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I've seen them in the teens before, but nothing higher. Wow

I was wondering if anyone knew if pushing hydralazine fast has an increased risk of SVT? Here is why I ask: I received handoff on two of my four patients from one nurse. On patient #1 she reported to me that she had given the patient hydralazine 20mg IV and the patient went into SVT. She didn't say anything about patient #2. That night I of course didn't push hydralazine on patient #1 (her pressures were fine anyways), but I did on patient #2. I couldn't get his diastolic under 100 all night long, and his systolic was always around 160. I didn't have any problems with the medication other than it didn't work too well. Next day I give report back to that nurse, told her I pushed hydralazine on patient #2. She then told he had also gone into SVT when she had pushed hydralazine on him. She hadn't mentioned this the day before. So basically I was wondering if she had pushed the hydralazine fast and that had caused SVT in both patients. My other thought was that maybe she didn't dilute it. Just seems weird that both of them did it to her and I have never had that problem on any patient I have given this med to. On the other hand she could have done everything right and still had it happen. Have any of you seen this? What else could have caused it? Any ideas?

Continuity of care. There is an additional handoff every 24 hours with 8 hour shifts as compared to 12s. This is another chance for patient information to be lost, and another nurse for the patient to have to get to know and trust. With the time spent searching charts and reading documents it just makes more sense to have less handoffs.

Oh there is an IM injection, 75mg, my mistake. I assume this is what you injected? Although from what I can find it isn't used here...

It doesn't look like there is a IV dose for this med. Did you use a topical cream and inject it? Or crush a pill and inject it? Or is this a joke...

We had an aide that was sitting and would update her FB from her phone about how she had just watched 2 movies and how she couldn't believe they were paying her for it. Well I guess she forgot that she had many coworkers on her FB and word got around. Needless to say she isn't with us anymore.

So texting while driving? Don't want to end up as your patients roommate! Our unit got so bad with texting and inappropriate use of the computer that now both are banned. Sucks for the rest of us, but something needed to be done. Unfortunately it was only a few nurses that were abusing, too bad they didn't just write them up.

Water follows salt. If you have a lot of salt in your body then you will retain water, thus gaining weight, increasing edema and blood pressure, etc.

Wow that really seems to be way too much. I don't like driving a hour to work but one of the reasons I stay at my job because I am scared of situations like that. You are braver than I. Good luck to you

Same. We fill out a form and then it shows up next day for 0900 meds. I have had a Dr say he didn't want the patient to get the shot before though, but never an order to give it.

They come monitored with a nurse from our ED (or anywhere else) to our Tele. For tests we have some rules to follow to see if they wil go with a nurse or not. The most common reasons to send with a nurse are: 1. 2. Chest pain in the last 24 hours 3. Positive Trop in the the last 24 hours 4. Any GTT 5. Afib with HR > 100 6. Any fresh vascular (but they never go anywhere anyways) If they don't go with a nurse we send them on a "pack" which is a small monitor that our monitor room can see but we can't.

I think it depends on a lot of things. Like how much lantus and how much are they used to getting? What are their trends like after they get the lantus? If I have a patient with a blood sugar less than 100 I always go back and see what their blood sugars have done in the past. I would rather hold the lantus and have to treat the higher sugar later than have someone bottom out on me. But there are nurses on my unit that give the lantus no matter what and swear by it.

I graduated High school with a 2.8 and a baby. After years of working at burger king Bush took away the assisstance I was using for daycare so suddenly it was too expensive to work, I would bring home $200 every two weeks after taxes and daycare. So I went back to school and started on the prereqs. I used these to make my HS GPA invisable and eventually graduated Summa Cum Laude with my BSN. So don't worry jsut start working hard now and you will get to where you want to be

Ok so benzos are ok to have in your system, with a prescription? And narcs are not? Is this correct information?

Yes, I have a good job. It is only one of our pods that goes 3:1 and it is when we have fresh carotids (fresh is