adria37

adria37 has 21 years experience and specializes in Emergency, Outpatient.

Latest Activity

1. Don't trust my FNP

   adria37 replied to KalipsoRed21's topic in Nurse Practitioners, NP

   Why did he get the DVT in the first place? Risk factors? Obesity, smoking, travel, dehydration, surgery, malignancy? Did he have a hypercoaguable workup? Bleeding in the joint? Clot extension? I...

2. Cause of elevated alk phos. in bloodwork?

   adria37 replied to Iggy123's topic in General Nursing

   Cancer in the bone, gallbladder disease, normally elevated with rapid bone growth, hepatitis, mono, gosh there are lots of reasons, parasites

3. Anemia: am I the only one who thinks it's all complicated?

   adria37 replied to BmoreCRNP's topic in Nurse Practitioners, NP

   I would do stool for occult blood, erythropoietin level, B12, folate levels, don't forget anemia of chronic disease and MDS in your differential. I suspect her anemia was secondary to infection,...

4. Struggling for a research proposal topic

   adria37 replied to slimmom3's topic in Oncology

   I would check to see if when a narcotic is written is there any documentation of sedation and constipation management and on the next visit see if pain relief is addressed again as well as...

5. AANP or ANCC?

   adria37 replied to nursetim's topic in Nurse Practitioners, NP

   I took both the AANP and the ANCC exams for FNP. AANP you sign FNP-C and ANCC you sign FNP-BC (C=certified and BC=board certified). The AANP seemed more difficult and clinically focused. I believe I...

6. Cipro and ITP. What would you do?

   adria37 replied to tmd76's topic in Emergency

   Surely they were not getting IV contrast too? I wonder what happened at the

7. Cipro and ITP. What would you do?

   adria37 replied to tmd76's topic in Emergency

   An allergic response can also cause ITP to develop and worsen but based on his low plt count prior to Cipro IV I would still lay it at the sepsis unless his reaction to Tequin was ITP. He is on...

8. Cipro and ITP. What would you do?

   adria37 replied to tmd76's topic in Emergency

   If their kidney function was bad why in the world would they give Cipro in the first place. ITP can be worsened by infection (IE will be). I would expect a doctor know this about ITP....

9. Oh No! A port infection!

   adria37 replied to Sonjailana's topic in General Nursing

   Most chemotherapy drugs have nadirs at 10-14 days any open area is fair game. I would be interested in what the cultures grew, I bet a staph epidermis. If you used sterile technique then I would not...

10. Oh No! A port infection!

    adria37 replied to Sonjailana's topic in General Nursing

    I would question why they had the port. (cancer, chemotherapy, etc) They probably had a suppressed immune system to begin with and an infection a week later would really be reaching

11. Nicotine Test

    adria37 replied to NurseDianne's topic in General Nursing

    I can see it coming, I don't smoke but I really think allowing companies not to hire based on LEGAL behavior is wrong. Obesity causes more health problems, burdens the system more, and costs more than...

12. So angry right now. Warning: Extremely long

    adria37 replied to HappyPediRN's topic in Patient, Colleague Relations

    I am so sorry you are going through this. I know it is extremely frustrating. You need and your father needs, to be at a place you guys are comfortable with the level of care he is receiving. I am...

13. ACUTE MI -PT/INR results! I need explanation!

    adria37 replied to curious4life's topic in Cardiac

    I don't believe a protime is not measured in seconds either

14. ACUTE MI -PT/INR results! I need explanation!

    adria37 replied to curious4life's topic in Cardiac

    That has to be a mistake IMHO to have a PT of .06 and INR of 1.8 INR = PT- test/PT-normal Normal is roughly 1 and blood that takes twice as long to clot than "normal" would be 2. I would...

15. do you ever just wanna yell..."Would you SHUT UP already???"

    adria37 replied to coltsgrl's topic in General Students

    First, this kind of behavior towards a fellow nurse/human being is what drove me to become a NP. Snarky behavior is not becoming. And Coltsgrl I bet the very ones protesting the loudest were the...