LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. How do you manage to be healthy with 12 hr shifts?

    Oh also, take the stairs while you are at work. It is a hell of a workout. Some of my co-workers and I will take a five minute break to "run the stairs" in the middle of the night and it really does...
  2. Do you donate blood?

    I can't a just got a tattoo, and before that had another tattoo and before that was pregnant. So its been awhile, prior to that I used to donate every few months. I plan to donate again after my year...
  3. How do you manage to be healthy with 12 hr shifts?

    Oh, I totally forgot about pizza!! I love whole wheat pizza done on the grill with lots of veggies and a skim ricotta cheese, yummy! And everyone will ask where you got it
  4. How do you manage to be healthy with 12 hr shifts?

    Well I've been able to lose about 60lbs (that I gained having a child in nursing school) so far since graduating and working night shifts so I consider myself pretty successful at it. I am now at a...
  5. Arterial Line Bloodstream Infection

    We don't have art lines on the floor I work, that being said trying to prevent bloodstream venous infections is hard enough for some to follow all the policies and procedures. Where I work the rule of...
  6. Turn every two hours

    In addition you can try to encourage peers to do the same by recruiting them to help you turn your patients, then offer to help them turn theirs. They may not have the initial motivation to get up and...
  7. Tea Causing Vomiting?

    I can drink any kind of black tea at any time of day, try a sip of green tea or fruity tea even with a meal and insta nausea sets in. Absolutely no idea why, I have no other issues with my stomach at...
  8. Turn every two hours

    My hospital actually considered playing "Under pressure" every two hours to remind nurses to turn their patients, even without that it is still an expectation and is considered an incident if its not...
  9. Play Dr. House

    Entirely possible, I will try to update on Thurs when I return to
  10. Play Dr. House

    From what I was told pt is doing better, increased urine output, although still nothing to definitive as either
  11. There was once a male patient we had with hypospadias. Multiple nurses tried to advance a catheter several times through the opening on the tip of his member only to meet resistance and were unable to...
  12. Play Dr. House

    The CT was done without contrast, alb/pre-alb were WNL, HCT was unchanged from POD 1 despite small decrease (assuming dilutional), serum uric acid WNL, (as previously stated UA/urine lytes I dont know...
  13. Play Dr. House

    CXR showed only possible atelectasis, no hx of CHF, Creatnine was 1.9 BUN 18, WBC 11.0 no increase in bands. Pt is middle age, Hgb was 10-11. No results on UA/Urine lytes although they were
  14. Play Dr. House

    Let's say it ranged from 90/45 -
  15. Agreed with any kind of addict, their behavior is unpredictable. Especially as many have developed manipulative or passive-aggressive behaviors to try to justify and get away with their addictions....
  16. I always take help for inserting IV

    Honestly, I still dont LIKE starting IVs, especially on my patients. I find it helps to practice on other people's patients. At least that way if you dont get it I won't feel like they are thinking...
  17. So for an assignment (CE) we have to identify cardiac rhythms and nursing interventions. If a pt has an asymptomatic Second degree AV block Type I what kind of interventions am I going to provide?...
  18. Nursing student curious about FHR decels and monitoring?

    That's an interesting way to remember it! I always learned for variable decels you mainly want to try repositioning mom to see if that helps, early decels pretty much the same thing, although they are...
  19. How much help?

    How much help do the other nurses give you on your shift? How much do you help other people? I for one do not like to sit on my shift, IDK if its working nights and that constantly moving helps me...
  20. Patient Sitter Job

    At our hospital you are not allowed to have personal items in the room while you are sitting a
  21. calculation problem

    Nope its just the type of fluid it wants you to mix it in, it could be 500 cc 0.9%NaCl or D50.45%NaCl. You can bother me about this any time I am happy to help :) I took 3 years of calculus and 3...
  22. calculation problem

    OFC... (20 mEq KCl) * (7.5cc KCl / 15 mEq KCl) = 10 cc KCl You will need to add 10 cc KCl to a 500cc D5W bag to complete the order. Just make sure to always start the equation with what you are...
  23. calculation problem

    I would set it up like this (2 gm Thiamine) * ( 1000 mg/1 gm) * (5 cc Thiamine / 500 mg Thiamine) = 20 cc Thiamine I don't really think the second part needs an
  24. If its a once in a blue moon sort of thing, fine, I have no problem with that. If its that you regularly don't want a particular patient, then the problem is with you. Your job is to care for them,...
  25. calculation problem

    Okay, I'll try to explain it more clearly. You have (500 mg/ 5 cc). You need 2000 mg. 2000 mg/ 500mg = 4 ( 5 cc) you will need 20 cc of Thiamine to equal the 2gm dose. Since you only have 500cc bags...