Dave ARNP

Dave ARNP

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All Content by Dave ARNP

  1. Blood in urine...

    Dave ARNP replied to Cryssi's topic in General Nursing

    Definately need to be seen by a provider. Too many things this could be, for us to go dx'ing on a BB. While blood in the urine can be a natural occurance in women (some men actually) a through...

  2. My patient scared the hell out of me!!

    Dave ARNP replied to warrior woman's topic in General Nursing

    You get the award for handleing stress under pressure! BTW: GREAT SKILLS! If I mentioned that a patient needed to be "vented" in the way that you're speaking of... Well, someone would be expecting me...

  3. Would you want to be a patient in your hospital?

    Dave ARNP replied to Cryssi's topic in General Nursing

    Most definately I would. I also HAVE been!

  4. Ultram cost me my new dream job

    Dave ARNP replied to KELLYGIRL's topic in General Nursing

    Ultram is a synthetic opioid. Plain and simple. There was talk at one point at making it a controlled subtance. IMHO, Ultam has SERIOUS potential for abuse. I monitor its useage, just like I would...

  5. Things Med students/residents have taught me

    Dave ARNP replied to harry Krishna's topic in General Nursing

    On the topic of defibing.... When a resident is trying to run a code and place a line... then gets the bright idea to shock while suturing that line in place. GO AHEAD AND DO IT :) He IS the doctor,...

  6. Obesity

    Dave ARNP replied to Redial's topic in General Nursing

    How about a little compassion and encouragment to loose weight? Dave, who's got his flame retardent suit on for the flaming his remark will

  7. I was stumped

    Dave ARNP replied to sharann's topic in Pain Management

    In treating someone who is actively using, you have to take a dual approach. First, medications that are not opioids and then use proper titration of opioids. IV Toradol would be your first line...

  8. Effexor side effects/withdrawl

    Dave ARNP replied to Sandy Schultz's topic in General Nursing

    I write more Effexor than ANY other SSRI. I love it. I also take it myself. NOT that this is medical advice, and by no means do I want you to go and do it w/o talking with your clinician... BUT... I...

  9. Effexor side effects/withdrawl

    Dave ARNP replied to Sandy Schultz's topic in General Nursing

    Firstly, Effexor withdrawls are the WORST! If you're planning on switching to another SSRI, there is really no need to stop the Effexor before going to another. I tell people to hold it for 2 days,...

  10. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    Two points, Sleep? Its been a couple of weeks. So yea, I'm a little cranky. Secondly, (ya'll get ready for this one). I will AGREE with Doglover that a suggestion of a trip to the doc's office...

  11. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    I do apologize if I've offended anyone here. You just don't hop onto our board and then begin to assult nurses, when the group gathered here is among the finest in the world. As is noted, your point...

  12. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    Erm, because nurses are all tied up trying to cram their many years of education and expeirence into twenty minutes when explain WHY we can't do this or that... TO YOU. Dave, who's eyes are about to...

  13. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    ::pages security:: ::calls psyc::, as it is facility policy to get a consult before bring out the 4-points.

  14. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    And when you (look at me throwing in a WHEN, I mean IF) you become a triage nurse and you have pt. w/a MI (obesee, and a cocaine addict) and a vet comes in with a hangnail... and you triage that vet...

  15. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    Yes, everyone who's having to read this CRAP please fill out the pain assessment survery and return it to one of the RN's who is circulating the room. I've already given an order for saline locks, and...

  16. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    Cheerful, You are my hero of the thread. IF, you just made that remark and kept a straight face. :D

  17. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    Paging any moderator to this thread STAT. Moderator to THIS THREAD STAT! Hi, this is David, I'm the NP in the thread. We have a patient in here who I'd like to have evaluated by a MOD. Presenting...

  18. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    You win the AWARD! For most words typed w/o making a single point. Seriously, did you just suggest that violence in the ED is justified if people don't get their way? Sorry, but that's not a remark...

  19. Patients Waiting for Pain & Nausea Meds

    Dave ARNP replied to Doglover's topic in General Nursing

    If I were guess, this "person" is SDN, PRE-MED. Wouldn't bet on them sticking around long. With this sort of behavior their chances of having a career in medicine is very unlikely. I would...

  20. Uncharitable Care: How Hospitals Are Gouging and Even Arresting the Uninsured

    Dave ARNP replied to pickledpepperRN's topic in Activism, Healthcare

    Ever had problems with the hospital YOU work at? I did. My Nurse Practitioner order a CHX after I had c/o congestion and cough for over a week. Simple enough, right? Went to the hospital, had it...

  21. What is your policy for scheduling inductions?

    Dave ARNP replied to tamrnmomof4's topic in Ob/Gyn

    How do your doc's react when you tell them that they can't schedule a procedure? At one of the largest heart hospitals in the state, nursing was turning down alot of the cardiac doc's procedures as...

  22. In a pickle...

    Dave ARNP replied to jadednurse's topic in Pain Management

    I humbly bow to your awesomeness GREAT POST!

  23. Oh, my aching head!

    Dave ARNP replied to fab4fan's topic in Pain Management

    I had the same question Fab and broached it to our staff neurologist. He said that by cutting down on the intensity of the migraines, it could (in some cases) cut down on the frequency. You're not...

  24. Oh, my aching head!

    Dave ARNP replied to fab4fan's topic in Pain Management

    Fab, All of the anti-migraine drugs are basically the same. It been my exp. though, that Relpax is a little bit stronger than the others. Had a chronic migrainer that was migraining 3-4x a week. Was...

  25. Fibromyalgia

    Dave ARNP replied to Dave ARNP's topic in Pain Management

    Firstly let me both thank you and apologize. Many of you have sent me lengthy e-mails regarding questions you have about Fibro. I really appreciate you holding my opinion high enough to ask it....