kevro1013

kevro1013

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All Content by kevro1013

  1. Learning thread (ER medicine)

    kevro1013 replied to TraumaInTheSlot's topic in Emergency

    We had a pt come in in status asthmaticus tonight. After her her hour long nebs and solumedrol ivp, she wasnt much better (RR=32 sat93% on RA). The ER MD ordered Mag sulfate 2 grams iv over 30...

  2. Learning thread (ER medicine)

    kevro1013 replied to TraumaInTheSlot's topic in Emergency

  3. Learning thread (ER medicine)

    kevro1013 replied to TraumaInTheSlot's topic in Emergency

    Great thread! Here is one I had last week. Pt pressents with abd pain and htn (BP 230/120). Non-contrast Ct abd and pelvis shows non-disecting AAA. MD orders nipride to titrate for BP >160/90....

  4. Funniest injury you have ever seen.....

    kevro1013 replied to MrsWampthang's topic in Emergency

    I once took care of a guy who accidently shot himself in the right upper leg with a .25 pistol. He was in Babies 'R' Us buying his newborn grandson a corificeat. When he reached into his pocket to...

  5. What not to say / do while you are in the ER...

    kevro1013 replied to ER-RN2's topic in Emergency

    If you attempt suicide by taking 200 assorted pills in front of your parole officer and you are brought to the ed to get lavaged, the sorbitol in the charcoal might give you explosive diarrhea. If...

  6. fentanyl use in the ED

    kevro1013 posted a topic in Emergency

    Anyone else use fentanyl in the ED for acute pain? We currently use it for most cons. sedations (with versed). We have a Doc that orders it a lot for acute pain with an order like: Fent. 50-100mcg iv...

  7. GETTING WRITTEN UP: What is the most ridiculous thing you have been written up for?

    kevro1013 replied to greeneggsnham's topic in General Nursing

    A nurse in our ER got written up by an ICU nurse because she did not weigh a pt before starting them on heparin. The pt was having an acute MI! The pt guestimated his weight @ 95kg, when they weighed...

  8. What is Aorta Dissection?

    kevro1013 replied to kwagner_51's topic in CCU, Coronary, Cardiac

    Actually, Bilateral BPs are a good idea when assessing for a AAA, greater than 20mm hg difference can be a significant

  9. Lingo

    kevro1013 replied to JACALA_CL's topic in Emergency

    Heard the MD tonight order Dopamine as "no hopeamine" (I guess he didnt want to "leave em dead" with

  10. All of you that do epidurals, do women ever have Orgasms?

    kevro1013 replied to Roland's topic in Certified Registered Nurse Anesthetist, CRNA

    WOW! Really puts a new twist on pushing someone's

  11. Taking NCLEX

    kevro1013 replied to pmanrnbflo's topic in General Nursing

    You have been preparing to take the nclex since you took your first nursing exam in school (thats what instructors try to model questions after). I agree with the above posts; if you have been...

  12. Personalities of an ER Nurse

    kevro1013 replied to harry Krishna's topic in Emergency

    Great post! I must be a combo tool belt/joker (striving to be a good guy) would like to add: "The grass is greener nurse"- Sometimes an agency nurse sometimes not, always has a negative comment about...

  13. Need ER nurse feedback

    kevro1013 replied to gomernurse's topic in Emergency

    It sounds like your facility is already ahead of the game! I must say though one of the most challenging type of pt in the ER from LTC is a chief complaint of altered mental status with no base line...

  14. Things Patients Have Taught Me NOT To Do

    kevro1013 replied to Trixxy's topic in Nursing Humor

    Do not take left over medications out of the sharps boxes and mix them together and shoot them up in the employee bathroom of the ER you happen to work in. SOME of those medications MIGHT contain...

  15. What's your craziest story of the ER

    kevro1013 replied to debo_lpnER's topic in Emergency

    -This would categorize as one of the sickest things I've ever seen. This IV drug user had been shooting in the dorsal vein of his member (I'm not kidding). It had abcessed and swollen almost to the...

  16. 10/10 pain..venting!

    kevro1013 replied to NYCRN16's topic in Emergency

    In our ED a nurse that had been an ED nurse for 45 years used to say 0 is no pain 10 is acid in your

  17. EMS-what's their problem?

    kevro1013 replied to sleep deprived's topic in General Nursing

    DNAR=do not attempt resuscitation; if the pt has a decline in condition do they not deserve medical treatment? DNR means not to "code" them- Withdrawling medical care totally from someone to let them...

  18. HIPAA Violation?

    kevro1013 replied to moni rn's topic in Emergency

    This is a very sensitve issue. Just my two measly cents. Did the Physician discuss these aspects of your care to you as well or only to your father in private? I understand you were in a great deal...

  19. Flu epidemic?

    kevro1013 replied to marcicatherine's topic in Emergency

    We have had many flooding our ED with "Flu" like symptoms: fever, cough, chills etc.. Many do not even take tylenol/advil at home for the fever-they just come in and c/o fever. I am trying to take...

  20. Lingo

    kevro1013 replied to JACALA_CL's topic in Emergency

    FTD= fixing to die Microdeckia=not playing with a full deck Chartomegaly=chart so big it can't fit in the tube PID=pus in 'dere OB/GYN=oh boy-got ya naked! (by the way I love the cbt=chronic biscuit...

  21. "Bad" rooms on a floor

    kevro1013 replied to Ariko's topic in General Nursing

    In the facility where I work, NONE of the 4 units have a room 13. (12 then 14) However I work in the ED where in room 13 I had a spell over one month where we put in 4 ventriculostomies! (we maybe see...

  22. emtala question

    kevro1013 replied to Uptoherern's topic in Emergency

    Emtala requires that a pt receive a medical screening exam and receive appropriate treatment to be stabilized and rule out any emergency situation. Since the pt was discharged by the MD, the report...

  23. Crowd Control

    kevro1013 replied to NurseJacqui's topic in Emergency

    Ditto to scis, also sounds like your triage area needs another RN- I know it gets harry out there- sounds like you need a break from triage- I know I do once in a

  24. patient lingo...

    kevro1013 replied to athomas91's topic in Emergency

    I had a sweet lol (little old lady) once who had a pca pump and she kept dropping her administration button. When I went in to find it for her she said Where is my "SPICER UPPER"? Right here tied to...

  25. The end of my blog.

    kevro1013 replied to nilepoc's topic in Certified Registered Nurse Anesthetist, CRNA

    Craig, Thanks for all of your insights, they have been entertaining, informative and inspiring. You are like that upperclassman in Nursing school who always told you what it will be like "next...