Myxel67

Myxel67

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

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All Content by Myxel67

  1. does DKA or HHNKS always accompany high blood sugar

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

    BG values associated with HHS range from 600 to 2000 mg/dl. So pt with BG in 700's might not yet have the level of dehydration associated with HHS. Most pt's I have seen with HHS have had BG values...

  2. Was I taught the wrong thing in school?

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

    Sliding scale insulin is correction insulin given to correct a blood sugar that is already high and should be given even if pt is NPO. Even though many/most physicians will order it as the only...

  3. Lantus insulin question

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

    Many people with diabetes (including type 1) still use NPH for basal coverage. This is especially true for patients of pediatric endocrinologists. Although the NPH nsulin dose might need to be...

  4. insulin pump concern

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

    Try tucking the pump into your bra. That's a fairly common place for women who don't want to wear it at the

  5. I need some help for my CDE test on Sat.

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

    How did you both do? Hope all went

  6. CDE Salary

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

    cde salaries in south florida are similar to those of nurse clinicians, endocrinologists here are more likely to hire arnps. are the nurses working as independent contractors? we bought a...

  7. Support the Diabetes Educator's Bill

    Myxel67 replied to country mom's topic in Diabetes, Endocrine Nursing

    Medicare still provides coverage as you stated, but unfortunately Medicaid stopped covering DM education over 2 years ago--and that's a

  8. SSC w/ pt skipping meal

    Myxel67 replied to deftonez188's topic in Diabetes, Endocrine Nursing

    The Med-Surg textbook I used in nursing school back in 1993 stated that SS insulin is given for an already high BG,, and is not in anticipation of any additional meal/food. To me this means that the...

  9. New nurse's daughter just diagnosed with Type 1

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

    A friend's grandmother picked up her toddler's type 1 DM in an unusual, but very logical way. She noticed that ant's were attracted to the child's wet

  10. Any ideas?

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

    The 90 degree angle tip comes from Dr. Pita--an endo in Miami who spoke at a meeting I attended a few years ago. My theory of why it works is that the Lantus microcrystals form a more regularly...

  11. Any ideas?

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

    First, it's important that there be a scheduled set dose of Novolog before each meal--not just a sliding scale if BG exceeds a certain level. Usually the Lantus (basal) dose should be about 50 - 60%...

  12. testosterone and curly hair?

    Myxel67 replied to LanaBanana's topic in General Nursing

    perhaps cutting 4 inches off reduced the weight pulling the hair down and allowed the curls/waves to form. i've always had very curly hair, but it curls more when it's not too long. one of my...

  13. Lantus insulin question

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

    When there are frequent problems with low BG values--especially in older adults, there may be kidney or liver problems which interfere with treatment. If kidneys are not functioning well, insulin...

  14. Do you ever massage your patients?

    Myxel67 replied to Sassybottom's topic in General Nursing

    I used to use massage often when I worked as a floor nurse. I think human touch goes a long way to help a pt. relax and feel calm. It's too bad the nurse doesn't often have time to give a short...

  15. Cortisone

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

    It doesn't matter where they put the steroids--BG values will soar. I've had pts whose BG rose because of cortisone injections into a joint or the foot. Ask your doctor about using Novolog or Humalog...

  16. Incompetent nurses

    Myxel67 replied to medicrnguy's topic in General Nursing

    The situations you described wouldn't have happened in the tele unit or the CCU I worked in. I worked nights, and we didn't hesitate to call a doctor at 3 am if the pt's condition warranted it....

  17. work while on narcotics?

    Myxel67 replied to deehaverrn's topic in Nurse Disabilities

    I agree totally with rehab nurse. It is much more difficult to drive and/or work while in severe pain than it is to do so with pain control achieved with narcotic analgesics. Several years ago I...

  18. Narcotic info

    Myxel67 replied to skittlebear's topic in General Nursing

    If the Morphine is slow release, then the hydrocodone would be for breakthrough pain. Rx label directions for hydrocodone state it can be given q 4 to 6 hrs. A younger, larger pt might require the...

  19. Alternatives to Pajam...I Mean, Scrubs

    Myxel67 replied to NursingAgainstdaOdds's topic in General Nursing

  20. To crush, or not to crush? That is the question!

    Myxel67 replied to blueberrybon's topic in First Year After Licensure

    Most of the DO NOT CRUSH meds are sustained release formulations that allow once a day dosing for meds that might require tid or qid dosing in the regular formulation. If the med is crushed, the...

  21. The Great Double Standard?

    Myxel67 replied to Doog's topic in Men in Nursing

  22. food substitutes

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

  23. Surgery question for diabectics,educators or or nurses

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

    Liposuction will make you look better, but it won't decrease insulin resistance related to abdominal fat. If you tend to develop keloids, speak to your doctor or a plastic surgeon, since this might...

  24. Rotating Insulin Injection Sites

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

    This is the method I've always used to teach site rotation--except I tell the pt to picture an imaginary circle (about 1.5 inches in diameter) and inject in this area for a week to 10 days for TID...

  25. What is the passing test grade at your school?

    Myxel67 replied to Wsmith16's topic in General Students

    My school requires an 80% to pass. The bad part though is the grading scale: 80 - 86 C 87 - 93 B 94 - 100 A Most of the other nursing schools in the area require 80% to pass, but 80 - 89 is a B...