adria37

adria37

Emergency, Outpatient

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All Content by adria37

  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. Geez! Just spent over 1100.00

    adria37 posted a topic in Nurse Practitioners, NP

    :angryfire: Did everyone else have to buy all this equipment for class? I just spent over 1100.00 on a Littman stethoscope (Cardiology III), otoscope and accessories (650.00), tuning forks, b/p cuff...

  3. 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

  4. 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,...

  5. 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...

  6. 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...

  7. 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

  8. 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...

  9. 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....

  10. 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...

  11. 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

  12. 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...

  13. 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...

  14. 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

  15. 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...

  16. 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...

  17. ANCC and AANP

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

    I had one drug question that I can remember on the ANCC exam. The lab questions were simple to me with obvious out of norms. I guess everyone is different but I really believe I could have passed the...

  18. subscribing to Up to Date?

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

    I have it and love it. I bought a subscription as a student then when I started practicing my workplace paid my subscription. I especially like the CEU's I have 45 hours already this year just in...

  19. ANCC and AANP

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

    I took both of them for FNP and in my experience the AANP exam was much more difficult that the ANCC

  20. ACNP Test

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

    I took the ANCC exam for FNP on 6/21 and still have not received a certificate from them. I am not upset because I took the AANP exam and have already received that one, maybe I should call them

  21. Anyone work with LPNs

    adria37 replied to scma's topic in Oncology

    We have LPN's in our oncology office. They work the phones, schedules, paperwork, drug approvals, do the doctor's schedule, we could not make it without

  22. Do you feel resentment when a pt. refuses to be seen by you?

    adria37 replied to Jo Dirt's topic in Nurse Practitioners, NP

    No not at all, it is their loss :) but so far I have had positive responses from patient's. I think it is because NP's in general are not as

  23. Huge IV med error!

    adria37 replied to MommaNurse08's topic in Patient Safety Issues

    I have researched this extensively because it happened to a friend of mine. The risk is the patient may develop phlebitis, it is the reason it is not given IV. The person my friend did this to was...

  24. I made my appt for the FNP exam

    adria37 replied to johnson0424's topic in Nurse Practitioners, NP

    I just took the AANP FNP exam and passed. I really don't think there is a way to study for this because the questions are high level and scenario. I didn't think it was that hard. Good

  25. My pt died, lab results question?

    adria37 replied to BinkieRN's topic in General Nursing

    Best guess from what you posted if I were having to do a differential diagnosis on a quiz 85 y/o MI probably secondary to severe anemia probably secondary to