Latest Comments by Lev <3

Latest Comments by Lev <3

Lev <3, BSN, RN 40,044 Views

Joined Jun 3, '11 - from 'Another planet'. Lev <3 is a ED Registered Nurse. She has 'A few' year(s) of experience and specializes in 'Emergency, upstairs, troll bashing'. Posts: 2,497 (52% Liked) Likes: 4,616

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  • 1
    joanna73 likes this.

    Interesting to see how many INTJs there are here. We are supposed to be around 3% of the population.

  • 1
    softrbreeze likes this.

    Quote from DoeRN
    I'm also an introvert to the point that I enjoy traveling by myself and I do it on purpose.

    It can be hard because we're forced to be an extrovert at work. I find a quiet corner and chart. I'm a float nurse so I use that as an excuse to not really socialize with staff because I don't know anyone. I also don't discuss my personal life with patients. Like if someone asks if I have kids I don't answer and turn around and ask them the same question. People usually like talking about themselves so I'm good at redirecting conversations so they can talk.

    My favorite part of the day is the drive home because I'm alone with my thoughts. Sometimes I don't even turn on the radio.

    My off days I try to do things by myself. I'm in school full-time so I'm absorbed in my studies. I also go out the restaurants alone and I don't care if people stare. Movies alone and heck I even went to an amusement park alone and had a great time.

    So my advice would be to find as much alone time as you can to recharge. And I agree check out the Myers-Briggs personality test. I'm an INTJ and lol nursing is NOT recommended for my personality type. And coincidently I'm in school for a field other than nursing.
    Hey, I am also an INTJ! Boarderline on the N though.

  • 3
    jsfarri, jgardner, and mrsboots87 like this.

    I think you have to look up how Alteplase works in order to figure out how Amicar is the "antidote."

  • 0

    I think you have to get off your high horse and keep an open mind.

    If you can't do that then you don't belong in the nursing profession. Cocky ER nurse or not.

  • 0

    And does this boyfriend of yours work?

  • 1
    sevensonnets likes this.

    I have only ever seen lovenox given subcutaneously. It is much longer acting than Heparin. Lovenox is frequently used prophylactically after orthopedic surgery to prevent clots. Patients go home on lovenox or aspirin. Heparin is more frequently used for existing pulmonary emboli and deep vein thrombosis. Lovenox can be used to bridge to coumadin which takes a couple days to be therapeutic - give lovenox (shorter acting) until coumadin is in full force. At low doses, heparin inactivates factor 10a and prevents conversion of prothrombin to thrombin, however at higher doses it inactivates factors 9-12 +thrombin and inhibits conversion of fibrinogen to fibrin. Lovenox works by inhibiting factor 10a.

  • 0

    I don't think hypothyroidism would cause tachycardia. It's usually hyperthyroidism (everything is sped up) which causes the tachycardia. This sounds very much like a hypoxic response to the low hemoglobin. I would put this patient on some oxygen if they are not on it already and see if there are any medicinal options other than a blood transfusion. How were the electrolytes? Did you get an EKG during the event? Does the patient have baseline a-fib?

  • 4
    poppycat, blondy2061h, brownbook, and 1 other like this.

    If this is a one time situation then your response is adequate. Let it go OP. However, if this type of undermining continues, have a face to face chat with him.

  • 4
    Rexie, GM2RN, dorkypanda, and 1 other like this.

    I'm an introvert. I dont talk much with my coworkers, I prefer to work. I do talk with my patients because it breaks the ice and most people need to express themselves (including me - but not 24/7). I am perfectly happy not doing much on my days off.

  • 0

    In the ER I have random family member walk up to me (who I have never seem before) saying that their "mom" or "dad" needs something or they want an update. My next question is usually "and what room is your family member in?" because you gave no identifying details other than the fact you are in this pod so presumably your family member is closeby.

  • 1
    Orphan RN likes this.

    Quote from VivaLasViejas
    I learned that sometimes GoFundMe is necessary. It's the only way I'll be able to pay for my husband's funeral expenses. I never knew arrangements were so costly! We both are on Social Security so no resources to speak of, and of course the funeral home wants all their money upfront. Ouch.

    I learned that hospice facilities are a Godsend when a patient's pain is out of control and nothing you give them even touches it. I'm so glad we got him there in time for him to get some pain and agitation relief. His nurse and CNA were top-notch and I'm so grateful that he was able to die peacefully. God bless hospice nurses!
    So sorry for your loss.

  • 4

    OP, update please. How are you doing? Did you talk to husband and lawyer?

  • 12
  • 1
    NurseKatie08 likes this.

    The pump tells the user to verify that the clamp is open.

  • 10

    Trolly McTrollface strikes again.