MikeLPN

MikeLPN

MedSurg, LTC

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All Content by MikeLPN

  1. Res. c/o right side chest pain + SOB. Pale, diaphoretic BP 120/60 P 160. Pulse elevated about 100 points BP WNL. SPO2 low 90s. No cardiac history except for chronic hypertension managed with several...
  2. Use of NTG w/ newly emergent SVT

    Res. c/o right side chest pain + SOB. Pale, diaphoretic BP 120/60 P 160. Pulse elevated about 100 points BP WNL. SPO2 low 90s. No cardiac history except for chronic hypertension managed with several...
  3. Things I have learned by being a nurse

    Thanks!!!!!!!!!!
  4. Things I have learned by being a nurse

    Thanks!!!!!!!!!!
  5. EMS-what's their problem?

    I really like our EMS people, it's just a relief when they get the cardiac monitor on, IV access, hot-line to the doctor with fast transport to the ER idling outside. So I can make the copies and fill...
  6. Ok all you smarties, need some advice!

    Get an NCLEX review book and then party all
  7. Stool transplant???

    I can't wait to put this on the NP board. Now all I have to do is find a res with
  8. Prednisone Side Effects

    I take prednisone about once a year for cluster headaches. It gets me just wired, I can work like a dog but no attention span and I will yell at really nice people (well, I had a death, a sick person,...
  9. Website Or Book For Careplans

    Nursing Diagnosis Handbook (Ackley/Ludwig). Made it easy and my instructor did not like it. But then again, like she said, "I want you to think like a nurse". And that's not
  10. Your Pre-Clinicals Book Recommendations, Please...

    Nurse's Pocket Companion from Springhouse. Lippincott or Springhouse drug guide. Nursing Diagnosis Handbook (Ackley/Ludwig), Mosby. Would probably do for RN clinicals
  11. Had a resident hand me a hard piece of BM with vomit covering it. He said he wanted to give me a present. But the worst part is I brought it to the nurses station. Hey! ______ gave me a present, wanna...
  12. Alcohol pad for nausea????

    I've done it. So far it's worked much better than I care to
  13. ew,ew,ewwwwwwww

    I saw it on a TV show once. Apparently they eat only the necrotic stuff and leave healthy tissue alone, are very selective in this aspect and they are grown under controlled conditions to be sterile....
  14. Things Patients Have Taught Me NOT To Do

    Gravity is not your
  15. Shingles? At MY age??

    I've been visiting my res. at local hospital and updating the DONs. Now in CCU. Family I talked to say it's shingles. My wife did an internet search; Ramsay Hunt Sydrome - herpes zoster of geniculate...
  16. Shingles? At MY age??

    Had a resident this weekend come down with BAD shingles. Examined by NP on Fri. PM for continuing headache. Started on Neurontin 100mg tid . Sat. AM on call gives new orders for Neurontin 300mg,...
  17. Critical thinking exercise

    Yeah, and people standing on the O2, dead portable tanks, people with generally poor peripheral circulation, foleys getting kinked by the aides every way possible, collection bags
  18. Coumadin and Cranberry Juice

    I used to mix up a pitcher of cranberry and apple juice for med pass until we totally quit with juices (money). One guy's legs would swell up (CHF) when docusate calcium was given with it but not with...
  19. Noticed count on narcotic off by one (AM nurse didn't give). I'm a nice guy but not all that bright/experienced yet. So she's not having any pain and I give next scheduled dose and note the count is...
  20. Critical thinking exercise

    Take a good hard look at pt. for being symptomatic and ask him/her how they are
  21. The Death Knell of Nursing?!

    Oh please please dear god gimme a robot. I could input who gets walked and for how long, everybody gets good HS cares, everybody gets fed on time, baths get done, weights get done, no breaks all at...
  22. Night from H E double hockey stick...

    Uh Oh I just had a good night. My new admit didn't show because he had to get readmitted on the way down two empty beds and everything just clicked. Oh yeah, the aides, I forgot about the
  23. My wife did the same thing. She quit her decent pay/long commute gov't job fairly close to retirement and works local CNA/HHA and she's much much happier. We're fairly young empty nesters
  24. Do You Hate Nursing

    Absolutely not . Some nights are definitely better than others though. And some nights are WAY definitely better than
  25. Blood pressure Monitors...Recommendations

    We have one wrist monitor at work. Read the fine print about the correct usage of the monitor, there are a lot of conditions and if you think that you can satisfy all those:roll then you might be ok...