Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    6/26 WILTW: Littlefinger's smirk makes me feel violated

    Lev replied to ixchel's topic in General Nursing

    Yay yay
  2. Lev

    Giving meds in a group home setting

    Lev replied to SoftballNurse49's topic in General Nursing

    Great answer
  3. Lev

    NCLEX RN

    Lev replied to caine143's topic in NCLEX Exam, Programs

    If you think you need to review content then go over it if it makes you confident and less
  4. Lev

    Stroke Alerts

    Lev replied to floridaRN38's topic in Emergency

    We do not call it for dizziness. (Although dizziness can be a sign of stroke). It is usually a complaint which would score on the NIH scale that activates the stroke
  5. Lev

    Homeopathy taught in a Pharmacology class?!?!

    Lev replied to dura.mater's topic in Pre-Nursing Students

    To me it sounds like the professor is using his/her position as teacher of the class to promote his/her personal agenda which is that homeopathy is a valid form of medication. I wonder if the nursing...
  6. Lev

    Seeking Advice for Going from Full-time to PRN

    Lev replied to Cbsn3210's topic in Health, Stress Management

    Tell them that you are going PRN because you want to go back to school and want to be able to focus your efforts on
  7. Lev

    IV confusion-

    Lev replied to Sanl3RN's topic in Patient Medications

    Yes they will, and I would connect the zosyn (which runs for 4 hours) directly to the IV and would y-site the vanc to the
  8. Lev

    Help me understand an Ampule

    Lev replied to Femine91's topic in Patient Medications

    i don't invert ampules to draw up the med. I also use a couple alcohol wipes (still in the wrapping) to break the ampule. Break away from you but not in someone's
  9. Lev

    Failed Nursing School

    Lev replied to nur_journey's topic in General Students

    Look into bachelor degree programs to become a physician
  10. Lev

    How woud you treat this patient...

    Lev replied to zzyzx's topic in CCU, Coronary, Cardiac

    Hydralazine and
  11. Lev

    Highest/Lowest K+ you've ever seen

    Lev replied to guest769224's topic in General Nursing

    Just had my new high today. Potassium level of 8.0 without EKG changes! Went down to 6.2 after 10 units insulin, a gram of calcium, and an hour long albuterol
  12. Lev

    Can RNs in CA give Propofol??

    Lev replied to RNlmbhb's topic in Patient Medications

    In my state, RNs can hang propofol as a drip but they are not allowed to push propofol. 99% of the time we use propofol to sedate our intubated (but not brain damaged) patients in the ER and also...
  13. Lev

    use of spit hoods on spitters

    Lev replied to workingot's topic in General Nursing

    We use them in the ED at community teaching
  14. Lev

    EKG reading and leads

    Lev replied to Red398's topic in General Nursing

    Each lead represents a different part of the heart so sometimes only certain leads will show ischemia and infarction because only part of the heart is experiencing lack of
  15. Lev

    Elevated Troponin

    Lev replied to bear14's topic in Emergency

    Any fluid overload which cause strech of (heart) muscles may cause a chronically high troponin. Dialysis and CHF patients can be
  16. Lev

    Too slow

    Lev replied to amzyRN's topic in Emergency

    I still haven't gotten there fully (1.5 years later) but I am almost there and I am so proud that I finally have the hang of it. I work in a high volume very busy teaching hospital (non trauma center-...
  17. Lev

    What Nurses really Want to Say When They Chart

    Lev replied to SICUshortCait's topic in General Nursing

    "Patient states that pain is "better" after dilaudid administration but continues to rate pain at 10/10. Comfort measures offered, which patient declined.
  18. Lev

    Challenging Question

    Lev replied to rn2k16's topic in Nursing Student Assistance

    Good thinking! If this guy doesn't have any blood left to circulate, his lungs won't get
  19. Lev

    Quick advice on multiple unit offers!

    Lev replied to parasalyne's topic in General Nursing

    I would go with the unit you are familiar with that seems like a nice environment - MICU - but make sure you do more research before accepting a specific unit. I would want to know how many weeks of...
  20. Lev

    Highest/Lowest K+ you've ever seen

    Lev replied to guest769224's topic in General Nursing

    I just had my highest last week - potassium of 7.6. Tall tented t-waves. She was a type 1 diabetic in DKA with a blood sugar 1000+. After 5 liters of fluid and 20+ units of IV insulin her potassium...
  21. Lev

    What is the Registered Nurse Patient Ratio at your hospital?

    Lev replied to LinenP's topic in General Nursing

    ED 1:4, up to 7 at a time in fast track (lighter patients), ED obs
  22. Lev

    What Nurses really Want to Say When They Chart

    Lev replied to SICUshortCait's topic in General Nursing

    "Patient given PO, ok per MD." - verbally given go ahead to give patient food without electronic order (in ER) so if a floor doc gets mad at me - I got
  23. Lev

    What Nurses really Want to Say When They Chart

    Lev replied to SICUshortCait's topic in General Nursing

    "Offers no complaints" - patient doesn't want to bother me and I am too busy to ask them what they
  24. Lev

    Anion Gap Acidosis

    Lev replied to cassmorin's topic in Critical Care

    It depends on how messed up your electrolytes and bicarb are. There's a formula out there. A wide gap is bad. By correcting the acidoses and dehydration and fixing electrolyte issues you close the gap...
  25. Lev

    Fox News says patients waiting to see a doctor will have to "settle for a nurse instead"

    Lev replied to FrancineRNfrannie's topic in Activism, Healthcare

    There are people who ONLY watch fox news. As to those MDs - if this was all about the patients - especially at the VA which has so many needs - they wouldn't be making a fuss about a handful of NPs...