kanzi monkey

kanzi monkey

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All Content by kanzi monkey

  1. Things that leave you stunned.

    Yeah...umm... there are no miracles in this
  2. Things that leave you stunned.

    I posted this on another thread, but had so much impact on me, I'll share it again. Pt dx with HIV in early 90s, obviously life-changing diagnosis. Currently homeless, smokes a lot of crack, spends...
  3. Neuro pt & Tylenol

    Only reason I can think of delaying Tylenol in this pt would be that it would mask a fever. But the pt already has a fever, why let it get worse? Obviously this pt will be getting abx at some point,...
  4. How low was her BP? How was her HR? Beta blockers have less effect on BP than on HR, so if her SBP was > 90 and her HR was >70 the beta blocker would probably be fine. All I'm saying is, it...
  5. Kay, I'm going to have a stab at these questions: 1. I'd go with tetorifice and culture. If it's a deep wound I wouldn't put topical abx on it. I wouldn't automatically prophylax with abx since there...
  6. Did they give you the answers too? Those are weird questions. I'm sure Margaret Fitzgerald would
  7. MRSA in Sputum, didn't know had?

    You won't INHALE it (ie, via droplet or airborne); if a pt has MRSA in their sputum, the only way you can get it is through direct contact with the sputum--the same as if it came from a wound. I...
  8. What rhythm would this be?

    If the PR interval is between 0.12-0.2, the sinus node is communicating with the AV node, thus making it sinus rhythm (electrical conductivity originating at the sinus node). If the QRS complex is...
  9. Lantus

    Lantus provides basal insulin (to supplement or replace endogenous insulin). It CAN cause hypoglycemia, but usually it doesn't since it doesn't have a true peak. At my hospital, if a pt is NPO...
  10. Im new on this board I have a question about TB testing

    "Inactive TB" probably means "Latent TB Infection" (LTBI). So, your ex likely never was SICK with TB, but has been EXPOSED to it. That's incredibly common (1/3 of the population of the world has...
  11. Narc count---missing meds...

    If it were one vial that would seem more "suspicious" I think. 7 vials (and Versed?) just seems like something went wrong, and an explanation will manifest itself shortly. Hope it works out
  12. Everyone has a 4.0 GPA!!

    Are you being facetious here? Are you saying that the tech actually couldn't tell the difference between a urinary catheter and an intravenous port? Really? Hmmm. I am kind of appalled by your...
  13. nurse to patient ratio

    Umm, not to be insensitive, but I'm going to have nightmares after reading your post. (No really. I am.) I don't think I could adequately introduce myself to 37 patients in a shift, much less care...
  14. Bright personality required??

    Introvert here. And sarcastic to boot. But empathetic, respectful, and good listener--I think my strengths lie in patient education and hearing what patients have to say, understanding how they see a...
  15. give me a break

    -Kanzi
  16. Denied employement d/t Adderall????????

    Nope. You have a prescription. Adderall doesn't impair you if you take it as prescribed. Technically, you are less impaired when taking it if you need it for ADHD or
  17. Types of NP's

    You can get an NP license and specialize in derm. Sometimes you can request a derm clinical in your graduate program. I've also heard of derm (and other specialty) fellowships for NPs. As nurses...
  18. Attention ortho nurses!!

    Never seen
  19. Is this a trick question or am I reading too much into it?

    YES!
  20. Is this a trick question or am I reading too much into it?

    what do you mean by "recalculating" the order? there doesn't appear to be any calculating involved (a "tablet" can't be a variable in an equation) --only the need to clarify the order with the doc....
  21. you know you are in for trouble when.....

    This is hilarious :) I was reading a patient's chart before the start of my shift--the previous nurse had written "patient is loud in all that he does" It was an objective, non-judgmental, but...
  22. you know you are in for trouble when.....

    Getting report from the ED: "24 year old male was polishing his handgun
  23. NP with no experience vs. PA with no experience

    The direct entry NP program at my school doesn't require any healthcare experience at all. It DOES require working as an RN for at least 9 months before completing the master's level. The PA program...
  24. pyxis dilemma

    repeat post,
  25. pyxis dilemma

    Without an official investigation, there is no proof. The OP's subjective recall of events--while likely indicating narc diversion--is not enough evidence to "prove" anything. "Proof" has to include...