roses1130j

roses1130j

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All Content by roses1130j

  1. Hyperkalemia and order of meds

    I just read you should give insulin then glucose. Insulin transports K across the cell wall...then glucose is given to prevent hypoglycemia 2ndary to insulin. The dextrose will decrease the action of...
  2. Would you marry a Doctor?

    As a somewhat new nurse, 2 years in, I had the passing thoughts...Oooo a Dr., but at this point in the game I realize, they are not "powerful" or "rich" (well richer then I am but after 12+ yrs of...
  3. ICU hold in ED, baffeled

    ER RN here, I had an ICU pt who became a HOLD-over in the ED this AM. His only history was throat cancer with tumor removal surgery and hx of pneumonia. He came in to ED presenting like a pt who was...
  4. Hyperkalemia and order of meds

    Ok so I just doubled checked this with the rx'ing dr. the other day and basically was told this: Calcium is given for cardiac disturbance or risk of ventricular dysrhythmias represented by a prolonged...
  5. Just last night I had a pt brought in by the police for SI via Facebook. An acquaintance of the pt was surfing his Facebook and saw a suicide note post. The pt said it was his girlfriend whom made the...
  6. best CEN review

    ...me to! The review with Jeff Solheim was excellent. I am using the review book provided, the Pockel Pal books from Jeff Solheim and my A & P book from Nsg. School. I think I need an additional...
  7. Measuring Weight/height in ED routinely

    My ED also always obtains a weight on infants and children under age of 12. In triage, it's important to critically think ahead what may be in store for the patient. If its an obese 60 year old women...
  8. I work in the ED. I had a pt last night whom developed a fever 3 days after realizing her PD catheter cap was off for a day. I have had no experience with PD cath's until now and felt incompetent with...
  9. Reglan and Compazine IV push policies?

    I push Reglan and hang Compazine in a 50cc bag of ns. I push every med slow slow, over 2 minutes. Unless it's a code situation or adenosine. I have never had an incident of reaction of restlessness...
  10. Take the IV out... yourself.

    All I know is I work in an ED, and some of my patients take out their own IV's all the time. It is usually a person who is either a "seeker" or someone who is of poor health, in and out of the...
  11. RN Grad starting fresh in the ED!

    I passed my NCLEX a month ago and was recently was hired in an ED. I inquired during my interview how and why this job would be offered to a new grad and the manager explained that the hospitals ED is...
  12. heparin and cardizem thru the same line?

    Yeah! Pharmacy never fails. I just found out they are compatable. But of course make sure to stop the drip of either between
  13. International Nurse (French)

    Hi, My name is Rose, a nurse in New Jersey.I was just curious if you ever got your visa straightened out and were hired without too much turmoil involved? I actually have been thinking about nursing...
  14. Public Service Announcement

    shuu girrl let it outtt... but you know on the good days you love what you do...or you would have long moved on...and you know that even though you might not hear it from patients much as they watch...
  15. The Trauma after the Trauma

    Wow Trauma is surreally scarey. I watched that show True Life in the ER on Discovery Health last night and let me tell you...You Trauma RN and Doc's amaze me! Of course on the show they show mostly...
  16. 24 Things ER Nurses Know All Too Well

    I'm a new new ED nurse fresh out of school. I have only worked 4 months thus far and have already seen some of the instances you named here many times. I know we are EMERGENCY nurses and like to see...
  17. RN Grad starting fresh in the ED!

    Wow thankyou everyone, all of your advice was excellent! I start tomorrow, and feel more confident now I'm going to ASK ASK ASK and ASK some more. And if I don't know how to do something or don't...
  18. Ok so I went to take my test, what was it two weeks ago? I did something very stupid. Totally oblivious, ready to go, so ready the night before I was in cold sweats but when I woke up the morning of I...