ERjodiRN

this is a good question. as an otc drug, i can't believe that it directly has that big of an impact on cortisol secretion. i do believe that they have used ibuprofen and other nsaids to help treat orthostatic hypotension that you get with things like addisonian crisis, etc.

we don't generally do bp's on the kiddos unless we're going to be giving meds that could affect it, doing a conscious sedation, or if they are being admitted. if it's an obviously very sick little one, we're doing bp's from the get go. it really comes down to your own discretion.

yeah it's only 50ml's so 5 min is fine......but ya, it totally depends on the drug and what it's supposed to do.

we have an area called 1 south that we have designated as our fast-track area. it's in the older part of the hospital, is run down, and everyone swears there's a ghost there. there are always doors closing without help, call lights going off, etc. up until a certain point i had always chalked it up to something more logical than a ghost. like if there was a window open somewhere the pressure can force doors closed, and that electrical shorts with the call lights are very common. well one night i was the lucky nurse who got to close down that area. i was cleaning the room that was notorious for having the ever-ringing call light. i turned off the lights and walked out. seconds later the call light went off. i walked back in and saw the call light on the floor. i couldn't honestly remember placing it anywhere in particular so i wasn't bothered by it. i tied the cord around the side rail, made sure everything was plugged in correctly, then walked out again. i got to the nurse's station and heard the call light go off again. sure enough....room 108. so i'm just thinking it's the connection so i was going to go in and unplug it completely. i walked in there, and saw that the call light was on the ground again....totally unwrapped from the side rail. that's when i got chills and left without stopping:)

we call a "code 10" for all our chest pain patients. which means we get the pt. back immediately and the ekg with MD at bedside within 10 min. chances are, we've started an iv as well within that time. if there isn't a bed available, we make one...wherever that may be. ekg still in 10 min. while some nurses are great at reading ekg's, it's important that an MD have the final say and that it still be read by one within 10min. we also have a bed next to the main traige area for lobby ekg's. we use it sometimes if there is nowhere in the back for a cp pt., or if someone is presenting with atypical symptoms and has risk factors.

i personally wouldn't be worried about it......but most hospitals require testing and report to the employee health dept. of any and all exposures, regardless of open or intact skin. i would look up your policy and follow those procedures. that way you are covered if a freak accident occurs.

you just advanced it too far.....straight through the stomach and jejunum.

ya i agree....the two main things causing the occluded artery are the cad and hyperlipidemia....and the cad will take care of both. however, i would include the hip replacement as well. i'm assuming you're a student and i would hate for your instructor to get on you because you neglected that aspect.....because there are things they have to do in regards to that, that you would want to include in a care plan.

it really depends. if the nurse with experience has a record of several jobs in a short amount of time (i.e. someone who moves around a lot, changes jobs frequently for whatever reason), they might give the job to the new grad because most places would prefer someone who they think might stay around for a while. generally though, i would assume the nurse with experience would get it. especially right now with the economy. even though they generally pay exp nurses more than new grads, the orientation period of new grads is rather expensive.

well it can be given iv, but that also requires a syringe, just no needle. you could always have them drink massive amounts of water if you can't give sc insulin.....it will help lower the sugar a little bit, but definitely not as effective

http://emedicine.medscape.com/article/795994-overview talk about ovarian torsions. it's a good thing she was already in surgery when they found it......usually they go to emergency surgery when they get the results of the ultrasound.

i currently work in a hospital in newport beach. the hospital has ocean view rooms, and it's the best hospital in orange county, with the largest patient census in both orange and san diego counties. i absolutely love it there....and there is also uci if you like the idea of a teaching hospital. i drive down pacific coast highway every day to get to work, and it's fabulous:) there is also really affordable, and really nice houses out in corona which is only 30min away.......if you're looking for a house. florida is terribly terrible humid, as is texas. the weather here is awesome all year round....it has maybe gotten to the 40's a few times in the winter, and not too often over 100 in the summer...usally mid 90's with a breeze:)

there are definitely bad instructors out there, but generally they love what they do and know what it takes to produce good nurses. i find it odd that we're critiquing an instructor based on the REACTION of a student. we don't know everything that was said tit-for-tat. everyone was a student once, and getting comments from our professors can be daunting and we may take it too personally, therein totally changing the way the story actually played out.

there's a reason why they say english is the hardest language!

it is terrible the some educators do that, and i can totally see how that could be frustrating. like you said though...some things come easier to others. so it's hard for some people to pick up on speech impediments....which frustrates you because they look at you in an untrue light because of it. but since it's harder for them to pick up on it, shouldn't you tell them what the deal is? wouldn't that help in solving the problem? some people will overlook the impediments simply because they are jerks and don't care. but some people just aren't that observant and attune to those things, and might need it pointed out to them. there needs to be some understanding on both sides.