hodgieRN

hodgieRN

ER trauma, ICU - trauma, neuro surgical

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All Content by hodgieRN

  1. Adrenergics and Cholinergics

    A good thing to do is always make a note of which drugs are cholenergic, anticholenergic, beta or alpha agonists or adrenergic. Exams always test on that or the mechanism of action. I got into the...
  2. Consolidation vs Infiltrate vs Opacity on CXR

    I'll start with a disclamer that I'm obviously not a radiologist, but I will try my best. As you gain more experience in the ICU, I recommend getting into the habit of looking at every xray. I had no...
  3. Sepsis Questions

    First thing I do for a fever is remove all the blankets the family has placed on the bed. I turn down the A/C, I remove the 10 pillows from all over the bed, and turn on a fan. If pts are wrapped up...
  4. Clonidine patch for opioid withdrawl?

    With metadone, they can reduce the dosage over time and wean off. If a pt just gets clonidine, they still go through full blown withdraw, but the symptoms are reduced (less adrenergic stimulation)....
  5. Not really sure I want to be a nurse

    See if you can shadow some different positions. You might get a better idea of the hands-on part of
  6. Working while in school?

    You have to balance your work and how much you need to study. I worked 8 hr shifts during the week in the beginning. I just went to school in the morning and then worked at the hospital until 11 at...
  7. Pharmacology For the Summer

    Try and group the medications based on the generic name b/c most of them have a similar base term. Dibucaine, lidocaine, benzocaine, tetracaine all cause numbness. Learn how they...
  8. Just had a pt (and her sister) who were astonished that I was assigned to the room. She middle aged. Not an OB or anything. She wasn't a little old lady and there were not cultural differences. It was...
  9. Scared to death about A&P

    You also have to remember that A&P I is technically one of the weed out courses. There are tons of student who don't know what they want to do in life, so why not go for nursing? All my friends...
  10. Premature Clinicals Question??

    See if they have morning classes. I had clinicals from 6:30am-12:30pm and then went to work. (I am assuming that you meant 4:30pm to 12:30
  11. Pharmacology

    My pharm class was online. I think a lot of schools do that because all a school needs for pharm is a book and a powerpoint. They get to save
  12. Klonopin ?

    Yeah, I'm pretty sure that if you have a valid prescription that is treating a medical illness, they can not deny you for taking a
  13. Xanax and Stress

    Just a side note.... Remember, in the NCLEX world, never try to add other factors that aren't mentioned in the question. It never mentioned anything about hypotension, so that will never be a factor...
  14. Thoughts on starting off in the ER as a new grad?

    If you think that you can handle the stress, then do it. It's a little crazy at first, but if you can go with the flow, there's no reason to not go there. Med/surg and ER two completely different...
  15. Pharmacology 💊💊

    Be confident going into the class. It's not impossible. It's a lot of information, but the more you keep up with it, the better you will do. You will find that things start becoming repetitive. That's...
  16. I haven't had a bath in a week

    It's ultimately up to nursing and PCT's to make sure the pt is clean. Now, pt's refuse baths all the time. What I hear a lot is "I want a shower. I will do it when I get home or if there's a shower...
  17. Going through a residency program or getting on a med/surg floor is a good option for new grads. I think a graduate nurse program is better for finding your niche. I don't think they are used as cheap...
  18. Zeroing the transducer...help?!

    Before you zero it. You flush it to make sure it is nice and patent. Assess everything is working properly or there's no point in zeroing it if you can't use it. Then, you can flush after zeroing and...
  19. Acceptance!!

    congrats!
  20. Just wondering why it is so...

    Is there a way for you to be more interactive? I read that you are not outgoing, that you prefer to keep to yourself, that you don't join in other people's conversations, and that you do not intend to...
  21. Stethoscopes

    For school, I recommend not getting an expense scope because you will either lose it or someone will take it. Doctors and nurses are very busy and many times, they don't look at the scope and just...
  22. Most comfortable white shoes?

    I like wearing sneakers. I swear by nike
  23. Help! Updated Verison of Nursing Books!

    I agree with above. New editions basically switch the chapters around and reword the same topics. It's how they sucker you into buying a $150 book. If it's a recent edition, it should work just fine....
  24. Priority with Lumbar Puncture

    I think headache is probably the lowest priority. It's a symptom. You have to address pain, but blood pressure and circulation is far more important. Pts with meningitis can become septic, and that...
  25. Dr Oz uses the same tactic that news corporations have been using for years. They say "may," "might," "could," "possibly," to show a pieces of information without accountability. "How one soda could...