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Low Blood Sugar. D50?
Every institution should have a hypoglycemia protocol that should be followed. You may want to take this opportunity to develop one with your Diabetic Educators. Don't let anyone fool you into believing that Lantus doesn't peak....the only place it does not peak is in the drug company literature. That being said.....a life with Lantus and Humalog is far easier that NPH and Regular. Just my personal take on the situation.
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Losing patients - does it get easier?
As nurses we need to remember the entire spectrum of life care. Sometimes the most satisfying thing I do as a Radiarion Oncology Nurse is empower my patients to make their own end of life decisions. A well thought out plan at the end of life is as lovely as a well thought birth plan.
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How much pain relief?
We can't give medical advice here per TOS. Read the labels and do not double dose any one med....think of your liver and kidneys!
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How about a thread for baby names you liked?
My favorites are..... Boys....Ian Mackenzie Jonathan Keegan Colin Andrew Girls...Sarah Rachael Brittany Lynne
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Ethical Death or Not?
I also think that you did what a reasonable and prudent nurse would do. We are NURSES...we need to be advocates for our patients at all stages in their life. Not giving the suppository would have made this patient more uncomfortable and would have been wrong, IMO. We spend so much time and resources preparing for the "perfect birth". We arrive at the hospital (or clinic or home) with the birth plan in our hands with the thought that it like a contract or something. As nurses we do all we can to advocate for our birthing mothers and families. We need to see that death is just the other end of the spectrum. We need to advocate for our patients so that they die the way they want to (This is not an endorsement for active euthanasia).
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How would you have handled this?
I am the proud mother of 5 children who attend public school in Western Massachusetts. A situation occurred recently that involved my 10 year old son. I do not think it was handled correctly, but maybe it is the mother in me not the nurse... My son was on the bus at the end of the day. A friend gave him a hard candy....(You can see it comming)...and he choked on it. He was taken off the bus and to the school nurse told me he could not breath, cough or swallow. She immediately gave him the Heimlick (sp?) 3 times and the candy moved. He could breath and cough. The candy did not come out of his mouth. She then put him on the bus to the after school program (no adult on the bus except the driver ). She called me after the bus left. I met him as he got off the bus and he was very pale and sweating c/o throat pain. i took him to the ED (Just down the street) where they removed the candy. (No More hard candy in my house!!!!!) My issue is this...I do not think he should have been put on the bus without an adult to observe him. I do appreciate that she attempted to clear the airway. This will not go any further...I just wanted your thoughts.
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Why can't doctors just "TELL" their patients the TRUTH!?!
Carlissa, I am sorry for your loss. I work in Radiation Oncology. My Doc is wonderful. He gently but honestly discusses end of life issues. I have shared a 'therapeutic cry' many times with my patients and their families. Our local Hospice offers grief counciling for family and friends that have experienced loss. Maybe that would be helpful. Keep hanging in there!