nialloh

nialloh RN

IMCU/Telemetry

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All Content by nialloh

  1. High BUN and Creatinine

    I would like to know what is the highest bun and creatinine that you have seen. My previous highest was aprox 120/13, with the pt very confused. My new highest is now 136/21.92 (I wrote it down to...
  2. I had a pt who was aaox3, eating and talking to family. Looked fine. The Family went to lunch, and after 15 minutes I went in to check up on her. She was taking her last breath or two, so I took her...
  3. Things Patients Have Taught Me NOT To Do

    It all goes to intent. They ment no harm, so, no
  4. Best & Worst Excuses for Not Taking Report?

    I can understand the change of shift delay, and I try not to do that, but sometimes the other floors make us wait upwards of 4 hours. It is one delay after another. I am a tele nurse, and we have...
  5. Best & Worst Excuses for Not Taking Report?

    Nurse is in the bathroom, nurse is on lunch, nurse is in with a pt, or last but not least, Hang on and I'll get her......... and then hang
  6. headaches

    One of the nurses I work with gets tension migraines. Sometimes after a hard day, her head starts to split. If I'm there, I'll often give her a neck and upper shoulder rub. Her migraine melts away (we...
  7. High BUN and Creatinine

    From memory his HG was aprox 6. He got 1 unit in the ER and 2 in Hemo. He went into renal failure due to chronic HTN and refusing to take his meds. I was sure it was a false reading, but the following...
  8. need a nurses advise

    I don't know how many times I have seen a nurse call the Dr for a slight change. Mostly it was because they felt something was very wrong but couldn't put their finger on it. Quite often that pt will...
  9. How was your service today?

    If I may restate this a little bit. It's like taking a test with 3000 questions, and if you don't answer question 3001, you flunk. Some of the requests are unreasionable, outside our scope of...
  10. Nursing shorthand symbols!

    Just remember, some of them might also be personal abbreviations. Make sure that more then 1 person is writing them. I have seen DR's do this, and then become upset when we call for a clarfication,...
  11. Fired

    I have to agree, don't omit. Every one makes mistakes, and this is the information age. It is much easier to find out things about
  12. Electrocardioversion...

    On my unit we also keep the pt for at least 24hr in case they convert back (which sometimes happens). They are also started on antiarrythmic meds. I don't understand why the MD would DC the pt after 1...
  13. Tylenol, how safe is this drug

    My original post wasn't really for people who were trying to kill themselves. It was more aimed at people who thought they could get attention for themselves by OD"ing on a "SAFE" drug. I wanted them...
  14. The history behind this post is as follows. I posted this on another site a while ago at the request of one of the admins of that site. Her daughter attempted to commit suicide multiple times (she...
  15. Tylenol, how safe is this drug

    I don't think this girl was trying to kill herself. I think she did it because she was mad at her boyfriend, and wanted to scare him. She just didn't realize the damage that Tylenol can do. Even with...
  16. Tylenol, how safe is this drug

    Oops, I stand corrected. As they say, it is always a good to close your mouth before foot is inserted.
  17. Tylenol, how safe is this drug

    acetadote is the antidote, mucomyst also protects the kidneys which are also hit. as to my point of not dying yet, i ment that she had a little time for treatment, but without it, she would
  18. Tylenol, how safe is this drug

    No need to apologise, I posted to get feedback, even if you think you are harsh. If you are talking about it, you are thinking about it. That is the point of the post. :) But this post wasn't intended...
  19. Tylenol, how safe is this drug

    That was exactly my point. I wanted people to know that "safe" drugs wern't safe. I was using safe loosely. The sad thing was, I was telling her and her S/O that she wouldnt be able to use tylenol or...
  20. Things Patients Have Taught Me NOT To Do

    Don't OD on tylenol because you are 1. Drunk, 2. Mad at him, and 3. He won't fight with you. You will have liver damage, have kidney failure and be put on dylasis. She also WAS
  21. When called to fill in, what should I be paid?

    I don't get OT until I work 40 hours. Depending on how badly they need us, we might also get a $100 bonus - Sometimes. If I'm called off my vacation, it is all OT with bonus. But this has never...
  22. I'm an idiot

    Also, turn your phone off, or tell your friends not to call you. They often think a night person has a day off, or is waisting a perfectly good day sleeping. They forget that this is now your night....
  23. I'm an idiot

    I have worked nights for years and love it. I am also a day person, but have learned how to sleep. The other posters are right about that, if you dont sleep right, you'll go nuts. The way to do it is...
  24. Things Patients Have Taught Me NOT To Do

    He was fine. He is a 45 year old, very big man. I thought he would bleed out, or at the very least, have a bruse. But no, nothing happend. He now thinks we are crazy for over reacting. All we did was...
  25. Things Patients Have Taught Me NOT To Do

    Don't turn off your pump and remove the tubing becouse the machine is beeping. Then don't open the clamp becouse you decide you really need that med. You might end up with a 20,000 unit heparin bolus...