mlimoges

mlimoges has 5 years experience and specializes in immunization, gerentology.

Latest Activity

1. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

   mlimoges replied to mlimoges's topic in Safety

   She does have a partial air mattress and we've put in a request for her to be seen by OT. The doctor was in on Monday and saw the affected areas. The nurse who was here said he assessed her but all he said was he would consult her file and get back t...

2. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

   mlimoges replied to mlimoges's topic in Safety

   Part of the problem is the mentioned nurses communication with the team. Apparently (at the same time as the pressure diagnosis was given) the doctor also said that this is a result of prolonged Coumadin use. I've never seen such a thing, have any of...

3. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

   mlimoges replied to mlimoges's topic in Safety

   She only has INR done biweekly but the last complete work up would be when she was in hospital in the spring

4. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

   mlimoges replied to mlimoges's topic in Safety

   I don't think so, she does bruise easily due to blood thinners. It covers a very large area, almost fully covering the back of her thighs and a large portion of her back now.

5. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

   mlimoges replied to mlimoges's topic in Safety

   These are my thoughts exactly! I've brought up the whole change in products causing a reaction thing before and to my knowledge nothing has changed except the brand of briefs we're using on her but it wouldn't surprise me if that were exactly the cas...

6. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

   mlimoges posted a topic in Safety

   Hi guys! I'd really appreciate some help with this one. A little background; my client is home care, 83y/o female with Hx of stroke, seizures, P.A.D. As well as VERY sensitive and thin skin. She has an ever growing amount of red blotches on her thora...

7. Ventolin or Advair. Which comes first?

   mlimoges replied to mlimoges's topic in Medications

   Thank you for all the info, while some of this info is taught, other bits are not. Its a great resource and i will gladly share with my colleagues. That being said, THIS is what nursing and healthcare in general needs to get to. TEAMWORK! Where some...

8. Ventolin or Advair. Which comes first?

   mlimoges replied to mlimoges's topic in Medications

   She is already on the HFA_ as she uses a spacer. But i agree with you about the ongoing assessment. She has been on this medication for about a week and a half now and i can honestly tell you which nights she received the Ventolin first, she sleeps b...

9. Ventolin or Advair. Which comes first?

   mlimoges replied to mlimoges's topic in Medications

   Thank you, only referred to it as such because Team 1 had been but i do appreciate the detailed explanation. Ive tried to push this point (the short acting opening the airways first) before but i'm not sure if the one who is causing the most resistan...

10. Anti-vax nurses? Are you serious?

    mlimoges replied to dinah77's topic in COVID

    Sorry, i guess i wasn't very clear. I was speaking more so about the bandwagon jumpers more so than the Jenny McCarthy's of the bunch. I see these people all the time, as have many of my fellow immunization nurses. It does happen, and i'm actually g...

11. Things Little Old Ladies Say

    mlimoges replied to raiisfun's topic in Humor

    I worked in a small dementia facility that was separated into 3 "houses" each had x number of resident rooms, a kitchen, dining room and tv room. One night shift i was sitting in one of the houses doing some paperwork when one of the LOL hobbled down...

12. Ventolin or Advair. Which comes first?

    mlimoges replied to mlimoges's topic in Medications

    Love the snark haha. I grabbed the literature from the Ventolin box and highlighted the "administer short-acting inhaler before inhaled corticosteroids" and paper-clipped it to the MAR. They can argue with me and the other nurse until their faces are...

13. Ventolin or Advair. Which comes first?

    mlimoges replied to mlimoges's topic in Medications

    i know what you mean, its so frustrating to see nurses that dont know their stuff and have no desire to enhance their learning! I understand people forget pieces of information or weren't taught the same but when nurses dont know basic stuff i worry ...

14. Anti-vax nurses? Are you serious?

    mlimoges replied to dinah77's topic in COVID

    It just boggles my mind how someone who's more than likely had these vaccinations (without complications GASP) would consider allowing their families to go without. Yes, there's a chance of something happening but that is the same with ANYTHING!!! Yo...

15. Ventolin or Advair. Which comes first?

    mlimoges replied to mlimoges's topic in Medications

    Thank you for your input! I'm with you, to me that just makes sense. Why open the bronchioles AFTER the other medications, seems like kind of a moot point. Now the only thing i dont understand is why Ventolin is still considered a rescue inhaler if u...