ERNurse752

I am in the FNP program at UIndy (will graduate next May.) The WHNP/CNM program coordinator, Barb Winningham, is amaaaaaaaaaaazing. One of my friends is in the WHNP track and graduating this spring. I'm not sure about job opportunities. I'm considering switching to WHNP, though, although I still like the FNP stuff too.

I was on mag for preterm labor and was taken off of it after a week because I gained 10 lbs of fluid. I was on it again a couple weeks later after my c section (breech twins), this time for preeclampsia, and blew up like a balloon...which was also probably from all the fluids I got.

I am in a brick and mortar program. Our clinicals are arranged for us. The preceptors are not faculty, but are approved by faculty. I believe we can also find our own if we have something specific in mind, but the site and preceptor must be approved.

A serum level > 150 ug/ml at 4 hours post ingestion is toxic - don't forget that the time the blood was drawn is everything in determining toxicity. A serum level of 10 ug/ml could be toxic, depending on the time of ingestion and the time the level is drawn. You can actually have an undetectable serum level and still have toxicity, if the acetaminophen is already metabolized. (It's actually the metabolite of acetaminophen, NAPQI, that is hepatotoxic.) Liver enzymes will not typically start to rise until around 24 hours after a tylenol overdose. There are tons of little factors to go into APAP toxicity. The local poison center should always be contacted in any potential toxicity situation.

When I left ER, they were going to just NS irrigation for lacs - for the tissue damage reason you said, and also because the mechanical act/pressure wash effect of a good irrigation was found to be what really cleaned the wound, not the actual agent used for the irrigation. I worked in various ERs, and in the Level I the nurses did the lido. Never heard of ER techs suturing.

So he really did have a broken bone! Now I am craving an orange julius...

This thread is actually pretty interesting. With my background, withdrawal treatment is pretty much banana bags and benzos, benzos, benzos. (Well, for EtOH withdrawal or benzo withdrawal, anyway.)

How about Pop Tarts? I could go for some of those right now, and I'm not even withdrawing from anything.

And sweaty/slippery hands. Although, if that were the case, he would need to be fed as well. And I imagine he was able to feed himself just fine.

I agree with the previous posters, and also wonder whether his hands were broken.

You're welcome. A good website (discussion board format) is http://www.thebump.com Lots of different baby boards, including a Trouble Trying to Conceive Board. To get to that specific board, click on "boards" in the brown banner at the top of the home page, then you will see the link for that board. (Abbreviated TTTC sometimes.)

If that person has not already, they should see a urologist who specializes in male infertility.

I'd say there are too many variables for here. That person should see a reproductive endocrinologist for a workup and then go from there.

I'd choose MRSA since there's a vaccine for Hep B and a way to verify immunity to it. Plus you'd typically get it from a needlestick or bood exposure, and you can get MRSA from anywhere.

Do you have any gut feeling about whether you want to stay hands on/treating patients vs. not? That helped me make my decision...in an NP program now.