blondy2061h

blondy2061h MSN, RN

Oncology

Member

All Content by blondy2061h

  1. colleague does not want to take day off

    Very
  2. colleague does not want to take day off

    I wish that were me. Maybe if I could tolerate my cpap I'd be in better
  3. You are NOT allergic to...

    On some of the message boards I participate in, there's a lot of members that have survived cardiac arrests- often related to very benign things. I had no idea cardiac arrests had such good survival...
  4. Would you wait for Dr orders?

    Yeah, why would you give meds without an order when you had a rapid response team on the way? Only thing I would do in the meantime is increase oxygen, place on cardiac monitor if available, get IV...
  5. GI Surgery Step Down for Clinical

    I would think liver enzymes would be good to review, along with solid abdominal assessment skills. What should the liver border feel like? What does splenomegaly feel like? What do normal bowel...
  6. You are NOT allergic to...

    Except, looking at third party opinions of this test- it's not a well validated test because AGA-IgG testing isn't specific for gluten sensitivity - another nail in NCGS's coffin. Turns out lots of...
  7. You are NOT allergic to...

    I hate reglan, too. Never again. We're really not disagreeing on the insulin issue. I'm saying you can't be allergic to insulin itself, but can be allergic to components in the commercial insulin...
  8. You are NOT allergic to...

    And IV steroids are very commonly used to treat respiratory ailments- which could explain the hyoxia. Being on steroids and being in the hospital are both risk factors for PE as well. Obviously I...
  9. You are NOT allergic to...

    I do know what I'm talking about. I don't doubt your symptoms, and of eliminating gluten has helped- glad to hear it. But the evidence just isn't on your side on the non-celiac, gluten intolerance...
  10. You are NOT allergic to...

    Gluten allergies are really just trendy. I don't think actual allergies to gluten have increased, but I know awareness of celiac has. I think the percentage of people following gluten free diets that...
  11. You are NOT allergic to...

    Yep
  12. You are NOT allergic to...

    We had a patient once who developed angioedema at home in the early morning hours. Rather than calling 911 or even going to an ER, he drove himself to the outpatient clinic at my hospital. My hospital...
  13. If you have time to think about which direction you're going to faint, you have time to sit
  14. You are NOT allergic to...

    I'm If you read the article, the four cause studies they present, three of them were resolved by switching to a different type of insulin and adding antihistamines (in addition to immunotherapy)....
  15. You are NOT allergic to...

    Adverse effects that aren't allergies can be serious too. I have Aspirin sensitive asthma, and can't have any aspirin or NSAID products, as they tend to send me into life threatening asthma attacks....
  16. You are NOT allergic to...

    Not for pain, but we still give it to our septic, rigoring
  17. You are NOT allergic to...

    Lasix allergy is actually not all that uncommon, since there is some cross reactivity with that and sulfa, and sulfa allergies are pretty common. We used to never give lasix to our sulfa allergic...
  18. You are NOT allergic to...

    Saying you get a rash will likely be taken seriously as an allergy by any health care provider. Those aren't the types of reactions people are writing off. And a patient having a preference when...
  19. You are NOT allergic to...

    But you really CAN'T be allergic to insulin itself. It's a naturally made hormone that's in your body RIGHT NOW or you'd be dead. You can absolutely be allergic to components of the man made insulin,...
  20. You are NOT allergic to...

    Our EMR lets your enter things as either "allergies" or "intolerances." I love this. The only people that ever enter an intolerance, though, are the pharmacists. The nurses are entering that codeine...
  21. I've never had personal malpractice insurance before, but some pretty scary things have been happening at work lately, and I'm thinking now I want to get it. I never considered this potential issue,...
  22. Why is insulin drawn clear to cloudy?

    I have mixed insulin exactly never in my career. Is this still a common practice
  23. Red Man's syndrome is not an allergy in the truest sense of the word (not histamine mediated). Slowing down the infusion is usually sufficient
  24. Off duty RN scope of practice on an airplane.

    A patient is considered a full code until proven otherwise. A suicide attempt negates a DNR in most
  25. "How are we doing today?"

    I remember taking care of a critically ill patient one time, who was a frequent flier on our unit. Chronically ill, progressively more frequent admissions where he came in progressively more ill, with...