hjmcenti

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1. Would appreciate some opinions on pain management

   hjmcenti replied to kk2000's topic in Pain

   It really hurts me to hear this! I would like to know what school you are going to!! I work on a med/surg unit and at least 5 out of my 6 patients receive a narcotic pain med at least once in a day. If someone is laughing that does not mean that they...

2. Questionable Pain

   hjmcenti replied to preciousnurse's topic in Pain

   Just read your posts about these "pain patients". I work in a large hospital where we have a GI doc who specializes in Diabetic Gastroparesis. This is a disorder in which the gut is somewhat lazy or even paralyzed due to the long term effects of unco...

3. Heparin or lovenox

   hjmcenti replied to Toothbrushx2's topic in Med-Surg

   Heparin is ginen anywhere on the abd, but keep lovenox on the outside areas of the abd, "love handles" due to hematomas. Lovenox can be dangerous if given too close to the belly button?

4. Z track method

   hjmcenti replied to Toothbrushx2's topic in Med-Surg

   We learned about ztrack method in school. It supposedly is less risky to the sq tissue because the med is less likely to leak out after injection. I don't think that it makes much diff with pain or bruising? I try it with heparin and lovenox when I h...

5. Blood transfusions

   hjmcenti replied to nursing04's topic in Med-Surg

   It is important to stop a transfusion if the pt gets a temp during the transfusion because this can be a sign of a reaction. But most likely a patient in need of a transfusion is pretty sick and will have some abnormal vitals to begin with. Definatel...

6. lab draws through central lines

   hjmcenti replied to morrisonrn's topic in Med-Surg

   By wasting the first 10 cc you ensure that it is clean venous blood c no contamination from the outside port. Also, it is very important to clean the port c betadine and let dry a full 60 sec before taking a sample when drawing blood cx.