TennesseeNP123

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 input on the pap guidelines, and what you all foll...

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 supply...the insurance will cover Byetta and Bydureon, a...

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 A1cs back, if the numbers haven't changed signific...

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 allergy testing, and it came back negative for all envi...

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.... Thanks

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, FT4, and antibodies...she is currently on levothyrox...

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 had pt today w/this scenario, and the specific labs...

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 pain/joint pain.....He comes in for refills of his Adde...

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 did clinicals through Barnes-Jewish, which IMO is su...

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 the diagnosis, but I'm not sure now if she needs ...

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 have been told certain things so when I explain why t...

Thanks!

Thanks guys....

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 working at has multiple pts that have been on phenterm...

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 him next month we need to delve into some imaging,...

What kind of specialist would you refer to?

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 been getting, and that's what he wants....The shi...

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 for the most part, I was a stay-at-home mom....true,...

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 very helpful, particularly the ethical/cultural/leg...

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 the focus on clinical experience for now, graduat...

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 the largest teaching hospital in my area...it was ...

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 metformin (only low-dose bc not tolerating higher ...

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 plan....she said after she left the office last time it k...

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 such an unmotivated pt...states she is taking the ...

Great--thanks...