lovingRN2009

one thing to note is if your taking antibiotics for uti or anything else use back up birth control. antibiotics interfere with birth control pills.

just wondering if anyone else's place of employment offers benefits as follows: 6 recognized holidays, no sick time, vacation = to days worked in 2 week pay period, no retirement, 300$ monthly health insurance for part time-4 days a week.

with amiodarone having such a long half life, what is an appropriate time to wait between stopping amiodarone, starting diflucan and restarting amiodarone?

no problem- had you ever heard of it before looking it up just now?

thanks, i was able to find this info online. what i'm trying to find out is if this is common knowledge to the majority or if nurses see these given together without reservation.

ever heard of these two meds together a big no-no?

thank you all so much, i feel better.

dr was notified and incident report written up.

to make long story short. had order to dc picc and culture tip. wbc up and picc insertion site leaking. dc'd picc forgot to clip for culture. no good reason other than busy day - a lot on mind. nothing i can do now and dreading work tomorrow. sure i will have to explain myself to don and ordering dr. upset. anyone with similiar experience?

to answer some questions - no dangerous behaviors, he is in late fifties , i believe. no previous mental history.

pt. today is post ankle fusion, hx of djd/oa. woke up with left arm pain. xray of elbow, forearm and wrist negative. not real sure of whats going on, but thats not my question. what i want to know is your opinion of this - pt had previously been confused at times - not aggressive or trying to get out of bed, but saying off the wall comments. so the dr. at that time decreased percocet and tegretol dose, has since been more clear - still says weird , random stuff , has a strange sense of humor so hard to determine what he is serious about , due to the extreme pain he is c/o the dr wrote for morphine 2mg im q 2hrs as needed, lpn - primary nurse- this is team nursing felt this was inappropriate due to previous confusion - that we are unsure of the cause but possibly percocet. she felt motrin was a better choice. barely touching that man caused extreme pain that his now 1 percocet was not even touching. i feel like since we don't know if it was percocet, tegretol, or something else, that we should at least try the morpine. just because percocet makes someone confused doesn't necessarily mean morpine will and he still deserves pain control untill ortho consult tomorrow and the origin of this pain is determined and fixed. what do you think?

it's for a patient who had, had an infected tha removed and an articulating atb spacer placed. according to previous facility progress note: originally hemovac ordered for suction and apparently quite a bit of drainage took place, hemoglobin in low 7's, 2 units prbc infused, followed with order for drain to be to gravity only. just asking because i had never seen hemovac to gravity only, neither has any coworkers. called ortho to verify, which it was - no activation of suction. pt is on coumadin but still seems like it would be likely to clot off without suction, to me. and also seems like if that blood isn't sucked out, it would/could form an abcess. agree?disagree?

have any of you seen a hemovac ordered to gravity only? meaning not to activate the hemovac to suction.

Thank You

1. i have been seeing a lot of negative ua's - completely wnl, and then the culture will come back posititve. can anyone explain how this may happen. contamination at some point? 2. since regular insulin lowers serum potassium by driving it into the cell, does anyone see chronic hypokalemia in insulin dependent diabetics, because i have never. and is it only regular insulin that does this?