BrazoriaLVN

BrazoriaLVN

LTC

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About BrazoriaLVN

BrazoriaLVN specializes in LTC.


Latest Activity

  1. Lactulose and MOM?

    Well, a one time extra dose. He gets 75mL QID!
  2. Lactulose and MOM?

    Thanks, but I know how lactulose works. What I'm asking is in the absence of a bm after giving lactulose, would mixing MOM with the lactulose somehow negate the ammonia lowering effects of the lactulose or help it along?
  3. Lactulose and MOM?

    So we have a patient with end-stage cirrhosis that always gets back critical ammonia levels. A few days ago he was really woozy and sure enough is ammonia came back at 109. MD ordered another dose of lactulose now and check labs later. My question is...
  4. Just when you thought you'd heard it all

    Wow...virus by mail. Didn't they already do that with anthrax? :
  5. 180 Minutes Of Awkward, Dark Hilarity

    I'm sorry...huh?
  6. Top 3 worst halloween costume to wear at work.

    Or he could just wear a sheet, pour a glass of water on himself, and be a wet blanket...
  7. Why are X so Y?

    I saw a thread last week and it was so funny to me, I couldn't believe it! It was great! I can't believe the fantastic experience I had. All the threads on that site are hilarious. I make their lives funnier. Shouldn't they be funnier to me?
  8. "I just can't help you..."

    Yes! Stadol D/C'd yesterday, Fentanyl patch upped. I'll keep you updated on how it goes but unfortunately no changes so far.
  9. Hypothetical Situation: mandated flu vaccine

  10. So did you need it single or double spaced?
  11. "I just can't help you..."

    I agree. With the amount he has going on, I wouldn't have the time anyway!
  12. "I just can't help you..."

    He actually has had a fentanyl patch for quite a while. His alprazolam is bid so it's given when he is up. The boredom aspect is really something to think about though. He does have extensive family that visits 5-6 hours every day, and he gets up in ...
  13. "I just can't help you..."

    He gets alprazolam bid and q 6 prn and temazepam @hs.
  14. "I just can't help you..."

    I have a resident at my SNF...rheumatoid arthritis with contractures of upper and lower extremeties. This man is sometimes confused, but mostly with it. Gets Norco, Oxycodone, Soma, Lyrica, Stadol, Voltaren Gel, Baclofen with no relief whatsoever. Sc...
  15. "I didn't go to school to do X" the new mentality in nursing?

    ahh, yes. because when you have back to back codes, residents falling every five minutes(with lovely ten page incident reports to complete after every event!) and a giant med pass, you will go ahead and take fifteen minutes to keep fetching ice for s...