bargainsmarts

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1. Morphine neurotoxicity

   bargainsmarts replied to aphillipi's topic in Hospice

   At our inpatient hospice when we have a patient who begins to exhibit signs of neurotoxicity we often will start a ketamine infusion. This allows us to back off of the morphine and maintain pain control. The last thing you want is a patient ending th...

2. Craziest thing at work...

   bargainsmarts replied to Brian's topic in Rock

   I once had a very obese female patient who had been with us for several weeks. This was an inpatient rehab unit and I worked the night shift. She had several large woulds on her buttocks and thighs I needed to dress each am, so I would usually wash h...

3. Expiratory vocalizations at the end of life

   bargainsmarts replied to bargainsmarts's topic in Hospice

   Thanks everyone for your input. Sometimes it is so difficult not to take it all home with me (in my head) and turn it over again and again. The experience of other nurses really helps. I especially enjoyed the comparison to labor and the progression ...

4. Expiratory vocalizations at the end of life

   bargainsmarts posted a topic in Hospice

   I work in an inpatient hospice facility. I had been caring for a younger pt with ovarian cancer for about 2 weeks. She was on a PCA pump with morphine 2mg/hr with the occasional 1mg bolus per shift. Her pain was well controlled and the last few days ...

5. Dansko clogs

   bargainsmarts replied to mamason's topic in Uniform/Gear

   Just FYI. I found two professional styles (Corinne and Caitlin) Danskos at 6pm.com for $34.95. They have several other styles for the same price, but those are more casual styles.