mandaaRN

Question! Is it okay to give Ativan IV with dilaudid PO at the same time? Same goes for any narcotic and Ativan together? I ask nurses at work but never get a straight answer as they are always busy themselves. What about narcs and sleeping pills? Do...

Just trying to learn about the use of Benadryl and Dilaudid. Is benadryl usually given before Dilaudid or after? And why is it used with Dilaudid? I know itchy skin can be a side effect, but what are some other alternative nursing interventions to r...

Someone please help me understand the difference between ultram and narcotic pain relievers. How would I explain to the patient what this medication is? Thank you in advance!! :)

What do you do when you suspect a patient is aspirating? Do you turn them on their left side and NT suction?

What if they're both PO?

Thanks 0402! It's been buggin the hell out of me and being a nurse for just a year, I'm still asking so many questions! I always want to do the RIGHT way lol :)

How would I run a K-rider with NSS for the purpose of burning sensation? I have ran the K-rider @ 50mL/hr with NSS piggybacked @ 50mL/hr as well on concurrent mode. Is this correct or is there another technique to run this? Was i supposed to run one ...

So for our patients who are on heart healthy, carb controlled and renal diets, we have gingerale, cola, and juices plus pudding and jellos in our fridge. What is okay to give to patients on these diets? Is gingerale suitable for diabetic, cardiac and...

Do you still flush with 5cc before and after

Okay so is gingerale okay with cardiac diet

So last night when I was giving my patient her meds in the med cup of course, she dropped them on the floor. It was her synthroid and oxycodone. I told her I would get new pills for her but she insisted on taking them and even got down on her hands a...

GRAY AREA! Can the nurse slow down the IV rate fore potassium or magnesium if the patient is complaining of burning or do we need to call the doctor to adjust the rate?

My concern was for if the doc needed to be notified and change the order or if its the nurses discretion?

Changing the rate needs an order or is that at the nurses discretion?

I'm having a difficult time understanding how to control pain in post-op patients. Last night my patient was on a PcA pump for the first 15 minutes of my shift, then was d/c'd. There were orders for 4mg IV morphine q4h, 1mg dilaudid IV q4h, Percocet ...

Or document it? Although I didn't. But for future reference, god for bid it happened again

Wouldn't you want to worry about the peak of the PO occurring at the time of IV onset?

So are you saying you give both together? Or space them out such as two hours apart? Sometimes the doc writes for breakthrough pain especially with the multiple IV pain med orders. Alternating with PO and IV isn't against a rule especially as rule of...

I always look into things too far but it's something that bothers me. I had a patient last night who had prn orders for two seperate Ativan orders. 2mg PO every 4 hours and 4mg IV every 2 hours. However, there was nothin written for breakthrough anxi...

I have a question about which IV meds cause burning at the site during infusion? I'm aware that potassium is one of those, which others? Also, What's the difference between vesicant and irritant medications? I had a patient infiltrate last night but ...

I'm a new nurse and slightly confused. Should I hold AC insulin if blood sugar is below 70mg/dl but they are going to be eating a meal? Or would I administer the AC dose after the meal? As well as the lantus dose, what would I do? I just need advice...

Didn't realize my post is a bother to you. Isn't this site for nursing advice and questions. I'm a new nurse, and criticizing my level of education is highly wrong on your part. Don't answer my post then, I was jusy clarifying what I meant.

If the docs gave parameters, I wouldn't be asking this question. They only give paramters for sliding scale. :/

I'm not talking about sliding scale, the before meal dose

Hi, I'm a new grad and landed a new job. I'm still on orientation and am slightly confused about medication administration before the OR and dialysis. One of the nurses was trying to explain to me to hold BID meds and give the second dose when the pa...