Dodongo

Dodongo APRN, NP

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All Content by Dodongo

  1. Opiates Are Not for All Pain

    Do I have to list every adverse reaction for a medication on this forum? Should I just write an H&P for this woman to submit. Jeeze people. Chill out. There is no medication I would prescribe that...
  2. Opiates Are Not for All Pain

    I mean, I'll agree that I think we sometimes under treat the elderly because we're afraid of over treating them. But I can't tell you how many patients, young and old alike, that I admit a week with...
  3. Opiates Are Not for All Pain

    I qualified my statement concerning renal failure. Like I said, titrate her up over time and stop before she has side
  4. Opiates Are Not for All Pain

    If you don't want to prescribe a narcotic, don't. No one can force you. The aide isn't even related so who cares what s/he says. Does the patient appear in moderate - severe pain when you examine...
  5. FNP program passing grade

    Had to get 84% or
  6. NP role in a code

    Our NPs staff the ICUs alone at night, and they do this. During the day, an intensivist is there and s/he will usually be present for each code, if
  7. Acute Groin pain DDX?

    You're positive there was no hernia on CT. Testicular etiology? Keep in mind the left testicular vein drains into the left renal vein - is there a varicocele? Iliopsoas bursitis/tendinitis/strain,...
  8. Patients who don't meet inpatient status

    She couldn't have just been
  9. FNP Program

    I don't know. Proctored exams is one of the biggest things for me. If you haven't committed a rather large amount of information to memory, no amount of "EBP" and research will compensate. If...
  10. I chose ACNP. I had zero desire to work with peds, OB or in primary care. I prefer hospital work. But there's always the option of outpatient specialty practices. The school options sound good...
  11. FNP Program

    I'm sure at this point you feel as though you've sunk too much time and money into this school, but you should find a new school. This just sounds like an awful
  12. FNP Program

    No, no, no. How do you have papers for a patho class. What school is this? This is exactly the kind of thing I point to when I say we need NP education reform. Schools like this should not be allowed...
  13. FNP Program

    I attended an ACNP program, but no matter what, the first few classes of any NP program are absolute garbage. It'll be better once you get to the "3 Ps" and clinical courses. Even then, however, you...
  14. The real time lectures are part lecture and part conversation. The cases were we seeing in clinical. How we have seen our preceptors treat diseases. What labs and imaging were ordered. Which...
  15. Excellent. There are plenty of "online" schools out there that require appropriate RN work experience, proctored exams, weekly "realtime" lectures, on campus skills labs and testing, and more than...
  16. I think I just threw myself backwards with my eye roll. Critical appraisal of the written word is just not your thing, is it? I quote (myself), "All I'm saying is I don't think the option of online...
  17. Forgot to restart my patients fluids

    Depends on how long the fluids were off and what they were ordered for in the first place. If it's a DKA/HHNK, hyper/hyponatremia, septic resuscitation, dehydration/hypotension, etc. I'll be pretty...
  18. How dare you. "I have a full-time job and kids, and a mortgage, etc, etc. There is NO way anyone in my situation could go to graduate school..." Except the people that go to medical school and PA...
  19. Ummm, yeah? Either way, you're accusing that guy of shooting your friend with a good amount of certainty. I agree, Oldmahubbard. Everyone "believes" that, if they have chosen to pursue something,...
  20. How much did NP school prepare you?

    You could easily get through at least one of these books by January. I would honestly read Guyton and Hall. If you know the normal physiology, then understanding the pathophysiology will be so much...
  21. TL;DR. All I'm saying is I don't think the option of online schooling should be available, unless it meets certain minimum standards to weed out poor matriculants. So while you may think those...
  22. It's just true, ok. They "believe they will be" great providers - as if this is somehow different than saying they "know they will be" great providers. Haha, ok. *So* different. They think they...
  23. No. Have you heard of the Dunning-Kruger effect? You can't just say, "well I know I'll be a great provider because I believe I will be!" I mean, what? No. You need to prove it. You need to...
  24. ACNP sans experience?

    A new grad MD has a residency. Haha. They don't face the same pressures we do in that
  25. Interventional Radiology NP?!!

    If you're goal is to place PICC lines you could have just stayed an RN... RNs place PICCs unless they are difficult, then the patient will go to IR. NPs in IR place central lines (IJ), tunneled HD...