kanzi monkey

kanzi monkey

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All Content by kanzi monkey

  1. Valproic acid for pain? Really?

    kanzi monkey replied to nursetim's topic in Certified Registered Nurse Anesthetist, CRNA

    The OP is an ANP (says in his bio)--so he's likely a prescriber. But I agree with the other posters as well--RNs are responsible for understanding what they're giving and

  2. Any occupational health NPs out there?

    kanzi monkey posted a topic in Nurse Practitioners, NP

    Hello all, I'm in newbie NP in job application mode. I am applying for a range of positions--some specialty, some primary care. I feel as though I could find happiness in a wide range of...

  3. accurate I&O's possible??

    kanzi monkey replied to hirochan's topic in General Nursing

    :lol_hitti (I'm totally laughing WITH-not AT-you, btw :)

  4. Valproic acid for pain? Really?

    kanzi monkey replied to nursetim's topic in Certified Registered Nurse Anesthetist, CRNA

    Many anti-epileptics, tri-cyclic antidepressants, and even some SSRI/SNRIs are starting to be used for neuropathic pain and fibromyalgia. What is your patient's diagnosis? I think I've seen...

  5. Shingles pain

    kanzi monkey replied to NewNurseAlert's topic in General Nursing

    If the pain you notified the doc about had a sudden onset, but the patient already had a diagnosis of shingles, I would still be worried about another cause. Also, if the pt was already known to have...

  6. Shingles pain

    kanzi monkey replied to NewNurseAlert's topic in General Nursing

    Do you know what tests were done to diagnose shingles in this pt? Do you know if anything was ruled out? Yes, anyone who has had chicken pox can get shingles, but not from exposure. Once you have...

  7. Confessions of a non-graceful nurse, help!

    kanzi monkey replied to zacarias's topic in Patient, Colleague Relations

    It sounds like you are better than me at doing all those things. Sometimes I can't believe how wasteful I am doing a simple dressing change, or anything sterile. I have bruises from colliding with...

  8. Low TSH, increased Synthroid

    kanzi monkey replied to kanzi monkey's topic in Nurse Practitioners, NP

    Hi Silas, I'm still working as an RN in a surgical setting, so my finding this was more incidental than anything. I would have loved to have ordered a repeat TSH, T3/T4, but I can't do that (and...

  9. Low TSH, increased Synthroid

    kanzi monkey posted a topic in Nurse Practitioners, NP

    Hello, Does anyone know of any clinical circumstance where one would increase a pt's dose of Synthroid for a low TSH? (low, as in, Thanks! -Kan (I posted this in the endocrine specialty forum, but...

  10. Low TSH, increased Synthroid

    kanzi monkey replied to kanzi monkey's topic in Nurse Practitioners, NP

    Yeah, I was thinking perhaps a pituitary thing too. This is not for my own medical advice, btw. Just something I saw in the hospital that confused me (pt with low TSH, synthroid increased at that...

  11. Health Care is a right

    kanzi monkey replied to headsup's topic in Activism, Healthcare

    ...drug abuse, etoh abuse, CAD, diabetes, COPD, HTN, CHF, CKD, obesity, hyperliplidemia, many cancers...and all the complications for all of these... Everybody but those with rare congenital diseases...

  12. Bsn degree vs. Physician assistant certification/licensure??

    kanzi monkey replied to KAzurinM.Twin1's topic in General Nursing

    I like my book and all, but I in no way would question whether or not you have a license/certification or anything else you say to do what you do. That would be weird.

  13. Bsn degree vs. Physician assistant certification/licensure??

    kanzi monkey replied to KAzurinM.Twin1's topic in General Nursing

    AANP certified NPs are NP-C's ANCC certified NPs are APRN-BC's Have to have certification to have a license. On PA licensing, I got my info from Carolyn Buppert 2008 p. 10 "PAs practice medicine under...

  14. Bsn degree vs. Physician assistant certification/licensure??

    kanzi monkey replied to KAzurinM.Twin1's topic in General Nursing

    The whole "NP's practice independently" vs. PA's "practicing under MD's license" is weird to me. Newly licensed NP here, no interest in practicing without an MD close by. NPs are great, awesome...

  15. How often do nurses have sex in the hospital?

    kanzi monkey replied to curiousstudent5's topic in General Nursing

    Weekly. Sometimes more. Never on

  16. IV bolusing a fluid overloaded patient

    kanzi monkey replied to kanzi monkey's topic in CCU, Coronary, Cardiac

    Thanks Takeback. That makes sense, and may be why she wasn't given albumin or had Ca replaced. What do you think about giving her D5NS w/ 20K @ 100 the day after she was bolused so heavily (she was...

  17. IV bolusing a fluid overloaded patient

    kanzi monkey replied to kanzi monkey's topic in CCU, Coronary, Cardiac

    Thank you both so much for your replies. Meandragon (love the name), my only guess as to why they didn't want to replete the calcium was because there was a corresponding albumin deficit--so her...

  18. ethical dilemma with a DNR last night

    kanzi monkey replied to flightnurse2b's topic in General Nursing

    This is DEFINITELY a case for the ethics committee. I think that's a fabulous idea. If you do meet with them, I'd love to hear how the meeting goes. As far as your question about protocol--we don't...

  19. Husband wondering about nursing school failure/dropout rates

    kanzi monkey replied to hubby73's topic in General Nursing

    Your wife should appeal this. If this truly affected 20% of the class, there is something wrong with the instructor and the exam. Instructors are not all-knowing. The nursing faculty/director are...

  20. ethical dilemma with a DNR last night

    kanzi monkey replied to flightnurse2b's topic in General Nursing

    I definitely would have taken the monitor off this patient. While he may, legally, be a "code", the only purpose the monitor could serve would be TO CODE the patient. Even if you still need the...

  21. Only a third of nurses willing to have swine flu vaccine: poll

    kanzi monkey replied to CityKat's topic in Disaster Preparation

    http://www.cdc.gov/mmwr/preview/mmwrhtml/rr58e0821a1.htm Vaccination Against Novel Influenza A (H1N1) Virus Infection Limited data from serologic studies of persons who received vaccination with...

  22. Want to go to graduate nursing, have a question

    kanzi monkey replied to batz39's topic in General Nursing

    You have a BSN. Hey, your resume can only say so much, right? Jeez, there is so much stupid cr&p that I don't put on my resume. Like how many times I failed algebra. There's more, but it's...

  23. Evidence of swine flu risk to pregnant women rises

    kanzi monkey replied to indigo girl's topic in Disaster Preparation

    Hey Indigo Girl, Thank you for tracking these.

  24. Can we teach taking Vital Signs to a non-health personnel?

    kanzi monkey replied to LizWakefieldRN's topic in General Nursing

    Touche

  25. Can we teach taking Vital Signs to a non-health personnel?

    kanzi monkey replied to LizWakefieldRN's topic in General Nursing

    Digital BP cuffs are often sold in pharmacies (ie, CVS, Rite Aid). Prices vary. I'd ask the pharmacist for recommendations. If your grandma can pick one out, even better--maybe seeing the range of...