohol dependence, 140, 137-144.
When I lived in Denver, it was legal on the state level, yes, but employers still screened you and refused to employ anyone who tested positive for marijuana. It's still illegal federally. Most employers screen for nicotine, now, too, and refuse to employ those who use it, even though it is not illegal at all.
The employers in CO are actually more stringent with drug screens because they believe that the pothead culture will cause employees to slip up more. (How do I know? I asked a few.)
As far as there being no repercussions from overdose, that is not true. Here is a link: Medscape: Medscape Access
Here is a quote if you don't want to read the whole thing:
"Acute cannabis toxicity results in difficulty with coordination, decreased muscle strength, decreased hand steadiness, postural hypotension, lethargy, decreased concentration, slowed reaction time, slurred speech, and conjunctival injection. Large doses of THC may produce confusion, amnesia, delusions, hallucinations, anxiety, and agitation, but most episodes remit rapidly. Chronic users may experience paranoia, panic disorder, fear, or dysphoria."
Frankly, I don't want you handling my care if you are suffering from amnesia, delusions, hallucinations, etc. I really don't want you coming at me with needles if your hands are unsteady and your coordination is off.
You may use the argument that cannabis is better than alcohol, spaghetti, or whatever, but it doesn't matter. It is still dangerous in and of itself.
I have seen people put forth the argument that driving drunk is worse than driving high. Again, it doesn't matter. Driving high is still dangerous in and of itself. Slowed reaction times and decrease in coordination are not qualities I admire in drivers, especially when I watch them weaving while they're trying to roll a joint. (Oh, Denver...) If you're so stupid that you don't know to pull over, you're too stupid to drive.
If you use MJ medically and responsibly, good for you! That's awesome. I have no beef with you. I actually applaud you for trying to find something that works for you. Just don't expect to do that and be a nurse.
Wow... I just realized I've been reading your user name as "Munro" all this time... Silly me.
Obviously there's a bit more to it, but generally when the next of kin decides the patient would no longer stop CPR we stop CPR. Are there places where you just say "too bad" and keep going?
There's not actually any reason to prohibit fans in general from an infection prevention standpoint, I'm a little surprised your IP director was that badly informed. There are relatively limited situations where fans could be unsafe or should not be used, such as where it would interfere with the flow of a laminar flow air hood (used for mixing meds or in the lab), or where it may direct air from an area under maintenance to an active patient care area, or where it would interfere with the negative airflow of a airborne isolation room. Out of laziness, some organizations just prefer to ban them all together to avoid having to define these rare limitations, which is unfortunate since they can be very valuable in patient care.
Infection control considerations for box fans | OSHA Healthcare Advisor
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