BrazoriaLVN

BrazoriaLVN

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All Content by BrazoriaLVN

  1. Lactulose and MOM?

    So we have a patient with end-stage cirrhosis that always gets back critical ammonia levels. A few days ago he was really woozy and sure enough is ammonia came back at 109. MD ordered another dose of...
  2. Lactulose and MOM?

    Well, a one time extra dose. He gets 75mL
  3. Lactulose and MOM?

    Thanks, but I know how lactulose works. What I'm asking is in the absence of a bm after giving lactulose, would mixing MOM with the lactulose somehow negate the ammonia lowering effects of the...
  4. Have there been any injuries at your facility r/t toning shoes( shape-ups, etc)? We have had 4 incidents of either aides just falling or dropping residents within the past two weeks. They were all...
  5. Just when you thought you'd heard it all

    Wow...virus by mail. Didn't they already do that with anthrax?
  6. 180 Minutes Of Awkward, Dark Hilarity

    I'm
  7. Top 3 worst halloween costume to wear at work.

    Or he could just wear a sheet, pour a glass of water on himself, and be a wet
  8. Why are X so Y?

    I saw a thread last week and it was so funny to me, I couldn't believe it! It was great! I can't believe the fantastic experience I had. All the threads on that site are hilarious. I make their lives...
  9. "I just can't help you..."

    Yes! Stadol D/C'd yesterday, Fentanyl patch upped. I'll keep you updated on how it goes but unfortunately no changes so
  10. "I just can't help you..."

    I have a resident at my SNF...rheumatoid arthritis with contractures of upper and lower extremeties. This man is sometimes confused, but mostly with it. Gets Norco, Oxycodone, Soma, Lyrica, Stadol,...
  11. Hypothetical Situation: mandated flu vaccine

  12. So did you need it single or double
  13. "I just can't help you..."

    I agree. With the amount he has going on, I wouldn't have the time
  14. "I just can't help you..."

    He actually has had a fentanyl patch for quite a while. His alprazolam is bid so it's given when he is up. The boredom aspect is really something to think about though. He does have extensive family...
  15. "I just can't help you..."

    He gets alprazolam bid and q 6 prn and temazepam
  16. "I didn't go to school to do X" the new mentality in nursing?

    ahh, yes. because when you have back to back codes, residents falling every five minutes(with lovely ten page incident reports to complete after every event!) and a giant med pass, you will go ahead...
  17. discovered and reported falsification of VS

    Ugh. I have unfortunately been in the exact same situation. The defensiveness when caught and all. I started looking in the room when they take their vitals. I can't for all, of course, but it lets...
  18. Funniest Patient Lie.....

    :lol2:
  19. Attention Neonatal and L/D nurses

    Then why would you ask for
  20. I keep burning bridges... I really want to stop

    That's exactly what I was thinking. If you want to stop burning bridges, put down the
  21. and everyone's... OK with this?

    I left a nursing home in Aug of 2010 making 7.65 as a CNA. I had been there two years. Nobody, even people who had been there 15+ years made over 10. I've never even heard of a CNA making that much....
  22. Best way to unclog a PEG?

    I have heard of using coke, ginger ale, meat tenderizer, warm cranberry juice, and lots of other things to unclog Peg tubes. What has worked well for y'all? I was also wondering if there was a way to...
  23. How am I going to get the time off for a tummy tuck?

    So she should lie to get the time off?
  24. Immanuel Kant - Theory/Ethics

    Very
  25. On the positive side . . .

    How beautiful! You've got me shedding some tears over