BrazoriaLVN replied to BrazoriaLVN's topic in Medications
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?
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...
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?
BrazoriaLVN replied to BrazoriaLVN's topic in General Nursing
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 ...
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...
BrazoriaLVN replied to Good Morning, Gil's topic in General 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...