fermium

Latest Activity

1. I can't believe that I made such a stupid mistake and am kicking myself!!!

   fermium replied to RN Chaos's topic in Safety

   I once gave amoxicillin to someone with a penicillin allergy. He went into anaphylactic shock. Luckily, a good shot of epi saved the patient's behind (and mine). We all make mistakes. The trick is to not repeat it.

2. Heparin with high INR

   fermium replied to PediLove2147's topic in Medications

   Why was the patient admitted to hospital? The thing is, if the patient was already on warfarin (with therapeutic INR) AND developed a VTE, the treatment is still UH/LMWH. However, if the INR is supratherapeutic, then you will stop the warfarin (or at...

3. What's the lowest potassium you would feel comfortable not supplementing?

   fermium replied to blondy2061h's topic in Medications

   Generally, if the potassium is >3, and patient is asymptomatic, otherwise well (eg no ongoing diarrhoea, no renal dysfunction etc.), with no ECG changes and not on a K-lowering drug, I don't get terribly excited. Just give the patient an extra ban...

4. It really annoys me when nurses say they are going to go to med school...

   fermium replied to megank5183's topic in General Nursing

   With all due respect, I think you need to find a new pet peeve to 'hate'. Why are you annoyed that certain nursing students are planning on going into medicine? Maybe they started nursing and realised they liked being a MD more? And their career aspi...

5. It really annoys me when nurses say they are going to go to med school...

   fermium replied to megank5183's topic in General Nursing

   I'm BSN (2007) and MD (2012). It's not impossible, you just need to put in the hard yards. One thing that really annoyed me was the cold shoulder I got from my colleagues after they found out I got accepted into med school. During one particular shif...

6. Is it really necessary to learn to read an ekg? anyone really use it?

   fermium replied to northmississippi's topic in General Nursing

   The funny thing is that the amount of formal ECG training I received in medical school wasn't actually that much more than what I received in nursing school. The main difference is that I read a lot more ECGs as a medical student (and even more now a...

7. IV Toradol and Snack?

   fermium replied to Assailants's topic in Medications

   The COX-1 inhibition property of NSAIDs occurs after the drug is digested, absorbed into the blood, then reaches the appropriate cells in the body that produces prostaglandins. So yes, you should still give food (or better yet, PPI/H2B) with NSAID ad...

8. What if the Boston bomber was your pt

   fermium replied to imintrouble's topic in Relations

   There is really nothing to dicuss here. You will look after him just as you would with any other patient. You may not like it, but this is what we in healthcare do. You are not a judge or jury.