TennesseeNP123

TennesseeNP123

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About TennesseeNP123

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  1. Changing from Victoza to Bydureon

    Does anyone have experience changing pts from Victoza to Bydureon? I have a few pts who have done very well with Victoza, but Express Scripts will no longer cover it, and the pts prefer 90-day supply...the insurance will cover Byetta and Bydureon, a...
  2. High sed rate, neg ANA

    Question--I have a 22 y.o. female who presented initially w/a red, pruritic rash that had been recurring for one year off and on, and unable to distinguish the cause of the rash. I sent her for allergy testing, and it came back negative for all envi...
  3. DMII Victoza med management

    Question---I have multiple pts I've started on Victoza recently and most are taking max Metformin, and most are also on either glimeperide or glipizide....my question is when I get their next 3 month A1cs back, if the numbers haven't changed signific...
  4. Thyroid antibodies

    Thanks all....I've been adjusting/monitoring pt's based on TSH/FT4 and 3 which is why it really threw me off to have this pt say hers needed to be adjusted based on Abs.... Thanks
  5. Help with lab interpretation !

    Wow, what a great thread....question---say you have a pt with elevated sed rate and positive ANA titer...vague symptoms, joint pains, fatigue, general malaise.....what labs would you order next?? I had pt today w/this scenario, and the specific labs...
  6. Thyroid antibodies

    Question--I have a pt who was previously seen at another office to manage her hypothyroidism....she mentioned to me that she was previously managed through her thyroid antibodies....I drew her TSH, FT4, and antibodies...she is currently on levothyrox...
  7. Umsl or slu ??

    I actually graduated from UMSL about 10 years ago with my BSN! I'm not sure the difference with the MSN programs, but in applying for my undergrad the deciding factor for me was that UMSL students did clinicals through Barnes-Jewish, which IMO is su...
  8. Teen +HSVII + pap guidelines?

    YES!! This has been an endless problem at this clinic and it's extra difficult bc I'm a new grad, and the other providers make me feel like I don't know what I'm talking about! AND, the patients have been told certain things so when I explain why t...
  9. Teen +HSVII + pap guidelines?

    Thanks!
  10. Teen +HSVII + pap guidelines?

    Hi all....I have a new pt who was dx'd with HSV II last year...she's 16-years-old....I'm wondering if anyone knows if the pap guidelines would deem her for paps now? I know she had one last year with the diagnosis, but I'm not sure now if she needs ...
  11. Phentermine??

    Thanks guys....
  12. Narcotics and diagnostics...

    Thank you all so much for your feedback....this is a patient I inherited with all of these medications, and I've actually over the past 2-3 months gotten him off the Tramadol, and this last time told him next month we need to delve into some imaging,...
  13. Narcotics and diagnostics...

    What kind of specialist would you refer to?
  14. Narcotics and diagnostics...

    I basically inherited this pt from a PA who recently moved....I don't think Percocet is the best thing for his situation....it's just this is what the person before me had started and that's what he's been getting, and that's what he wants....The shi...
  15. Narcotics and diagnostics...

    Okay, I have another question....I have a pt who makes me uncomfortable....He's a 35 y.o. male LPN who works nights and comes in once a month with shift work fatigue, gamers grip, and lower back pain/joint pain.....He comes in for refills of his Adde...