adria37

adria37

Emergency, Outpatient

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All Content by adria37

  1. My pt died, lab results question?

    adria37 replied to BinkieRN's topic in General Nursing

    it is commonly found in elderly patients. http://www.emedicine.com/med/topic370.htm Here is an eMed

  2. My pt died, lab results question?

    adria37 replied to BinkieRN's topic in General Nursing

    Chronic lymphocytic

  3. My pt died, lab results question?

    adria37 replied to BinkieRN's topic in General Nursing

    How bad was her anemia? That could have been more stress than her heart could take. O2 sats are not accurate with anemic patients either. Look at her CBC again, I bet her differential is all out the...

  4. My pt died, lab results question?

    adria37 replied to BinkieRN's topic in General Nursing

    It sounds like to me she had CLL. That would explain her high white count, anemia, and even sepsis, because the immune system functions poorly with this. I am sorry you lost a

  5. APN Radiology Worksheet

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

    I have used this site and spent several days with the radiologist. My collaborating MD also helps me with scans and xrays.

  6. California Nurse Practitioners Practice Protocol?

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

    It sounds like what they are asking for is something similar to what we have in NC called a collaborative practice agreement. In NC it is the guidelines developed between the NP and the collaborating...

  7. What is NS NOT compatible with?

    adria37 replied to 2blessed2Bstressed's topic in General Nursing

    Oxaliplatin is not compatible with NS it must be mixed in

  8. Question: What are the most important qualities a nurses can possess?

    adria37 replied to Bibagirl's topic in General Nursing

    Assertiveness without aggressiveness Honesty and the ability to keep confidences Good health- mental, spiritual and physical and :) A good pair of running shoes and a large

  9. Waldenstrom's Disease

    adria37 replied to kathjo's topic in Oncology

    I have a couple (3 I believe in the practice) of patients with this. It characterized by an abnormal group of plasma cells that produce the paraprotein, IgM. It can transform into a high grade...

  10. Suggested Research

    adria37 replied to brazuca's topic in General Nursing

    I would like to see this also but if you really wanted to complete this research it would be very difficult due to obtaining inter-rater reliability. I bet my bladder is as big as a

  11. Epogen SC administration

    adria37 replied to Lacie's topic in Dialysis, Renal, Urology

    We have been hit hard by Medicare reimbursement on epogen. We have strict guidelines that it can not be initiated until the hgb is below 10 and can only be given for 4 weeks if there isn't a rise the...

  12. Epogen SC administration

    adria37 replied to Lacie's topic in Dialysis, Renal, Urology

    I work in oncology and at my clinic we always have given epogen subq. 40,000 units to 60,000 units weekly is the dose which is 1 to 1.5 ml's. We give it in the upper arm or

  13. Ethics: Does it bother you when people are in nursing to make money?

    adria37 replied to CaLLaCoDe's topic in General Nursing

    I work for pay. I think the nursing profession has been its own worst enemy and kept pay low compared to the amount of work and responsibility demanded from them. Think about it, money is important to...

  14. Sound Off! Your program + clinical pearl

    adria37 replied to SteveNNP's topic in Post Graduate Students

    I am in a FNP program with classroom and web classes too. I am doing a post Master's. I have already have a MSN with a focus in education. I learned teaching would not pay the bills. I will be...

  15. This just infuriates me!

    adria37 replied to StressedOutNurse85's topic in General Nursing

    Where I worked before everyone worked 4 hours either Christmas or Christmas Eve no vacations were allowed. The same was done for the other holidays that way with just 4 hours people could still...

  16. Removing an IV Dressing without pain???

    adria37 replied to RN CRNI's topic in Infusion, Intravenous

    I know this one, a 3m rep told me how :) You put your finger on the top of the dressing and pull it to the side it releases and doesn't even pull out

  17. What causes S3 and S4?

    adria37 replied to Jedi of Zen's topic in Nursing Student Assistance

    Try here :-) for a simplified explaination http://www.chfpatients.com/faq/s3s4.htm S1 The first heart sound - S1 - is in time with the pulse in your carotid artery in your neck. The sound of the...

  18. tumor odor

    adria37 replied to Sailingshoes's topic in Oncology

    I have used oil of peppermint with a cotton ball pulled into a wick as a

  19. Hanging Chemo

    adria37 replied to arms's topic in Oncology

    At our clinic the nurse can start chemotherapy on a patient with an ANC of 1500 without contacting the physician, lower than 1500 ANC or plt count below 100 we

  20. Study finds decline in nursing faculty primary barrier to nursing program expansion

    adria37 replied to VickyRN's topic in North Carolina Nursing

    I will say it again, it is not the lack of qualified nurses to teach, it is the lack of funds to pay these nurses. I finished a MSN with a focus in education in 2005 and the pay cut to teach was...

  21. is trastuzumab still so expensive?

    adria37 replied to GingerSue's topic in General Nursing

    It is roughly about 50k for a years worth of drug. Tykerb the new oral biological is roughly 29k per year

  22. Leukoplakia

    adria37 replied to Kim O'Therapy's topic in Oncology

    oops here is the actual link if you are interested.

  23. Help me brainstorm, swollen hands on pt.

    adria37 replied to lovesmarissa's topic in General Nursing

    Hmmm does she have any cough, facial edema, or jvd? I am thinking about superior vena cava syndrome. Looking for those zebras

  24. Leukoplakia

    adria37 replied to Kim O'Therapy's topic in Oncology

    Sorry my initial response to your post was deleted due to a lack of citing a source. I was not back online in time to add it. Source: uptodate: oral lesions leukoplakia "Oral leukoplakia is a...

  25. Do you call your physicians by their first name?

    adria37 replied to I<3H2O's topic in Medical-Surgical

    By their first names I work at an oncology