blondy2061h

blondy2061h MSN, RN

Oncology

Member

All Content by blondy2061h

  1. Med/Surg too much, what now?

    blondy2061h replied to snow22's topic in General Nursing

    I thought Florida had mandated

  2. What would you do in this situation? (If you know it all ;) )

    blondy2061h replied to Emergent's topic in Emergency

    Can you please share what drew you to share this case? This sounds like an everyday occurrence got ER nurses. Was there something unique about this

  3. Noncompliant diabetic patients

    blondy2061h replied to ThePrincessBride's topic in General Nursing

    Yeah, can't say I disagree with you there in the graham cracker record issue. We're not able to order trays for our patients with an active NPO order, even if they're planning to rescind it after the...

  4. Noncompliant diabetic patients

    blondy2061h replied to ThePrincessBride's topic in General Nursing

    Our meal service ends at 6:30pm. We have patients all the time that are kept NPO all day, finally taken for their scope or whatnot at 3:30pm, and come back to the unit at 7pm. We'll also have patients...

  5. Noncompliant diabetic patients

    blondy2061h replied to ThePrincessBride's topic in General Nursing

    That store easily with no refrigeration needed, require minimal prep work to serve, and can be eaten with a plastic spoon at

  6. You should know better

    blondy2061h replied to adventure_rn's topic in General Nursing

    I can easily down a pint of Ben and Jerry's in one sitting and can't remember the last time I saw a

  7. What would you do in this situation? (If you know it all ;) )

    blondy2061h replied to Emergent's topic in Emergency

    I'm really confused why we've had 100 posts on a patient with CHF that needed lasix. Was there anything unique or interesting about this particular case that prompted you to start this

  8. WELL, WOULD YOU???

    blondy2061h replied to nurse2211's topic in General Nursing

    NFW

  9. Another Case Study For Your Learning Pleasure

    blondy2061h posted a topic in General Nursing

    Patient is a 21 year old female in junior year of college. She has no chronic medical conditions and takes no medications on a regular basis. Her only surgical history is tonsillectomy as a toddler....

  10. Case study - what would you do?

    blondy2061h replied to Lev's topic in General Nursing

  11. Case study - what would you do?

    blondy2061h replied to Lev's topic in General Nursing

    Right, my comment that it wasn't a choice was more along the lines of it wasn't a choice if he wanted his issues addressed in a meaningful way. I can almost understand refusing a cath. But refusing a...

  12. Another Case Study For Your Learning Pleasure

    blondy2061h replied to blondy2061h's topic in General Nursing

    Ding ding ding. As soon as these results came in, she was admitted to the heme/onc service. Leukophoresis was preformed and PRBC and platelet transfusions were given. A bone marrow biopsy was then...

  13. Case study - what would you do?

    blondy2061h replied to Lev's topic in General Nursing

    Obviously if he is capable of refusing treatment (which is questionable since his family says he's acting odd- with just the details provided here, hard to say how meaningful that is), he can refuse...

  14. Case study - what would you do?

    blondy2061h replied to Lev's topic in General Nursing

    He needs an EKG, line placed (sorry dude, not optional), labs drawn, ntg, ASA if no contraindications, and yes, morphine if no relief with the ntg. With an O2 sat of 99% the 15 lpm of O2 is not doing...

  15. Another Case Study For Your Learning Pleasure

    blondy2061h replied to blondy2061h's topic in General Nursing

    Good thought. I actually saw this patient years ago and she was 21 at that

  16. Another Case Study For Your Learning Pleasure

    blondy2061h replied to blondy2061h's topic in General Nursing

    Nicely

  17. Another Case Study For Your Learning Pleasure

    blondy2061h replied to blondy2061h's topic in General Nursing

    Okay, blood work. CBC: WBC 170,000 Hgb 7.2 Hct 22 Plt 8 Peripheral Blasts 83% PT/INR 15/1.5 APTT 40 Fibrinogen 4 CMP Na 134 Albumin 4.1 BUN 10 Creat 0.9 Glucose 82 Protein 6.2 Calcium 7.9 Bili 0.9...

  18. Scripting sounds patronizing

    blondy2061h replied to Emergent's topic in General Nursing

    If you hear the words "That must have been hard for you" come out of my mouth, you are either the rare person that has succeeded at shocking me and I'm trying to pick my jaw up off the floor, or I...

  19. Another Case Study For Your Learning Pleasure

    blondy2061h replied to blondy2061h's topic in General Nursing

    Patient was referred to see derm. Thankfully, they had a cancellation and were able to get her in the next day. There a total skin exam was done. The lesions on her face and arms were there as...

  20. What would you do in this situation? (If you know it all ;) )

    blondy2061h replied to Emergent's topic in Emergency

    Bedside

  21. Another Case Study For Your Learning Pleasure

    blondy2061h replied to blondy2061h's topic in General Nursing

    Excellent thoughts so far everyone! I will warn you that this turned out to be far from a typical case, which is of course, why it's interesting to share. So our patient was started on oral...

  22. Another Case Study For Your Learning Pleasure

    blondy2061h replied to blondy2061h's topic in General Nursing

    Yes, sorry. Realistically, we have quite a range of sizes here from 1mm to 1 cm when including surrounding erythema and considering that some are multiple individual lesions

  23. What would you do in this situation? (If you know it all ;) )

    blondy2061h replied to Emergent's topic in Emergency

    Still might be. We haven't gotten much info yet. Clearly there's a reason he wanted to share this

  24. Getting back in the swing of things

    blondy2061h replied to Jules A's topic in General Nursing

    How long have you been a nurse? These transitions have gotten easier for me with

  25. What would you do in this situation? (If you know it all ;) )

    blondy2061h replied to Emergent's topic in Emergency

    Not to sound like NoADL's for a second here, but tell me RN's aren't off fetching commodes when there are unstable and potentially unstable patients to be