cardiacqueen

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1. Penicillin G IM injection?

   cardiacqueen replied to anon456's topic in Patient Medications

   Just gave this today for strep! Very painful for the poor patient. to answer your question about giving it iv - no, it can't be given IV because it can cause severe neurovascular

2. Nursing Dose

   cardiacqueen replied to guest449786's topic in Patient Medications

   Interesting...what do you mean by one order with a range? I know that our docs have been criticized, for example, by pharmacy for putting in range orders such as "1-2 tabs for pain." Not sure if this...

3. Everything is our responsibility. Rant.

   cardiacqueen replied to dudette10's topic in Patient, Colleague Relations

   While we're ranting, here's what frustrates me... Why does lab, radiology, and pharmacy call nurses to ask questions about DOCTORS orders? "Dr. X ordered this but did he really want it?" I am not the...

4. Nursing Dose

   cardiacqueen replied to guest449786's topic in Patient Medications

   No, this is outside of our scope of practice. Unless you have parameters. One of our surgeons, for example, will put 3 different orders for morphine - eg. 2 mg for mild pain, 4 mg for moderate pain,...

5. IV in an artery

   cardiacqueen replied to jrmarr's topic in General Nursing

   If the blood was pulsing strongly up the tubing, then I would feel pretty certain yes, you hit an artery. I have had an inadvertent arterial puncture once, in a patient with a very thin arm, while...

6. Enema THROUGH an ileostomy?

   cardiacqueen replied to cardiacqueen's topic in General Nursing

   Thanks. I did read about the ostomy cones but I haven't been able to find them in our facility. Back at work tonight a few days later and the patient is improving without signs of perf, so thankfully...

7. Mispronunciations That Drive You Nuts

   cardiacqueen replied to ixchel's topic in General Nursing

   I have another one. I once had a patient tell me he had "tickly-itis" (diverticulitis) when I was taking his health history. Still makes me

8. Enema THROUGH an ileostomy?

   cardiacqueen replied to cardiacqueen's topic in General Nursing

   thanks!

9. Mispronunciations That Drive You Nuts

   cardiacqueen replied to ixchel's topic in General Nursing

   MeTOprolol, NOOOOT

10. Enema THROUGH an ileostomy?

    cardiacqueen posted a topic in General Nursing

    I had a patient admitted last night with an old RLQ stoma - either an ileostomy or colostomy (look to me based on the location like an ileostomy). The patient needed a CT abd but radiology would not...

11. Diluting IVP Natcotics?

    cardiacqueen replied to _Andvari's topic in Patient Medications

    On a side note...have you ever had a patient think that your 1mg dilaudid + 5 cc NS is ALL concentrated

12. Diluting IVP Natcotics?

    cardiacqueen replied to _Andvari's topic in Patient Medications

    Like most posters here, I dilute all iv narcotics as well...unless it is an extremely small dose and the patient has fluid

13. Giving Lovenox to emaciated patients

    cardiacqueen replied to cardiacqueen's topic in Patient Medications

    KelRN, do drug companies manufacture a different syringe device for peds...like one with a smaller needle and appropriately smaller doses? Or do you draw your Lovenox up from a vial and give in a...

14. Giving Lovenox to emaciated patients

    cardiacqueen replied to cardiacqueen's topic in Patient Medications

    thanks so much! Makes

15. Giving Lovenox to emaciated patients

    cardiacqueen posted a topic in Patient Medications

    So we've all been there...you have a 30-some kilo very ill lady to whom you need to administer Lovenox.. This seems like a dumb question, but is it possible to puncture/damage the intestines or other...