TennesseeNP123

TennesseeNP123

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All Content by TennesseeNP123

  1. Pap guidelines...

    TennesseeNP123 posted a topic in Nurse Practitioners, NP

    Hi--I'm sure this topic has come up on this site in the past, but couldn't figure out how to search for previous threads....so sorry for a repost if that's what this is... Wondering if I can get your...

  2. Changing from Victoza to Bydureon

    TennesseeNP123 posted a topic in Nurse Practitioners, NP

    Does anyone have experience changing pts from Victoza to Bydureon? I have a few pts who have done very well with Victoza, but Express Scripts will no longer cover it, and the pts prefer 90-day...

  3. DMII Victoza med management

    TennesseeNP123 posted a topic in Diabetes, Endocrine Nursing

    Question---I have multiple pts I've started on Victoza recently and most are taking max Metformin, and most are also on either glimeperide or glipizide....my question is when I get their next 3 month...

  4. High sed rate, neg ANA

    TennesseeNP123 posted a topic in Nurse Practitioners, NP

    Question--I have a 22 y.o. female who presented initially w/a red, pruritic rash that had been recurring for one year off and on, and unable to distinguish the cause of the rash. I sent her for...

  5. Thyroid antibodies

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    Thanks all....I've been adjusting/monitoring pt's based on TSH/FT4 and 3 which is why it really threw me off to have this pt say hers needed to be adjusted based on Abs....

  6. Thyroid antibodies

    TennesseeNP123 posted a topic in Nurse Practitioners, NP

    Question--I have a pt who was previously seen at another office to manage her hypothyroidism....she mentioned to me that she was previously managed through her thyroid antibodies....I drew her TSH,...

  7. Help with lab interpretation !

    TennesseeNP123 replied to reeya's topic in Nurse Practitioners, NP

    Wow, what a great thread....question---say you have a pt with elevated sed rate and positive ANA titer...vague symptoms, joint pains, fatigue, general malaise.....what labs would you order next?? I...

  8. Narcotics and diagnostics...

    TennesseeNP123 posted a topic in Nurse Practitioners, NP

    Okay, I have another question....I have a pt who makes me uncomfortable....He's a 35 y.o. male LPN who works nights and comes in once a month with shift work fatigue, gamers grip, and lower back...

  9. Umsl or slu ??

    TennesseeNP123 replied to pri4fun's topic in Student Nurse Practitioner

    I actually graduated from UMSL about 10 years ago with my BSN! I'm not sure the difference with the MSN programs, but in applying for my undergrad the deciding factor for me was that UMSL students...

  10. Teen +HSVII + pap guidelines?

    TennesseeNP123 posted a topic in Nurse Practitioners, NP

    Hi all....I have a new pt who was dx'd with HSV II last year...she's 16-years-old....I'm wondering if anyone knows if the pap guidelines would deem her for paps now? I know she had one last year with...

  11. Teen +HSVII + pap guidelines?

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    YES!! This has been an endless problem at this clinic and it's extra difficult bc I'm a new grad, and the other providers make me feel like I don't know what I'm talking about! AND, the patients...

  12. Teen +HSVII + pap guidelines?

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    Thanks!

  13. Phentermine??

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    Thanks

  14. Phentermine??

    TennesseeNP123 posted a topic in Nurse Practitioners, NP

    Question---how long is it appropriate for a patient to be on phentermine for weight loss? I've tried googling, etc and find conflicting answers, but most say less than 3 months....The office I'm...

  15. Narcotics and diagnostics...

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    Thank you all so much for your feedback....this is a patient I inherited with all of these medications, and I've actually over the past 2-3 months gotten him off the Tramadol, and this last time told...

  16. Narcotics and diagnostics...

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    What kind of specialist would you refer

  17. Narcotics and diagnostics...

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    I basically inherited this pt from a PA who recently moved....I don't think Percocet is the best thing for his situation....it's just this is what the person before me had started and that's what he's...

  18. Nurse practitioner lives?

    TennesseeNP123 replied to taylordawn's topic in Student Nurse Practitioner

    I think it's great for you to be thinking ahead...from MY experience, I worked as an RN while my kids were babies/toddlers....I worked night shift, and it worked great for our family bc I felt like...

  19. Which review course is the best????

    TennesseeNP123 replied to buster4's topic in Student Nurse Practitioner

    I graduated in December, took the APEA review weekend (Hollier) and tested in January and passed....I did review some of the Fitzgerald workbook and listened to quite a few of her CDs, which I found...

  20. What do you think?

    TennesseeNP123 replied to Calibean's topic in Nurse Practitioners, NP

    You owe him nothing....the thank you note and gift card are nice....focus for now on getting your hours, enjoy the extra opportunites he has set up and get as much as you can out of it....but I'd keep...

  21. Why are MD's preceptors?

    TennesseeNP123 replied to AlphaPig's topic in Nurse Practitioners, NP

    I agree that I think if a physician has offered to precept, that's who you get....I had a majority of NPs as preceptors, and in my final clinical rotation, I was placed with an attending physician at...

  22. DM II Med question....

    TennesseeNP123 posted a topic in Nurse Practitioners, NP

    Hi all....I have a question about a diabetic pt I saw today and wanted to get some feedback... Pt is in her 50s, DM II, full metabolic syndrome...a1c 3 months ago was 7.4 and she has been on low-dose...

  23. DM II Med question....

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    So...my patient came back to see me today and it was great....her daughter came with her and I spent about 30 minutes or so going through more detailed info on the diet, we came up w/a workout...

  24. DM II Med question....

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    Thanks so much.....wow, I wish I was you right now! You sound like a superstar! As a new FNP, I feel kind of overwhelmed sometimes trying to juggle these meds and the patho, and education.....she's...

  25. Pap guidelines...

    TennesseeNP123 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    Great--thanks...