dissent

dissent

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All Content by dissent

  1. New NP needing encouragement

    dissent replied to pelledra's topic in Advanced Practice

    I agree, you should defer to the cardiologist especially if he/she is the one who started the med. I think calling someone who is an expert in the field a cowboy when they do off-label stuff may not...

  2. fluticasone aerosol + nasal spray

    dissent replied to sogreenrn's topic in Patient Medications

    I think the OP is asking why someone would prescribe flovent and flonase to the same

  3. New NP needing encouragement

    dissent replied to pelledra's topic in Advanced Practice

    Everyone makes mistakes. Live and learn. In the end I think you learned a valuable lesson without having any harm come to anyone: don't prescribe a medicine you are not comfortable

  4. NP to MD

    dissent replied to kimkubick's topic in Nurse Practitioners, NP

    It would probably be similar to the PA to MD bridge- a 3 year program followed by

  5. Antibiotic help, please!

    dissent replied to lvICU's topic in Nurse Practitioners, NP

    At least in the past, the hopkins guide was free if you used it online. You just had to sign up for it. The PDA/smartphone version always cost money. I don't know if they started charging for the...

  6. Silly to have this clarified?

    dissent replied to Lahryn04's topic in Patient Medications

    Yup. For most drips you need to bolus to get to steady state prior to initiation of a drip (ie SL NTG or 400mcg prior to a nitro drip). For a GI bleed it is a standard initial dose (80 mg IV) and a...

  7. Albuterol vs. Xopenex....

    dissent replied to deespoohbear's topic in Patient Medications

    So actually the data aren't exactly a slam dunk and they definitely aren't strongly in favor. I would say they are overall, weakly in favor. Unfortunately there aren't any meta-analyses. Here are the...

  8. % Canadians coming to US for treatment

    dissent replied to chuckster's topic in Activism, Healthcare

    Oh and to answer the original question, you are probably not going to find a large percentage of the Canadian population that come to the US. Only those who are wealthy and are waiting for cancer tx...

  9. % Canadians coming to US for treatment

    dissent replied to chuckster's topic in Activism, Healthcare

    Controlling for lifestyle choices (obesity, smoking) and heterogeneity of the US population (ie with infant mortality) you do not see the same difference in life expectancy. These things are not...

  10. Dictating notes to be transcribed....HIPAA Violation?

    dissent replied to guest416560's topic in Nurse Practitioners, NP

    It's

  11. 2015 DNP

    dissent replied to BabyLady's topic in Doctoral Nursing Degrees

    Belittling or truthful? Quite frankly, anyone who pushes the DNP as much as you do without realizing its massive flaws has ulterior motives or a conflict of interest. So which is

  12. NP to MD

    dissent replied to kimkubick's topic in Nurse Practitioners, NP

    I would highly recommend not going to this school. Foreign schools have a lot of problems compared to their US counterparts. There are those that are highly regarded (the UK, german and most...

  13. Near Miss at Prescribing Stage - What Would You do?

    dissent replied to mmus's topic in Patient Safety Issues

    I mean how bad of an error are we talking about? Was this HCTZ 50mg instead of 25 (ie no big

  14. NP vs MD Scope of practice

    dissent replied to WilliamsRower's topic in Nurse Practitioners, NP

    How long will it take you to finish the BSN and then the DNP? In terms of time to degree and practice I expect the DNP is going to be much much quicker: Medical school route: Peds: total of 9 years-...

  15. 2015 DNP

    dissent replied to BabyLady's topic in Doctoral Nursing Degrees

    I think of it as expecting more from an extra year or so of loans. If it is supposed to be a clinical doctorate, it should have more clinical courses and vastly more clinical hours than a masters....

  16. 2015 DNP

    dissent replied to BabyLady's topic in Doctoral Nursing Degrees

    Your right, i'm sorry. What I meant was clinically useless courses. When you are spending half of your time learning about how to read a research paper or set up research or learning how the health...

  17. 2015 DNP

    dissent replied to BabyLady's topic in Doctoral Nursing Degrees

    Many use the term fluff because soft sciences add nothing clinically, especially compared to hard science like pathophysiology or pharmacology. When most of a DNP is about learning to read research...

  18. Cardio questions...

    dissent replied to kat7464's topic in General Nursing

    ACEi are vasoDILATORS. They reduce afterload. Especially in systolic heart failure they improve mortality. The data on efficacious treatments for diastolic dysfunction are lacking. Much of diastolic...

  19. 2015 DNP

    dissent replied to BabyLady's topic in Doctoral Nursing Degrees

    I'd say similar clinical hours and similar education in path, pharm and physiology Sure but having 12 hours of useless research fluff and only 4 hours of pathophysiology isn't doing your patient any...

  20. differential diagnosis for aortic stenosis

    dissent replied to newway's topic in Nurse Practitioners, NP

    If you are talking about a systolic murmur then going anatomically from where the murmur is heard: Benign flow murmur Proximal aortic dissection Aortic sclerosis w/o physiologic stenosis Aortic...

  21. Washington Redskins Cheerleader Suffers Dystonia From Flu Shot

    dissent replied to musiklover's topic in Disaster Preparation

    Which childhood disease covered by vaccines should exist? Hep B- acquiring Hep B early in childhood makes the likelihood of getting chronic hep B almost 90% while getting it in adulthood it is only...

  22. What Impact Will Concierge Medicine Have on NPs?

    dissent replied to Mijourney's topic in Student Nurse Practitioner

    To be blunt, why on earth would someone pay extra money to see someone with less training than a physician? I think with more doctors doing concierge medicine you will see more of a 2 tiered system...

  23. NP to MD

    dissent replied to kimkubick's topic in Nurse Practitioners, NP

    Watch out about doing your pre-recs in a community college... many med schools will outright not accept them and most view them as inferior to 4 year programs. Since the competition for acceptance to...

  24. NP's working at teaching hospitals

    dissent replied to cardschicarn's topic in Nurse Practitioners, NP

    The new work hours could really be an asset to NPs/PAs. The demand is going to go up. The ACGME (the people who run all the residencies) is planning on trimming the hours even further in the coming...

  25. NP's working at teaching hospitals

    dissent replied to cardschicarn's topic in Nurse Practitioners, NP

    Sorry to be technical but they are 16 hours (and were 30 hours). These hours are currently only for interns. Residents still do 28 hour shifts. I agree though, with the new hours, my hospital has...