dissent

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1. New NP needing encouragement

   dissent replied to pelledra's topic in Advanced

   I agree, you should defer to the cardiologist especially if he/she is the one who started the med. I think calling someone who is an expert in the field a cowboy when they do off-label stuff may not be completely right. Now I don't know what he/she...

2. fluticasone aerosol + nasal spray

   dissent replied to sogreenrn's topic in Medications

   I think the OP is asking why someone would prescribe flovent and flonase to the same patient

3. New NP needing encouragement

   dissent replied to pelledra's topic in Advanced

   Everyone makes mistakes. Live and learn. In the end I think you learned a valuable lesson without having any harm come to anyone: don't prescribe a medicine you are not comfortable prescribing.

4. NP to MD

   dissent replied to kimkubick's topic in NP

   It would probably be similar to the PA to MD bridge- a 3 year program followed by residency.

5. Antibiotic help, please!

   dissent replied to lvICU's topic in NP

   At least in the past, the hopkins guide was free if you used it online. You just had to sign up for it. The PDA/smartphone version always cost money. I don't know if they started charging for the online version or not b/c it is obviously free on the ...

6. Silly to have this clarified?

   dissent replied to Lahryn04's topic in Medications

   Yup. For most drips you need to bolus to get to steady state prior to initiation of a drip (ie SL NTG or 400mcg prior to a nitro drip). For a GI bleed it is a standard initial dose (80 mg IV) and a standard drip dose 8mg per hour. It is the doctor's ...

7. Albuterol vs. Xopenex....

   dissent replied to deespoohbear's topic in Medications

   So actually the data aren't exactly a slam dunk and they definitely aren't strongly in favor. I would say they are overall, weakly in favor. Unfortunately there aren't any meta-analyses. Here are the RCTs. L-albuterol is WORSE than racemic albutero...

8. % Canadians coming to US for treatment

   dissent replied to chuckster's topic in Activism

   Oh and to answer the original question, you are probably not going to find a large percentage of the Canadian population that come to the US. Only those who are wealthy and are waiting for cancer tx or ortho surgery are likely to come.

9. % Canadians coming to US for treatment

   dissent replied to chuckster's topic in Activism

   Controlling for lifestyle choices (obesity, smoking) and heterogeneity of the US population (ie with infant mortality) you do not see the same difference in life expectancy. These things are not health care system related- they are population/lifesty...

10. Dictating notes to be transcribed....HIPAA Violation?

    dissent replied to guest416560's topic in NP

    It's not.

11. 2015 DNP

    dissent replied to BabyLady's topic in Doctoral

    Belittling or truthful? Quite frankly, anyone who pushes the DNP as much as you do without realizing its massive flaws has ulterior motives or a conflict of interest. So which is it?

12. NP to MD

    dissent replied to kimkubick's topic in NP

    I would highly recommend not going to this school. Foreign schools have a lot of problems compared to their US counterparts. There are those that are highly regarded (the UK, german and most australian schools), those that are accepted but with hurdl...

13. Near Miss at Prescribing Stage - What Would You do?

    dissent replied to mmus's topic in Safety

    I mean how bad of an error are we talking about? Was this HCTZ 50mg instead of 25 (ie no big deal)?

14. NP vs MD Scope of practice

    dissent replied to WilliamsRower's topic in NP

    How long will it take you to finish the BSN and then the DNP? In terms of time to degree and practice I expect the DNP is going to be much much quicker: Medical school route: Peds: total of 9 years- 2 years for post-bac, 4 years for medical school, ...

15. 2015 DNP

    dissent replied to BabyLady's topic in Doctoral

    I think of it as expecting more from an extra year or so of loans. If it is supposed to be a clinical doctorate, it should have more clinical courses and vastly more clinical hours than a masters. Otherwise why have a doctorate? Milk it's students fo...