Dave ARNP

Dave ARNP

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All Content by Dave ARNP

  1. Sickle Cell Crisis question

    Dave ARNP replied to memphispanda's topic in Medical-Surgical

    200cc/HR of NS is usually my standard order. Demerol 25? Let's just give him a tylenol and sing a happy song!

  2. Is there something comparable to Toradol that can be given IV for pain?

    Dave ARNP replied to bellehill's topic in Pain Management

    Adding some Decadron to the mix? Yea... that's WHY !

  3. Methadone Clinic for Chronic Pain

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

    I write Methadone out the wazoo. It's one of the BEST medications out there for chronic pain.

  4. POLL: Do you think cancer pain is properly managed?

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

    Okay, I really hope you're joking... cause that is sick.

  5. Methadone Clinic for Chronic Pain

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

    Putting a patient in a Methadone clinic implies that you do not beleive their report of pain. Methadone can be safely written in any clinic setting, so long as both the clinician and patient are...

  6. Is there something comparable to Toradol that can be given IV for pain?

    Dave ARNP replied to bellehill's topic in Pain Management

    The neuros I know order it. I'll have to inquire about why one would NOT want to use it in this case. Never had to consult on one of their patients, so I have pretty limited knowledge there.

  7. POLL: Do you think cancer pain is properly managed?

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

    They did this when I was in NP school. I didn't practice it then, I don't practice it now. And getting mommy and daddy addicted to demon drugs? Don't really hear that one as much as "will you give...

  8. Question: HELP! adding Clonidine to BP meds

    Dave ARNP replied to P_RN's topic in General Nursing

    Call his MD. While you're on the phone, get him a referral to a cardiologist. If his BP is staying that high on those meds but responding to Clonodine, he's on the wrong combination of meds. New...

  9. Attention Dave and anyone else interrested

    Dave ARNP replied to angelbear's topic in General Nursing

    I am sooo glad you got things improved. It is obsurd to leave patients in pain during dressing changes. Understand why I want you to work for me? -Dave, clapping

  10. PA-C's on L&D

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

    What can I say? There are THREE people I would trust to deliver my child. My wife (who is going to obviously be busy) Her Ob/Gyn (whos also one of my best friends and the BEST Ob/Gyn I know) The guy...

  11. Is there something comparable to Toradol that can be given IV for pain?

    Dave ARNP replied to bellehill's topic in Pain Management

    My wife gives it to most all of her post-op's. Also, whenever I do a pain consult on a post-op, 95% of the time I order the drug in addition to whatever narcotic I'm giving.

  12. Methadone Clinic for Chronic Pain

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

    Just the thought of sending a chronic pain patient to a clinic where they will be treated among addicts and abusers... MAKES ME SICK.

  13. Is there something comparable to Toradol that can be given IV for pain?

    Dave ARNP replied to bellehill's topic in Pain Management

    The main reason people use an anti-emetic drug in combination with a pain medication IS sedation. I think the practice was originally started because people thought if you nocked them out, they...

  14. What are the BEST and WORST States to practice as an NP?

    Dave ARNP replied to Roland's topic in Nurse Practitioners, NP

    I've never heard anything good about Hawaii. Nevada and Texas I'm pretty clueless on.

  15. Is there something comparable to Toradol that can be given IV for pain?

    Dave ARNP replied to bellehill's topic in Pain Management

    Toradol is hands down the best non-narcotic medication for pain. I wish we could use it on a long term basis.

  16. Very Helpful PAIN Website

    Dave ARNP posted a topic in Pain Management

    please let me take a moment to share my new favorite pain website. www.painedu.org this site contains a wealth of information that will be helpful for anyone who treats pain. the website includes:...

  17. Very Helpful PAIN Website

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

    Oh throw a little one at me whydon'tcha?! I'll see what I can find. I'm sure I have something

  18. Is there something comparable to Toradol that can be given IV for pain?

    Dave ARNP replied to bellehill's topic in Pain Management

    Laws me... I thought there had been enough education done to where EVERYONE knew that Phenergan IS NOT to be used in place of/to supplement ANY pain medication. This goes for Vistaril, Compazine,...

  19. Could an FPNP start an operate a "cash only" walk in...

    Dave ARNP replied to Roland's topic in Nurse Practitioners, NP

    I didn't mean to imply any disrespect. I think your willingness to question will make you one heck of a NP.

  20. Is there something comparable to Toradol that can be given IV for pain?

    Dave ARNP replied to bellehill's topic in Pain Management

    If you can get them on PO, you can supplement with Vioxx. I don't use it post-op, more in chronic pain but Indocin can be a decent supplmenting agent, and is availble in a PR form. Other than...

  21. Why do OB/GYNs not believe pregnant pts??

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

    I think my wife's patients have it easy. She's had two pregnancies from he** and therefore she really understands HOW BAD it can get. Shame what ya have to go through for a miracle!

  22. Humans are hardwired to feel others' pain

    Dave ARNP replied to gwenith's topic in Pain Management

    Good story Gwenith! I just have to wonder. The study used HETROsexual couples. Is there some sort of hidden inferance that HOMOsexual couples don't feel each others pain? Just a thought

  23. PA-C's on L&D

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

    I would say part of it has to do with your hospital, and part of it has to do with the training of your FP docs. Not a whole lot of FP docs learned C-sections in their residency. I'm thinking there...

  24. PA-C's on L&D

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

    Just as FP's do. OB/Gyns just have more expeirence in emergency situations. They let FP docs do c-sections at my hospital, but that scares me too. Do you want a FP doc sectioning you when the uterus...

  25. New Imitrex Formulation!

    Dave ARNP posted a topic in Pain Management

    http://www.docguide.com/news/content.nsf/news/8525697700573E1885256E300058DF21?OpenDocument&c=&count=10&id=tp://www.docguide.com/news/content.nsf/Drugs-Indications?openform New Formulation...