NP2BE

NP2BE

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All Content by NP2BE

  1. C'Mere & Play a New Game: "GIVE OR HOLD"?

    NP2BE replied to UM Review RN's topic in General Nursing

    Not having too much experience with natrecor, id say some CVP monitoring is in order. But this sounds like a problem that has to have more pieces of the puzzle in place like patient history, EF, other...

  2. C'Mere & Play a New Game: "GIVE OR HOLD"?

    NP2BE replied to UM Review RN's topic in General Nursing

    not to split hairs here but I will give you that bicarb may cause controversy bc of new research. But I am giving it along with K+ and an insulin infusion. there K+ is going to go up with the IVF. and...

  3. Not for profit vs for profit facility?

    NP2BE replied to veegeern's topic in General Nursing

    best i can tell, at least here in MS, the non profit hospitals dont pay taxes and hide under the guise of religion while they are every bit as aggresive as the for profit hospitals. There is one in...

  4. C'Mere & Play a New Game: "GIVE OR HOLD"?

    NP2BE replied to UM Review RN's topic in General Nursing

    on the bicarb- im guess check po2/pco2 levels. but I would give the bicarb anyways, dka with ph of 7.0, more like to have complications from not giving bicarb. 2nd- the potassium, at least the way we...

  5. C'Mere & Play a New Game: "GIVE OR HOLD"?

    NP2BE replied to UM Review RN's topic in General Nursing

    ready for

  6. C'Mere & Play a New Game: "GIVE OR HOLD"?

    NP2BE replied to UM Review RN's topic in General Nursing

    i would run a complete metabolic panel, or a basic metabolic panel and repeat every 4 hours unless signs and symptoms indicate need for immediate abg like kussmaul breathing and other signs of...

  7. C'Mere & Play a New Game: "GIVE OR HOLD"?

    NP2BE replied to UM Review RN's topic in General Nursing

    ivf high to hydrate, remeber dka will be spilling lots of urine. they will be losing electrolytes, especially potassium, two ways, one through spilling urine, the other when you start the insulin...

  8. C'Mere & Play a New Game: "GIVE OR HOLD"?

    NP2BE replied to UM Review RN's topic in General Nursing

    need to start an insullin infusion and switch ivf to d51/2ns with 20of kcl (from NS after glucose gets under250), also ad bicarb, check calcium and mag levels too, may need to ad that. fluids should...

  9. C'Mere & Play a New Game: "GIVE OR HOLD"?

    NP2BE replied to UM Review RN's topic in General Nursing

    in case1- if the patients VS have been hr in 50's for the last few shifts, and they have been getting the rhythmol, i would give it. that may be a bit of brady side effect. if it were a new order i...

  10. 12 hour shifts

    NP2BE replied to cshelly12's topic in General Nursing

    welll I work 6:45AM-715PM and they take 1/2 hour out plus we get 2 15 min breaks. I am lucky to take a full half hour lunch 1x a month and I never get my 15 min

  11. Steroids for pneumonia?

    NP2BE replied to longforseaair's topic in General Nursing

    seems to me steroids would have a negative effects on wound

  12. please help

    NP2BE posted a topic in General Nursing

    I graduated last may and am in icu. I have been out of orientation less then 2 months and management has recently decided to quit paying incentive pay for nurses to cover scheduling holes. they are...

  13. please help

    NP2BE replied to NP2BE's topic in General Nursing

    thanks everyone. I took 3 patients today that i thought were not too sick too handle. one was on low dose dopamine and ventilated on cmv via trach, (ltc pt), another was on...

  14. please help

    NP2BE replied to NP2BE's topic in General Nursing

    thanks, I didnt know if i was just being a baby or what. I am just not excited about this. i cant

  15. Is it ethical for hospitals to have Mickey D's on premises?

    NP2BE replied to SharonH, RN's topic in General Nursing

    we have a subway and seattle drip in our hospital, and across the street they have a mcdonalds and ither local coffee franchise. whats the problem? some pts familes spend weeks on premisies and the...

  16. Jay Leno slams nurses!

    NP2BE replied to grace90's topic in General Nursing

    thats hilarious! lighten up I have had to deal with the gaylord fokker thing, should i bow up everytime someone brings it up?

  17. NGT vs OGT in intubated patient, no sedation and AAO

    NP2BE replied to treecy's topic in MICU, SICU

    i put an og tube in a sedated/intubated batient the other day because i had so much trouble getting in through the nose. i felt like i was traumatizing the pts nose enough so finally i put down his...

  18. Is it wise for a new grad to start in ICU?

    NP2BE replied to Kolt19's topic in MICU, SICU

    ahhh this old question. I think it really depends on the person first and then the hospital second. One of the new grads i started with in my icu is unsure of himself and should probably spend some...

  19. WHY are nurses so catty??

    NP2BE replied to SnowymtnRN's topic in Patient, Colleague Relations

    no, the profession doesn't need cattiness or divisiveness of any sort, but honesty, the profession does need. I have seen more examples of cattienss then I have at any other job When a nursing...

  20. Got the new nurse blues...

    NP2BE replied to mysterybe's topic in General Nursing

    great, im a new grad starting on this same kind of unit in 1 week! 1:6

  21. Finished!

    NP2BE posted a topic in General Nursing

    I have finally finished my BSN. I have a job in a stepdown unit I start next month. It has ben a trial. I thanks all of you who have helped me along. I even get to graduate "cum laude" , never woulda...

  22. am I beyond hope?

    NP2BE replied to BandEmom's topic in General Nursing

    wow that is terrible! Don't beat yourself up, brush the dirt off, roll up your sleeves, and get back at it. I feel certain once you get your meds stright, you will be fine and have a chance to become...

  23. Why do staff nurses resent us?

    NP2BE replied to VanillaPalamino's topic in Travel

    Amen! This is not just r/t to travel/agency nursing. I am a new grad, and am generally appaled by the way so many people have treated me and some of my classmates throughout nursing school and...

  24. Criminal History?? UHOH

    NP2BE replied to lost_as_an_easteregg's topic in General Nursing

    The BON in my state will not give out that information. They told me just apply and see we will see what happens, they told me my midemeanor could effect my liscensure. They may tell you where certain...

  25. Chances of getting accepted

    NP2BE replied to Anesthetist_to_be's topic in Student Registered Nurse Anesthetist

    what school doesn't require GRE with GPA> 3.5?