MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Narcotic infusion Calculation

    For the concentration where you know that you have 42mg in 50ml, you want to know how many mg in just one ml, so you would divide your 42mg by 50mls, this would be the dose in one ml, you're correct...
  2. Thanks. It appears he was placed under suspension in July of 2016, despite being charged with murder in December of 2015. Being found innocent due to being criminally insane is pretty impressive for...
  3. Are you sure he was a nurse? He doesn't show up in the Kentucky BON
  4. The patient can actually still breathe in room air even when the reservoir bag is empty since NRBs are required to have a non-valved vent in addition to the one way exhalation valve to prevent...
  5. MunoRN

    Best choice for emergent desaturation in COPD

    The first step would be to assess for the cause of hypoxia, which in a COPD'r is typically upper airway constriction, which is usually best treated with a bronchodilator. Also keep in mind that while...
  6. MunoRN

    Calculation about dilution

    And maybe the OP can clarify, but my understanding was that it was explained correctly in the lecture (add 9ml of NS to 1ml of medication to make 10mls total), but that the homework or test question...
  7. While the maternal mortality has most likely risen, the ProPulica and NPR stories misrepresent the actual rate, since a large portion if not the majority of increase is due to changes in how we define...
  8. MunoRN

    CBD oil

    While the Physician contributes to the patient's overall plan of care, it is not the only component, but even if you believe the Physician is the sole source of the patient's plan of care, the OP has...
  9. MunoRN

    Nurse, clean up aisle 5 (rant)

    I'd respond the same way I do to all these types of requests, which is that keeping the room and surfaces clean is already on my overall list of things to do, and per my job description I will...
  10. MunoRN

    Calculation about dilution

    It's actually a very legitimate question, since based on the question you would be ending up with a final volume of 11mls. This is often how the question is phrased in nursing school: "dilute with...
  11. Oxygen concentrators produce oxygen immediately, but do not reach full capability for usually at least a few minutes since it can take a few cycles for the compressor to build up enough pressure to...
  12. MunoRN

    CBD oil

    A multivitamin is also not regulated as a drug, it's regulatory under the same category that CBD oil is which is as a dietary supplement, are you saying there is too much legal risk for a patient to...
  13. MunoRN

    can confused pts refuse meds?

    The basic legal principle of consent and right to refuse treatment don't vary from state to state. Being confused is not in itself a legal justification for denying a patient the right to refuse. In...
  14. She could instead work for the hospital and perform in-hospital midwife assisted births and pay very little in malpractice insurance, but she also would make a bit less. There are occupational surveys...
  15. MunoRN

    Accepting verbal orders from another nurse?

    I normally wouldn't have a problem putting in a order for a nurse that they were passing along to me, I just put per so and so in the order, but the situation you've described is messed up. She had...
  16. I can't speak to Orange county in particular, but I have a good friend who is a CNM and she pays just shy of $50k per year, which sounds outrageous but keep in mind OB docs typically pay in excess of...
  17. MunoRN

    CBD oil

    CBD is a well established treatment in children with epileptic seizures that are refractory to all other known treatments, and is an extremely important part of the treatment in a number of epileptic...
  18. MunoRN

    CBD oil

    CBD oil absorbable through oral mucous membranes, it does not need to be
  19. MunoRN

    CBD oil

    CBD is not regulated as a medication and only medications can be prescribed, non-medications can be recommended which is different than prescribed. For instance, if the patient says they get cold at...
  20. You can't legally ask what disability the person utilizes a service dog for, but you can ask what specific task the dog performs that assists with a disability. Unlike true Service Dogs, therapy dogs...
  21. The Federal law that covers service animals is the Americans with Disabilities Act (ADA), googling ADA and service dogs will provide a number of explanations and FAQ pages. A federally protected...
  22. MunoRN

    Bed baths

    There are a number of studies on the subject, the common findings of all of these is that washcloth/basin baths are potentially harmful because they essentially redistribute bacteria from one area to...
  23. MunoRN

    Sterile Water for Enteral Feeding Tubes?

    In the vast majority of patients, there's no harm in regular tap water, the problem is that for a small sub-population of critically ill patients the pathogens commonly present in tap water, that our...
  24. MunoRN

    POA and A Nurse Role

    The POA has the exact same decision making abilities as the patient themselves, we do have the responsibility to ensure that the POA is making the decisions that to the best of their knowledge the...
  25. MunoRN

    Past history about care on a Saturday

    Seventh Day Adventists believe saturdays are reserved for worship, and they also believe that caring for those in need of nursing and medical care is a form of worship and therefore have never just...