nursepenny

nursepenny

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All Content by nursepenny

  1. Just a quick question concerning hypercalcemia and A-Fib!

    nursepenny replied to nursepenny's topic in CCU, Coronary, Cardiac

    To the best of my knowledge, pt.'s renal status in WNL. In fact this mornings lab draw only her CO2 was elevated @31. Everything else on Basic (BMP) {think this was chem 7 at one time} was normal....

  2. Just a quick question concerning hypercalcemia and A-Fib!

    nursepenny posted a topic in CCU, Coronary, Cardiac

    Hi all, I have a pt w/hypercalcemia and also in A-Fib. I think calcium inhibits or interferes with the sodium/potassium pump. I may be wrong, but i was thinking this may be why she is in A-Fib....

  3. Just a quick question concerning hypercalcemia and A-Fib!

    nursepenny replied to nursepenny's topic in CCU, Coronary, Cardiac

    Thanks for the replies, guys. The pt is an 83 y/o w/f. I am unsure what the calcium level was on admission. She was a direct admit from Dr.'s office so we didn't have a copy of the labs. I...

  4. temporal themometers

    nursepenny replied to clgmezzo's topic in General Nursing

    I haven't heard of them, yet. But I would think you would only be getting a skin temp and not a core temp. I don't like tempanic temps either because I don't feel they are accurate. Oral or rectal...

  5. How many really use STERILE technique?

    nursepenny replied to kwagner_51's topic in General Nursing

    Remember, you need to use sterile technique when suctioning trachs, also. It is a good idea to practice with someone and have them explain what you are doing right or wrong. This is one skill you...

  6. Possible Cerebral Aneurysm??

    nursepenny replied to sagelola's topic in General Nursing

    You are in my thoughts and prayers. My youngest sister had a cerebral aneurysm about 8 years ago. She had the surgery after being in NeuroICU X1 week. Her brain was in spasms and they couldn't do...

  7. Taking out the trash

    nursepenny replied to VAC's topic in General Nursing

    In my facility, we do not have housekeeping/environmental services after 4 PM. The nurses, aides, ward clerks/secretaries, monitor techs, etc., have to empty trash, clean rooms, etc. I do not think...

  8. What not to say / do while you are in the ER...

    nursepenny replied to ER-RN2's topic in Emergency

    Originally Posted by RNin92 .......... Patient: "If you dont get that IV on the first try, I'm leaving!" RN: "Oh, THAT'LL teach me!" Don't let the door knob hit ya where the Good Lord split ya!!!...

  9. Wake up...Are you in pain?

    nursepenny replied to sharann's topic in Pain Management

    I am occassionally awakened from sleep by miagraines. These tend to be the worst, as compared to the ones I get while awake, I am now thinking, it is because I take something sooner while awake....

  10. Stool transplant???

    nursepenny replied to Sadie04's topic in General Nursing

    We had a patient in our SDU w/C diff and the doctors were thinking about doing this procedure on her. Said it would replace the normal flora and bacteria needed for digestion. Not sure if this would...

  11. Adenocard?

    nursepenny posted a topic in CCU, Coronary, Cardiac

    can anyone answer this question for me? does adenocard elevate troponin levels? we had a 41 y/o female come into the er with c/o cp after arguing with her boss. she became so upset, she vomited and...

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

    nursepenny replied to pickledpepperRN's topic in Activism, Healthcare

    fiestynurse, I agree with you. My daughter has no health coverage, as of this date. Hopefully she will be getting coverage in the near future, since she has been made full-time. She is being...

  13. liver failure and LR

    nursepenny replied to CRHSrn's topic in Certified Registered Nurse Anesthetist, CRNA

    Thank you so much for this thread. This is something I did not know. My daughter has an undetermined liver disease w/fibrosis. The thought is, she has auto-immune hepatitis, but has not yet been...

  14. CT scans and how long to wait?

    nursepenny replied to TexNurse's topic in Emergency

    gastrograffin=bedpan in about 4-5 hours lmao barium = MOM = bedpan within 24 hours or less lmao Had gastrograffin myself in sept. Waited 1 1/2 hrs and drank 3 glasses (cupful) before scan. Then...

  15. Please Reply If You Love Your Watch.

    nursepenny replied to EyesForward's topic in General Nursing

    My Daughter got me a Minnie Mouse watch for Christmas. I love it. It has a sweep second hand and the band is big enough without binding. ( I have large

  16. Littmann Stethescopes

    nursepenny replied to Medic2005's topic in General Nursing

    I have a Master Classic SE II. The only thing about Littman's is they tend to wander far from home. Some return non-the-worse for their adventure, other disappear into stethoscope oblivion. My...

  17. help ease my mind

    nursepenny posted a topic in General Nursing

    Sorry, this is so long but wanted to give a little history before asking my question. One of the patients in our unit has a PT--56.3, INR--30+, Ptt--68+. She is on the vent and unresponsive, even to...

  18. help ease my mind

    nursepenny replied to nursepenny's topic in General Nursing

    Yes, pt and family were made aware of end-results of refusing dialysis. As far as Lasix, it was a renal doc who ordered this. He had also placed this particular pt on Lasix drip on previous...

  19. VA Hospitals

    nursepenny replied to Maggie2's topic in General Nursing

    wow kmc, gosh, i had forgotten what it was like to go to the vamc. you hit the nail on the head and brought back memories. i too, have driven all night to have my husband at the hospital by 0800 ,...

  20. VA Hospitals

    nursepenny replied to Maggie2's topic in General Nursing

    My husband was a patient in the VA hospital in Dublin, Ga. when he was diagnosed with lung Ca in 1992. (This is prior to my becoming a nurse.) He passed away July, 1994. Some of the things I saw...

  21. med-surg floor

    nursepenny replied to nursepenny's topic in General Nursing

    thank you all for the response. i guess i did make a snap judgement when i blamed day shift for the problems we faced. i know they had a real busy day too. things have been jumping at our facility...

  22. med-surg floor

    nursepenny posted a topic in General Nursing

    i need to vent a little, please! i just got home after the "night from hell" on a med-surg floor. for the last 2 years i have worked icu/sdu. i was pulled to the med-surg floor last night. it was...

  23. Cell phones

    nursepenny replied to CoffeeRTC's topic in Geriatric, LTC

    I heard a cardiologist tell a patient once, with the new technology, cell phone and microwave no longer affected pacer signals. He said the frequency was different now as opposed to a few years ago...

  24. patient lingo...

    nursepenny replied to athomas91's topic in Emergency

    hi you guys, gotta add my favs to the list: massive myocardial infarction ==== massive internal fart varicose veins ==== very close veins fibroid tumors ==== fireball tumors heimlech maneuver ====...

  25. I need advice

    nursepenny replied to Scotty's topic in General Nursing

    My youngest sister had "the worst headache ever" a few years ago. She was 31 @ the time. Turned out to be a cerebral aneurysm. they were treating her for the flu. Thank God she went to the ER and...