manncer

Latest Activity

1. Toradol/ketorolac for major trauma pts

   manncer replied to back2bRN's topic in Emergency

   I agree that it is not a wise choice and it could be a fatal choice.

2. Retirement

   manncer replied to ttpurtee's topic in General Nursing

   Don't trust your employer. If they offer a plan, don't be surprised if they suddenly don't contribute to it anymore, or even stop offering completely. Get a good financial advisor and build up your own account. I am facing retirement in a few years a...

3. Toradol/ketorolac for major trauma pts

   manncer replied to back2bRN's topic in Emergency

   I would see it as a complete no-no. The patient may be bleeding internally. NSAIDS are a dangerous choice in this case.

4. Is Dakins still used?

   manncer replied to clemmm78's topic in General Nursing

   It shouldn't be used at all. It inhibits platelet aggregation and thromboplastin formation. "Wound infection requires surgical debridement and appropriate systemic antibiotic therapy. Topical antiseptics are usually avoided because they interfere w...

5. Plz help with Bumex, amio, dopamine, cardizem calculations!

   manncer replied to RamaMama's topic in General Nursing

   Way to go Doc!

6. apps, handy references

   manncer replied to Bionic Woman's topic in General Nursing

   IPhone, iPad, iPod touch have numerous apps that I use, epocrates, IV meds, Sedation, Cardio Pharm, ABX Guide, Harriet Lane, Harrisons, Washington Manual, and more.

7. Technical problem in withdrawing drugs

   manncer replied to Student Cheryl's topic in General Nursing

   Good grief. Don't you have a pharmacy?

8. Making Acetylcysteine bearable?

   manncer replied to kaliRN's topic in General Nursing

   PO with a long straw helps for PO

9. Major Vent

   manncer replied to LouisVRN's topic in Safety

   I've got an iPod touch and an iPad-There are some apps that will not only translate what you want to say, but actually say the phrase on the device. This doesn't help you understand what they are saying to you easily, but you can tell them to speak s...

10. Calculation question

    manncer replied to tigerlily345's topic in Student Assist

    98 lbs =45kg (rounded) weight in Kg X (mcg/Kg/min) X 60 min = 45 X 6 X 60 = 20.25(or 20ml/hr) conc of IV in mcg 800mcg/ml If you work in most facilities you should know this. To double check yourself call your...

11. patient dies from combination of drugs that doc prescribed. who is responsible?

    manncer replied to premedwoahs's topic in General Nursing

    Phew! :argue:

12. patient dies from combination of drugs that doc prescribed. who is responsible?

    manncer replied to premedwoahs's topic in General Nursing

    If there was a Pharmacy involved the Pharmacist would carry blame from not knowing the interaction. There is no excuse for RX not catching this. All three are at fault.

13. younger generation of nurses and blackberries?

    manncer replied to stephva1008's topic in General Nursing

    Maybe you can ask them? You might find out something you could use and it might be a nice way to get to know them.

14. bumex vs lasix

    manncer replied to iluvnoodles's topic in Medications

    Loop diuretics are given to decrease fluid overload with malfunctioning kidneys and to prevent hyperkalemia. Eventually loops become less and less effective and doses of lasix can be 600mg/day or higher.

15. what do the docs use in colonoscopy?

    manncer replied to johnnyDoGood's topic in General Nursing

    Just a note all phospho soda laxatives have been recalled, do to rare instances of renal injury. Class action lawsuits are being pursued.