dansingrn

dansingrn

PNP, CDE, Integrative Pain Management

Member

  • Content

    109

  • Visitors

    4,020

  • Followers

    0

  • Likes

    0

All Content by dansingrn

  1. new nurse with a question about glargine.

    dansingrn replied to sommeil's topic in Diabetes, Endocrine Nursing

    Lantus is a basal insulin. Basal insulin is NOT adjusted for PO intake, rather, the rapid acting insulins are adjusted based on the carbohydrate content of the meal or snack. Lantus is adjusted based...

  2. Uncontrolled DMI, when is patient "in trouble"

    dansingrn replied to kaliRN's topic in Diabetes, Endocrine Nursing

    I'm thinking if the child requires overnight home health and TPN/lipids, he may not be in a situation where he can be responsible for his T1DM

  3. Uncontrolled DMI, when is patient "in trouble"

    dansingrn replied to kaliRN's topic in Diabetes, Endocrine Nursing

    Glucose levels that high are definitely not dawn phenomenon. The child needs more insulin overall; I would contact the physician for sure. You mentioned that he gets Novolog per the bolus wizard, he...

  4. Integrative / Functional Medicine / Complementary NP's

    dansingrn replied to aet111's topic in Student Nurse Practitioner

    I am a pediatric nurse practitioner working in an Integrative Pain Management department at a children's hospital. We do use Western medicine, but also incorporate massage, aromatherapy, diet, stress...

  5. frustrated with "online" NP schools

    dansingrn replied to Betty004's topic in Student Nurse Practitioner

    I went to a (mostly) online NP program. It required a GRE and a master's thesis before a panel of tenured faculty. The program was through a state university, and the professors were from the...

  6. prefilling syringes?

    dansingrn replied to Flare's topic in Diabetes, Endocrine Nursing

    It's fine to prefill syringes with NPH, home health nurses have been prefilling for their patients who are blind or have dexterity problems for eons. It's important to remember with NPH that the...

  7. Is insulin good after 28 days?

    dansingrn replied to lovepink's topic in Diabetes, Endocrine Nursing

    This is a question that even the insulin manufacturers struggle with. There are several factors, such as number of injections per day (number of times the rubber stopper is penetrated), temperature,...

  8. Hyperglycemia Question

    dansingrn replied to abundantjoy07's topic in Diabetes, Endocrine Nursing

    Omitting insulin causes the body to use fat rather than glucose for an energy source. Fat metabolism creates ketones (acids in the blood). Ketones cause nausea and vomiting, so that be one cause of...

  9. Wildest lab values you've ever seen?

    dansingrn replied to nerdtonurse?'s topic in General Nursing

    blood glucose

  10. Am I too old to become an NP?

    dansingrn replied to SoundofMusic's topic in Nurse Practitioners, NP

    Finished my NP at 49. And I was not the "oldest kid in the class" by a longshot!!! Do

  11. Was I taught the wrong thing in school?

    dansingrn replied to qaqueen's topic in Diabetes, Endocrine Nursing

    Standard sick day management is to treat the hyperglycemia, adding even more insulin if ketones are present (even if NPO, even if vomiting!). Definitely needs insulin in presence of infection, so...

  12. will i ever find a job

    dansingrn replied to pedspnp's topic in Nurse Practitioners, NP

    np2b - Do you have peds RN experience? PM me . . . I have a lead on a PNP position in your general region if you are willing to consider a subspecialty in a children's

  13. Chronic disease management

    dansingrn replied to Joe NightingMale's topic in Nurse Practitioners, NP

    I'm an NP in chronic disease management. I work in peds with type 1 diabetes. (The answer is NOT ALWAYS fnp!!) The time to work on preventing complications is at diagnosis. Therefore, working in peds...

  14. Need post masters PNP online????

    dansingrn replied to shannons1's topic in Nurse Practitioners, NP

    Try University of Missouri (Columbia) Sinclair School of

  15. Weird incident in the MRI room..

    dansingrn replied to KEVIN88GT's topic in Radiology

    Absolutely this tech cannot be required by an employer to revert to injections! Contact the American Diabetes Association for details regarding discrimination against persons with

  16. FNP or PNP?

    dansingrn replied to *ac*'s topic in Nurse Practitioners, NP

    I too am "peds through and through". Many advised me to go FNP for broader opportunities, but when looking at FNP curriculae I couldn't even get excited. When looking at PNP programs, I couldn't wait...

  17. How do you stay organized?

    dansingrn replied to Sheri FNP-C's topic in Nurse Practitioners, NP

    I'm peds all the way. No white lab

  18. How do you stay organized?

    dansingrn replied to Sheri FNP-C's topic in Nurse Practitioners, NP

    I finally solved my own organization problem with a small zippered "document case" made by Samsonite. Found it at TJ Maxx for 5 bucks, and its great! Currently in the case: iPhone, keys, calculator,...

  19. How is this possible? Being Diagnosed with type 1 Diabetes at 20

    dansingrn replied to Still Riding's topic in Diabetes, Endocrine Nursing

    Type 1 DM is an autoimmune disease, and can be diagnosed at any age. Just because a patient takes insulin, even from the beginning, does not make them necessarily type 1. Autoimmune beta cell...

  20. insulin pump concern

    dansingrn replied to ShantheRN's topic in Diabetes, Endocrine Nursing

    Another option that is very popular with my pediatric patients is to place the site on the back of the upper arm with the tubing pointing toward the underarm. The tubing goes down the inside of the...

  21. Considering FNP or PNP, Lots of Questions!!

    dansingrn replied to ChristineN's topic in Nurse Practitioners, NP

    In my institution, we have PNPs as well as a few FNPs, but the preference is definitely PNP. When I was asking myself "FNP or PNP" my only vote for FNP was the "marketability." In the end, I went with...

  22. New nurse's daughter just diagnosed with Type 1

    dansingrn replied to bandas's topic in Diabetes, Endocrine Nursing

    I have copied/pasted the required practice experience section from the NCBDE, the body who gives the CDE exam below. NTPinky, you are correct, one must have 1000 hours and 2 years experience in a...

  23. Advice about NP specialties

    dansingrn replied to Sarah.Mitts's topic in Nurse Practitioners, NP

    To work with pregnant women and deliver babies, certified nurse midwife is the track. CNM opportunities can be limited depending on what part of the country you are in. Family nurse practitioners can...

  24. Any ideas?

    dansingrn replied to gagezoie's topic in Diabetes, Endocrine Nursing

    Why a 90 degree angle with Lantus? Just curious. Loved your thorough answer, and thoroughly agree with all of it. I was too tired to post all that, but I was thinking about it when I read the original...

  25. Clinical Hour Requirement

    dansingrn replied to Spacklehead's topic in Nurse Practitioners, NP

    It seems strange that the FNP requirement is 500 hours for the entire lifespan. Can that be correct? My PNP program was 700 hours for birth to 18 (including an OB/sexual health rotation for...