Myxel67

Myxel67

Diabetes ED, (CDE), CCU, Pulmonary/HIV

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All Content by Myxel67

  1. This is all fairly basic information. Check your text book or lecture notes. If that fails, try google.com. When you look this stuff up on your own and read about it, you tend to remember it...
  2. Ultram

    Here's the company's website. It is referred to as an opioid with abuse potential. However, in hospitals it has not always been treated the same as other narcotics. Often was sent by pharmacy to pts...
  3. Is Telemetry Hard For New Grads?

    I started out as a new grad in telemetry. I would not recommend it. It wasn't that it was difficult. I loved interpreting rhythm strips in school and was good at it. However, the floor (48 tele beds)...
  4. side effects of lanolin??

    I apologize for this ahead of time, but I just couldn't resist. It could make you go baaaa
  5. Why do so many of you hate working med/surg?

    iF YOU APPLY for ICU or CCU as a new grad, the hospital will put you into their critical care training course if they have one. Ours was 2 months, but others could be shorter or
  6. Blood Sugar Guidelines

    According to Ariel Zisman, a well-known endocrinologist, researcher, and lecturer here, "The only place for regular insulin in a hospital is in an insulin drip. Humalog, Novolog, and Apidra (all...
  7. Blood Sugar Guidelines

    12345
  8. Blood Sugar Guidelines

    Sliding scales are an abomination. Our standard also starts coverage at 151 or above. So if a pt actually has a BG less than 151, he gets no insulin at that meal, so next BG is above 200....
  9. Anyone work five 8's in a row 11p-7a?

    I worked five consecutive 8-hr shifts for several years. I found it easier to do than other arrangements on nights. The key to working nights is to be able to sleep during the day. I usually slept...
  10. Acute-on-chronic?

    CardiacRN You took the words right out of my
  11. Too Many Pain Meds!!

    I do believe in the need for effective pain control, and it's not the nurse's job to detox or save someone from what is perceived to be a pts addiction. People who use narcotics for pain control do...
  12. Rampant Racisim in Hospitals!!

  13. Don't want to do this anymore

    Do you wear socks with Crocs? The pix of the nurses looks like no socks or peds. I'm not sure I'd wear them in a hospital without
  14. MSN--how do you divide your work load with the LPN? We used team nursing (they also called it patient focused care at the time) several years ago when I worked on a Pulmonary/HIV floor. I wasn't...
  15. Sometimes we are too quick to be outraged by what we don't understand. Just looking up Florinef and its unlabeled uses would lead to understanding and keep our own BP from going through the roof....
  16. Nursing as a service industry

    Regardless of whatever educational program you follow, your learning experience will comprise the program plus what you bring to the program. There might not be a class in interpreting lab values,...
  17. Salary vs. Hourly?

    If you have doctor's appt, or outside obligation, time away from work does not need to be made up. If you go home sick, pay can't be docked--if you're here for a minute, you're here for the day....
  18. Nursing as a service industry

    A hospital is not now, nor will it ever be, a hotel. (No matter how many doctors order "room with bay view" for their pts coming to our hospital on Biscayne Bay.) Priorities of hotel service and...
  19. canker sores

    Re: TriageRN 34 response "For those WITHOUT chronic probelms in the mouth I say stick it out and deal with a bit of discomfort for a part of the anatomy you have used and abused for umteen years that...
  20. Rhonchi and wheezing aren't the same. Wheezes are sort of high pitched whistling sounds produced by airway constriction & often can be heard even without a
  21. Rales & thonchi--rales is same as crackles & result of moisture in the alveoli. Sounds like when you rub your hair together next to your ear--sort of like rice crispies in milk. Rhonchi are...
  22. Showing up to work SICK

    is this a small home health agency? i still don't see how they can expect you to work sick. if you're sick then of course the supervisor, owner, or whoever else is available should make the visit....
  23. Chat room open

    You can always invite someone to meet you in a chat room--then it's easier to talk and faster than PM's. I've done this a few times. You can also open your own room (use Add button) and make it a...
  24. Showing up to work SICK

    you are the person who knows if you are too sick to work or not. if i call in sick it's to tell mgr/supr/ that i won't be in--not to ask if it's ok for me to stay home. just call in with the...
  25. Question about DKA

    Many cases of DKA (and almost all cases of HHS or HHNKS) start with infection or illness. As you stated, the stress of the illness causes high BG levels (increases cortisol levels which raise BG)....