Myxel67

Myxel67

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

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All Content by Myxel67

  1. Insuling gtt protocol

    Myxel67 replied to Gigglesforall's topic in Diabetes, Endocrine Nursing

    This is from the Yale Diabetes Center Diabetes Facts & Guidelines: DKA (Adults Only): Day 1 Goals Stabilize hemodynamics, replete volume, correct acidosis/electrolytes, search for precipitating...

  2. How is this possible? Being Diagnosed with type 1 Diabetes at 20

    Myxel67 replied to Still Riding's topic in Diabetes, Endocrine Nursing

    usually if your bg goes way up when you delay a meal, it means your basal insulin coverage is inadequate. levemir does not usually work a full 24 hours, so it's possible your highs may come as the...

  3. Questions re:insulin, bs, carbs, etc

    Myxel67 replied to bethin's topic in Diabetes, Endocrine Nursing

    At my hospital, a BG below 70 mg/dl is considered low enough to treat. However, it a pt has become accustomed to high BG levels, s/he might have symptoms of low BG even at 100 or 120. Also, the...

  4. Insulin question

    Myxel67 replied to NPRoseMona's topic in Diabetes, Endocrine Nursing

    Pt really needed both--sliding scale to reduce high (before meal target BG is 110 or lower), and premeal insulin (12 units Novolog) to cover the carb content of meal. If pt is on mealtime Novolog,...

  5. Insulin question

    Myxel67 replied to NPRoseMona's topic in Diabetes, Endocrine Nursing

    Just make sure you read about each type of insulin in your med book or a PDR. Never give a med you don't understand. Humalog and Novolog are both fast acting insulin analogs, but they are not the...

  6. I have trouble admitting that I will be a nurse

    Myxel67 replied to flyingfish2u's topic in Male Nursing Students

    Why have you chosen to leave your good career? Are you looking for more opportunity? Do you know nurses who have already completed the education for CRNA and are working in the field? I ask these...

  7. Looking down on those who take lunch breaks???

    Myxel67 replied to mismissy69's topic in General Nursing

  8. Looking down on those who take lunch breaks???

    Myxel67 replied to mismissy69's topic in General Nursing

    Originally Posted by TazziRN There is a difference between taking a moment to eat and leaving me alone for half an hour. You know, it really does take more than a "moment" to eat. Also, many nurses...

  9. Nurses targets for IRS?

    Myxel67 replied to rnmommy23's topic in General Nursing

    fica withholding from your paycheck is not the same as the amount of taxes you owe. as ariesbsn said, the employer follows a schedule and withholds an amount based on your earnings and the number of...

  10. please advise charge nurses

    Myxel67 replied to danaheil's topic in General Nursing

    All that said, it's only been six months and he indeed might not be ready. What is the difference between charge and what he's doing now. Often it's just merely making assignments, especially if the...

  11. Charting Bloopers

    Myxel67 replied to AHarri66's topic in Nursing Humor

    Other than the misspelling of rhythm, there's nothing wrong with this. We do see pts who have a regular pattern of irregular

  12. Accucheck procedure

    Myxel67 replied to tiggertoo's topic in Geriatric, LTC

    When I teach pts to check BG at home, it's soap and water, but alcohol pad if out and no convenient place to wash hands. I have diabetes, so I have experimented a little. The worst part about not...

  13. need help--husband died at home

    Myxel67 replied to pyseymo's topic in Cardiac

    Please don't keep beating yourself up over this. It sounds as though you did everything you could. Please don't add guilt to your grief. Be there for your children and give them the attention they...

  14. Does anyone else see discrimination? Long Post but please read!

    Myxel67 replied to SoontobeAdrienneRN's topic in General Nursing

    I hope you'll be able to get some form of justice through the courts. I'm curious to know if your being a student made it easier for them to fire you--and who had the son or daughter in school...

  15. Looking for opinions here on an *older* RN's habits

    Myxel67 replied to GeminiTwinRN's topic in General Nursing

    Why not just ask her why she doesn't use sterile gloves for trach care? Or why she doesn't wash her hands "more

  16. Looking for opinions here on an *older* RN's habits

    Myxel67 replied to GeminiTwinRN's topic in General Nursing

    long-time nurse or not, what she is doing is not good nursing practice and violates hospital infection control rules. she's not setting a good example for those she precepts. does your manager not...

  17. 3rd time taking the Exam HELP

    Myxel67 replied to twotfruity98's topic in NCLEX Exam, Programs

    Work on using reasoning skills to work your way to the answer based on the content you know. If you are using a review book pay as much attention to the rationale given for the right answer as you do...

  18. Extra dose of medication-medication administration error

    Myxel67 replied to Woman_in_love's topic in General Nursing

    Worse than making a mistake is trying to cover it up. That's what will get you in trouble--or fired. So you absolutely did the right thing. The glyburide dose was small and you did give it with a...

  19. Critical Thinking On The Nclex

    Myxel67 replied to jls1117's topic in NCLEX Exam, Programs

    First, you must know your subject. For critical thinking, it's important to get away from just memorizing facts. Work on analyzing and applying what you know to different situations. IMHO, the...

  20. please advise charge nurses

    Myxel67 replied to danaheil's topic in General Nursing

    Has he actually been offered the job--with more pay, or is he being asked to sub for regular charge on his/her days off? If he's being asked to sub, it's because the more experienced nurses are...

  21. Comparison of US and UK pay

    Myxel67 replied to biteme's topic in United Kingdom

    not many hospitals here in the us have defined benefit pension plans any longer. most have 401(k) plans (for profit org.) or 503(b) plans (for nonprofit organizations. for these plans, the employee...

  22. Dosage Calculation ?

    Myxel67 replied to nurseo's topic in New York Nursing

    1. 20000 units..... 20 ml............................ 20000 u/1000 ml x 20ml/1hr = 400 units/hr ......1000 ml x ........1 hr = 400 units/hr the 60 gtt per cc is extraneous info with no effect on...

  23. Nurses are Pathetic!!

    Myxel67 replied to lorster's topic in General Nursing

    i've been a member of this board since early february. op did not say anything that i had not read here before. s/he just put all of it together in one long post. and just look at how many nurses...

  24. Lantus insulin question

    Myxel67 replied to evans_c1's topic in Diabetes, Endocrine Nursing

    this point is so true, and it underscores the importance of knowing whether your pt has type 1 or type 2 dm. in our hospital a few years ago, there was the case where a woman with type 1 dm had her...

  25. Metformin for Poly-cystic ovarian syndrome (POS)?

    Myxel67 replied to stillpressingon's topic in Patient Medications

    metformin should not be taken by people with liver disease or renal impairment. should not be taken by men with creatinine>1.5 or by women with creatinine > 1.4. contraindication is because...