Dodongo

Dodongo APRN, NP

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All Content by Dodongo

  1. Is it chronic or acute? In the case of chronic KD you can have a patient with declining GFR without changes to the BUN and Cr until about stage III. In general, nephritic syndromes typically present...
  2. Why are NP residencies more desirable than increasing clinical hour requirements within NP programs themselves? Instead of 600 hours we can require 2000 hours. That way NPs can graduate and hit the...
  3. Very much agree. Student NPs should have a year of full time clinical hours. It's ludicrous to have an FNP get 600-800 hours of clinical in school and then graduate and think they're practicing in...
  4. Absurd. I am more than qualified to sit in judgement of whatever I darn well please - and I do it often. Haha. But seriously, schools want money. It doesn't matter which school it is. The schools...
  5. For the first - response bias - enough said. So many flaws with this type of design it's hardly useful. I was unable to access the second. And the third - a limited, retrospective cohort study...
  6. Tips for New Critical Care NP

    Marino's "The ICU Book" is standard for all the residents rotating through our ICU. It's fairly short (in the world of text books) and is well written. Although I own the book I've only ever used it...
  7. Not everyone who enters nursing is able to matriculate into, and graduate from, an APRN program. These "barriers" serve as a rate limiting step in this process. Now, of course there is the problem...
  8. To the first point here - it couldn't possibly be driven by $$$$ on the part of the nursing institution. No. They care more about each individual graduate and the profession as a whole than their...
  9. Pathoma

    No problem. I went a little overboard and got intermediate Robbin's as well, but I only cracked it a few times when I thought baby Robbins wasn't enough detail. I think you'll be more than pleased...
  10. My opinion: Come watch an ICU nurse do a full head to toe assessment 3 times a shift on two different patients and tell me that they don't do a detailed assessment. ICU RNs do more detailed...
  11. Hospitalist --- FNP or AGACNP?

    It all depends on region and more specifically hospital system. The major hospital systems in my region are making a conscious effort to hire ACNPs for solely inpatient positions. However, FNPs can...
  12. FNP application scenario

    SIIIIIIIGH. You are aware that google is just a search engine, right? You get to choose what sources you pick! It's crazy. You can even go to google scholar which will only return an index of...
  13. FNP application scenario

    Is it a single/focal, cutaneous abscess? Uncomplicated - no fever, VS changes, etc? No associated cellulitis/erysipelas/folliculitis? How big is the abscess? I assume you're going to do an...
  14. Return to the bedside

    You should go to NP school because you want to be an NP. Plain and simple. I have a friend who is going to NP school because she wants a better M-F schedule. That's her main reason. And I won't be...
  15. EKG Rhythm Interpretation

    Dubin's Rapid Interpretation of EKGs is the best text to train your mind in systematically evaluating EKGs. You should approach every EKG/strip in the same manner every time. Are there P waves? QRS...
  16. Plavix Washout

    Typically, I've really only heard the term used by anesthesia providers discussing volatile
  17. Plavix Washout

    Like Rose_Queen said, it's a term (not often used ) to denote the recommended hold time for anticoagulants/antiplatelet agents. It's all dependent on what the drug's MOA is, their half lives, the...
  18. Pathoma

    I would say if you really want to get a good foundation in pathology, you should just get Robbins and read that. Most medical students use this in their pathology course in school, and pathoma is...
  19. Positive UC

    I meant to post this sooner but I got sidetracked with a busy week. According to Cecil's, asymptomatic bacteruria does not equal a UTI and therefore does not warrant antimicrobial therapy unless the...
  20. Pathoma

    And I always have to give a 5 star recommendation to "Clinical Pathophysiology made ridiculously simple" because it does just that. Takes a difficult pathologic process and makes it SO easy to...
  21. Pathoma

    I read the pathophysiology book assigned to me for my pathophysiology class: Essentials of Pathophysiology by Carol Mattson Porth. Then I read: The Pocket Companion to Pathologic Basis of Disease by...
  22. I disagree. Every NP should have a working knowledge of at least the most "important" CD markers. And not just those in specialties - primary care NPs would see this often, plus, specialty NPs don't...
  23. I'll give you that CD62L might not be overly important in practice, but I hope no one here is arguing that cluster of differentiation markers aren't important at all... especially for those of us...
  24. Why preceptors don't precept

    Ha. Have at
  25. Positive UC

    Like was mentioned above, asymptomatic bacteruria is not an indication for antibiotics (unless the patient is pregnant as these patients have a higher risk of developing pyelo - there may be other...