cardiacqueen

cardiacqueen

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All Content by cardiacqueen

  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. 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...

  7. 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...

  8. 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...

  9. 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

  10. Enema THROUGH an ileostomy?

    cardiacqueen replied to cardiacqueen's topic in General Nursing

    thanks!

  11. Mispronunciations That Drive You Nuts

    cardiacqueen replied to ixchel's topic in General Nursing

    MeTOprolol, NOOOOT

  12. 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

  13. 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

  14. 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...

  15. Giving Lovenox to emaciated patients

    cardiacqueen replied to cardiacqueen's topic in Patient Medications

    thanks so much! Makes

  16. IV forms of Zofran and Decadron given PO???

    cardiacqueen replied to GleeGum's topic in Emergency

    Yes to decadron. I've also seen iv vancomycin ordered po, just because the po pills are so expensive. no to zofran-if no iv access why not give IM or the ODT by

  17. Platelets - rh compatibility?

    cardiacqueen posted a topic in General Nursing

    So, last night I gave my first bag of platelets to a male patient. While verifying the platelets with my 2nd RN we discovered the platelets (4-6 units from platelet pheresis, single donor) were from...

  18. Has anyone made a medication error and *not* get fired for it?

    cardiacqueen replied to pinkiepieRN's topic in Patient Medications

    I've been a nurse for a year and I have made 2 med errors; reported both. No harm came to the patient either time...and I will never make either of those errors again...I was lucky, and honest. I did...

  19. what do you do with empty narcotic vials?

    cardiacqueen replied to brownbook's topic in Patient Medications

    Sharps container for empty vials. If giving a partial dose, I draw out the entire vial worth and waste the extra down the drain per policy with a witness, of course. Gotta love taking a 4mg vial of...

  20. my scores

    cardiacqueen replied to doxielover304's topic in HESI Entrance, Exit Exam

    My scores were 93.5 in reading, 88 in science, 90 in math, 92 in vocab, and a 100 in grammar. I had no problem getting

  21. How hard is it really to get a 4.0 in Nursing school

    cardiacqueen replied to BenTram's topic in Diploma, ADN, BSN

    Nope, it's not impossible! I kept a perfect 4.0 until halfway through my junior year. I ended up getting 2 A-'s, it was heartbreaking for a perfectionist like me because they were both right on the...

  22. HESI Question

    cardiacqueen replied to springchick1's topic in HESI Entrance, Exit Exam

    HESI is a series of nursing school competence exams developed by the Evolve-Elsevier textbook company. The exams contain NCLEX-style questions and are supposed to "accurately predict" NCLEX passage...

  23. Hesi In Two Days...Now what?

    cardiacqueen replied to Soliloquy's topic in HESI Entrance, Exit Exam

    I took the Exit HESI a couple months ago and passed it. Just this week I did the Hurst Review (loved it!). From my experience I think there is a slight difference in philosophy between the HESI...