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silverhalide

silverhalide

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LPN student

silverhalide's Latest Activity

  1. silverhalide

    When do you give long & short lasting insulin?

    that's what I thought, but I hear it also being used as a general corrective insulin outside of mealtimes. A bit confusing. It would also be held if the individual does not want to eat correct? (Humalog)
  2. silverhalide

    When do you give long & short lasting insulin?

    I have a question regarding this as well. Is Humalog also used as a corrective insulin (based on BS) at bedtime along with Lantus?
  3. silverhalide

    DVT Edema

    Does DVT usually present with non pitting edema or pitting? Or both? Besides DVT, cellulitis or injury what are some other causes of unilateral leg/calf swelling? Swelling from CHF or kidney issues, usually present with bilateral swelling correct?
  4. silverhalide

    Who can administer medications in Michigan?

    I have a question regarding this whole issue. I find it so strange. I work for a well known non profit for the developmentally disabled/mentally ill. Just started as a LPN Shift Supervisor. I don't pass any of the meds, the MA's or floor staff do. I don't understand this at all. Why would it be set up this way? Not exactly sure what my job responsibilities will be entirely.
  5. silverhalide

    obtaining UA/C&S in LTC

    Have a question with this -- when straight cathing to obtain the urine sample, is it recommended to have the cath go directly into the urine specimen cup or is it ok for it to still go into the sterile tray and then into the urine specimen cup?
  6. silverhalide

    reading a tb skin test

    I am confused about TB readings. Does the induration have to be a visible lump under the skin, or under? I have felt tests with no visible lump on top of the skin, but there has been a small amount of hardness beneath.
  7. silverhalide

    Confused....

    So.. does anemia cause low BP? And if so, why?? because of decreased fluid volume? (low HGB)
  8. silverhalide

    stroke in LTC

    I have a question about this as well -- with a possible stroke would you see handgrips weak bilaterally or usually one side weaker than the other? Or possibly both? (all the more reason to know pt's baseline.)
  9. silverhalide

    Oral hypoglycemics Confusion

    have a question -- need advice -- some of the diabetic stuff is still really confusing. I had a patient last night, was sent out to the hospital at 3:30 -- is on Metformin and Glipizide which he was to get at 4:30/5 before dinner. His meds were not sent with him and he did not get the metformin or glipizide. He was back at around 7:30 -- he did not eat dinner. I tested his BS and it was 112. Spoke to my supervisor and he said not to give him the metformin/glipizide, worried about him bottoming out. He was eating ice cream. I agreed, seeing he didn't eat that much, but I also didn't feel like his sugar was that low, plus he was having a snack -- or it warranted a call to the doc. (and he was supposed to get the meds at 5) Advice?
  10. silverhalide

    Oral diabetic Drugs

    That's what I thought as well --
  11. silverhalide

    Oral diabetic Drugs

    I have a question -- need advice -- some of the diabetic stuff is still really confusing. I had a patient last night, was sent out to the hospital at 3:30 -- is on Metformin and Glipizide which he was to get at 4:30/5 before dinner. His meds were not sent with him and he did not get the metformin or glipizide. He was back at around 7:30 -- he did not eat dinner. I tested his BS and it was 112. Spoke to my supervisor and he said not to give him the metformin/glipizide, worried about him bottoming out. He was eating ice cream. I agreed, seeing he didn't eat that much, but I also didn't feel like his sugar was that low, plus he was having a snack -- or it warranted a call to the doc. (and he was supposed to get the meds at 5) Advice?
  12. silverhalide

    Vitals during an MI

    I have yet to get a clear answer on this or maybe there isn't one. What generally happens to BP and Pulse during a Heart Attack? I have heard that the BP may increase or decrease, but is it generally one more than the other? it sort of depends on the physiology and cause. Is there a general rule of thumb though? Thanks!
  13. Hello! I have an interview for a posiiton with Turning Point through Salvation Army in their substance abuse/detox program. I am very excited as community health is something that I am very much interested in. I have previous experience in Assisted Living/Dementia. Any advice for the interview? What are some of the main duities of a detox/SubAbuse Nurse? Kelly :)
  14. Hello! I am interested in the possibility of obtaining my RN in Canada (Toronto) Do univeristies like Ryerson accept international students for this purpose? Can anyone point me in the right direction? Thanks!
  15. Has anyone found any definite information on this topic? I am a LPN in the states and looking to get my RN/BSN/or the equiv of direct entry MSN. Is it possible to do this in the UK as an international student?
  16. silverhalide

    Nafta

    I am confused about this: I am a LPN interested in possibly moving to Canada. Are LPN's able to get a NAFTA visa? What are the steps in doing this?