Provigil's generic name is Modafinil. According to the prescribing information found at provigil.com, "PROVIGIL (modafinil) is a wakefulness-promoting agent for oral administration." and "The...
I have recently run across patients who are post-cath that have an order for PO Provigil 200mg BID. I have yet to ask a cardiologist the reasoning behind this, but I have researched the uses of...
Highest BP: 277/224 (My mother in law during adrenal crisis) Lowest BP: 20 systolic (pt fresh in from EMS - came in "nonemergent" ) Highest blood sugar: 1900 (my case-study for nursing school...
RedERRN replied to 1sttimetraveler's topic in Emergency
Always take into consideration what the nurses have going on in their rooms. For example, if Nurse Smiley has an STEMI in one room in prep for stat cath lab and a patient with ARDS in prep for RSI in...
I am sorry that you are going through this with your staff. It sounds very frustrating; however, I am sure the nurses are not intentionally leaving the labels off of the lab draws. After all, that...
RedERRN replied to luv your nurse's topic in MICU, SICU
This sounds to me like a classic case of MI-induced heart failure. Possibly these changes were due to an infarction she experienced prior to the CABG? That would explain the "wet" lungs and dry...
RedERRN replied to Jennifer, RN's topic in Emergency
The ER I work in has a policy where all patients meeting triage levels of 4 or 5 (we use the 5-tiered ESI) are sent to "Quick Care" where they receive a MSE (Medical Screening Exam) by a physician....
RedERRN replied to optimisticSRNA's topic in MICU, SICU
Hmm, it's kinda funny that you posted this because I am going through the exact same thing - except my area of 3 years experience is the ER. I've deliberated about making a change from the ER to the...
I have been feeling really, really burnt out lately. I used to love my job and look forward to going to work everyday. Now it seems like every new patient is a new stress that I will leave feeling...
RedERRN replied to phiposurde's topic in Emergency
In my ER these things are not optional...they are mandatory. We spend 90% of the time with no available adult ICU beds...NONE. Our ER becomes the ICU overflow area. If a patient needs CVP...