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Sleepyeyes

Sleepyeyes

Content by Sleepyeyes

  1. As hubs and I were driving through heavy traffic today, another car appears out of nowhere, weaves back and forth across the lanes, cuts off other drivers, and--after all that trouble-- winds up at the next stop light in front of us, Mr. & Mrs. SloBee. Hubs says, "Looks like somebody forgot to take his smart pill today." So if you could fix one thing about another person with a pill, what kind would you give, to whom, and why?
  2. http://www.biodiesel.org/ What is biodiesel? Biodiesel is a vegetable oil-based fuel that runs in diesel engines - cars, buses, trucks, construction equipment, boats, generators, and oil home heating units. It's usually made from soy or canola oil, and can also be made from recycled fryer oil (yes, from McDonalds or your local Chinese restaurant). You can blend it with regular diesel or run 100% biodiesel. As little as a 2% blend can reduce emissions by 30%. What are the benefits? 1) National security. Since it's made in America, it reduces our dependence on foreign oil. That's good. 2) National economy. Using biodiesel keeps our fuel buying dollars here in America instead of sending it to foreign countries. This reduces our trade deficit and creates jobs. 3) It's sustainable & non-toxic. Face it, we're going to run out of oil eventually. Biodiesel is 100% renewable... we'll never run out of it. And if it gets into your water supply, there's no problem - it's veggie oil! Heck, you can drink it if you so desire, but it tastes nasty (trust me). (Learn more) 4) Emissions. Biodiesel is nearly carbon-neutral, meaning it contributes almost zero emissions to global warming and contributes practially nothing to acid rain! Biodiesel also dramatically reduces other emissions. I like clean air, how about you? Plus, the exhaust smells like popcorn or french fries! (Learn more) 5) Engine life. Studies have shown it reduces engine wear by as much as one half and increases fuel economy by up to 13%, primarily because it provides excellent lubricity. Even a 20% biodiesel/80% diesel blend will help. (Learn more) 6) Drivability. I have yet to meet anyone who doesn't notice an immediate smoothing of the engine with biodiesel. It just runs quieter, and produces less smoke. Are there any negatives? There are a couple. 1) Primarily that it's not readily available in much of the nation, YET (click here for a map of locations). Consumption jumped from 500,000 gallons in 2000 to 15 million gallons in 2001, so hopefully availability will change soon. 2) Biodiesel will clean your injectors and fuel lines. If you have an old diesel vehicle, there's a chance that your first tank or two of BD could free up all the accumulated crud and clog your fuel lines. 3) It has a higher gel point. B100 (100% biodiesel) gets slushy little under 32°F. But B20 (20% biodiesel, 80% regular diesel - more commonly available than B100) has a gel point of -15°F. Like regular diesel, the gel point can be lowered further with additives such as kerosene (blended into winter diesel in cold-weather areas). 4) Finally, old vehicles might require upgrades of fuel lines (a cheap, easy upgrade), as BD can eat through certain types of rubber. Almost all new vehicles should have no problem with BD. All content copyright © 2002, Biodieselnow.com
  3. Help, Psych nurses! I'm clueless with psych stuff. Recently a very close friend whose daughter has been dx'd with schizophrenia has asked me how to make sure her daughter is taking her meds. She suspects that her daughter is not taking them. The daughter is in her 20's and lives on her own, and has been hearing voices again. The Question: is there some way to get her daughter to take her meds? She's been hospitalized three times so far, and the last two have been because she doesn't take her meds.
  4. Sleepyeyes

    Hypothetical Question re: prn meds

    I don't know how the subject came up but here's the scenario: Dr. orders 1-2 mg. Dilaudid IV q4h. Pt doesn't usually ask for pain meds, rates pain low. You give 1 mg. In only one hour, Pt reports no relief. Do you give the other 1 mg? or do you make the Pt wait?
  5. Sleepyeyes

    Hypothetical Question re: prn meds

    Thanks, fab4fan, for your input. I respect your insight. :)
  6. Sleepyeyes

    Hypothetical Question re: prn meds

    Further details I didn't feel relevant at the time: This was not a surgical pt. Pt had chronic, low-level pain. Pt initially reported "it helped some" & rated pain after 15 minutes of 5/10 rather than 9/10. Pt had also had an oral prn pain med that was still in effect at time of IV dosage. Pt normally didn't have that level of pain, and consistently rated 4/10 as "tolerable" and has refused meds rated as such.
  7. Sleepyeyes

    Hypothetical Question re: prn meds

    Thanks very much, all! That helped me.
  8. Sleepyeyes

    Hypothetical Question re: prn meds

    Thanks very much for the input, I'll remember it.
  9. Sleepyeyes

    Hypothetical Question re: prn meds

    sorry i look so stupid in this issue, but i really have forgotten. i usually give the entire dose unless the pt doesn't want the whole thing, and they usually don't change their mind. so please, this is a serious question.
  10. Sleepyeyes

    Hypothetical Question re: prn meds

    OK, so here's what I have: 2pm: 1 mg Dilaudid given for 4/10 pain 3 pm: pt reports no relief 3 pm: pt given 1 mg Dilaudid and the next dose would be at 7 pm--with the pt having only a total of 2 mg of med on board for only 3 hours out of 5?
  11. Sleepyeyes

    Hypothetical Question re: prn meds

    But then, doesn't the problem become when to give the next dose? I mean, suppose you go ahead and give it. Then the next dose for the full 2 mg has to be 4 hours from the 2nd mg instead of 4 hours from the first mg. Either way, it seems the pt has to wait. Maybe I'm getting this wrong?
  12. Sleepyeyes

    Am I Nutz?!?!

    Honey, you about nailed it insofar as what the job entails--on the negative side. You also have to get through nursing school, during which you will magically transform from a normal person with a generous portion of common sense, to a complete blithering idiot who can't function without looking it up first. I say, go for it. You have nothing to lose and you may have a wonderful career to gain.
  13. Ever try the AJN? I like that one. Here's the link. Enjoy. http://www.nursingworld.org/ajn/2003/03home.htm
  14. Sleepyeyes

    Am I Nutz?!?!

    Actually, it might be a better question to ask (although a lot longer): What do you see yourself doing when you are a nurse? Lead me through what you think your shift will be like.
  15. Sleepyeyes

    Am I Nutz?!?!

    OK...putting on the Dr. Phil cap for a minute: Can you answer these questions first? What is a nurse? What does a nurse do?
  16. Sleepyeyes

    How Nursing Has Changed Me

    In 1983, someone asked me "Who are you?" I can finally answer: I'm a nurse. And I've never been so freakin' happy with my life, in my whole life. I feel like Cinderella. :kiss: I love everybody. PS Trust me, that's not just a change. That's a complete 180.
  17. Sleepyeyes

    Morphine and respirations

    An excellent CEU topic is here, and here is a great read to answer those questions. You don't have to pay for it to read it, and it's extremely interesting with latest research, in particular #8 question and answer. Enjoy! http://www.nursingcenter.com/prodev/ce_article.asp?tid=281593
  18. Sleepyeyes

    What does it mean when a report says..

    No prob, Julie, have a great weekend. I'm sure you'll get an "A."
  19. Sleepyeyes

    What does it mean when a report says..

    New stomas should look like this:http://www.ostomates.org/stomapics/colopics.html
  20. Sleepyeyes

    What does it mean when a report says..

    stoma color, because that's one of the things you check a colostomy for. should be pink/red, with pink, intact skin around site, etc.
  21. Sleepyeyes

    What does it mean when a report says..

    PS If you can't find a definition for a 2-word term, try doing a search of the separate items.
  22. Sleepyeyes

    What does it mean when a report says..

    Sounds like you could use an online medical dictionary. This one's free; just type in the word you want on the search field. http://cancerweb.ncl.ac.uk/omd/
  23. Sleepyeyes

    30 y/o Male needs financial aid of any kind !

    *sigh* Another glutton for punishment. As if high school teens weren't enough, Mr. Cotter tackles ER. But---you know I'm just kiddin', doncha? We've just added 2 staff members who were also teachers, so there IS a way. Teaching does translate well to nursing and if you believe you're gonna love it, you probably will. Don't be shy, call around to your local hospitals and ask. They'd be happy to show you around because you've already established that you have the ability and the brains to get through college and stick to a real job. Check into the Nurse Reinvestment Act--you may qualify for tuition reimbursement or other perks through that. Do a search of your state Nursing Association. Do a FAFSA online---you never know.... Wouldn't you be able to use a lot of your credits for the Gen Ed requirements? Also, go for the ADN program. You could do that and work fulltime. Once you have your ADN, you can get other degrees online. Good luck and welcome to the Board. This is a great place to get info and de-stress.
  24. Sleepyeyes

    New Nurse Prevention!

    I couldn't do psych because years ago, a movie that showed an actual lobotomy was shown on regular TV. Freaked me right out. Guess what? They had the same movie in psych class rotation. I had a delayed reaction--drove about 20 miles past home, like a zombie, then got home and cried for about 4 hours and had to call offa work. To me, that was totally unnecessary, and they shoulda warned me.
  25. Sleepyeyes

    New Nurse Prevention!

    Yes, "The Last Prom" is still out there. But in my opinion, they'd be better off to do what my dad did--drive stock car and let your family sit chewing their nails in the stands. :chuckle The moral: "bad things happen even WITH seat belts on. Wear the seat belts and drive slow."
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