sweetieann

sweetieann

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All Content by sweetieann

  1. bolus insulin for meals

    sweetieann replied to sweetieann's topic in General Nursing

    (I should add: we have a regular sliding scale, and also carb coverage insulin--1 unit for every 60 grams of carbs--2 seperate things). So if they were, say 80 on the glucometer before meal, they...

  2. bolus insulin for meals

    sweetieann replied to sweetieann's topic in General Nursing

    right, but what about covering the carbs, etc they will eb eating for a meal? If they are 149 AC and I don't give them meal coverage to cover what they will be eating, they are going to spike very...

  3. diabetic orders question

    sweetieann replied to sweetieann's topic in General Nursing

    we're given things like 3.5 units, etc. Never something like 3.25 or anything in a syringe, but I've seen orders for 1/2 units. Could depend on how fragile a diabetic the patient

  4. diabetic orders question

    sweetieann replied to sweetieann's topic in General Nursing

    I should mention, this patient has a pump, so easy to program it in :)Thanks for your input, it's especially helpful since you yourself are a

  5. Dvt

    sweetieann posted a topic in General Nursing

    If a patient has an actual DVT, are compression stockings usually worn? I can see how on one hand, they should be because it will prevent furthur pooling of blood/the clot getting bigger. My only...

  6. oophorectomy

    sweetieann posted a topic in General Nursing

    Is it normal to have some bruising on the abdomen after laproscopic removal of one of the ovaries, on the side of the ovary removed? VSS, no discharge or anything. Bruise showed up a day post-op. I...

  7. bedrest

    sweetieann posted a topic in General Nursing

    Does placing a pt on bedrest require physician's order? Opinions?

  8. Dvt

    sweetieann replied to sweetieann's topic in General Nursing

    The physician assistant ordered a doppler study but no mention of bedrest of anything. No anticoagulation. This is at a psych hospital, pt pretty medically stable. Had some swelling of one ankle....

  9. Dvt

    sweetieann replied to sweetieann's topic in General Nursing

    if a person is already wearing compression stockings for edema and then they have a suspected but not yet confirmed possible DVT, should they continue to wear the stockings until a definitive...

  10. benzos...important question!

    sweetieann posted a topic in General Nursing

    I have a pt who gets 1 mg Klonopin QID (10am ,2pm, 6pm, 10 pm). Have been on this regimen for quite awhile. They are getting ischarged tommorrow and will be driving hemselves home, takes 4 hours for...

  11. end of my rope...trying to tie a knot and hang on!

    sweetieann posted a topic in General Nursing

    Just taking some time to vent...I sure feel like I need it. Been a nurse for almost 2 years. For awhile, I got through that first year mark, and everything was going good. But lately, I feel things...

  12. end of my rope...trying to tie a knot and hang on!

    sweetieann replied to sweetieann's topic in General Nursing

    no way-no volunterring on my end. We have a steady night nurse-so I only work nights on her days off. That's why I can't get clumped any nights in a

  13. supplemental O2???

    sweetieann posted a topic in General Nursing

    I have a patient who has an order to "titrate O2 to keep sats >92%." She is NOT on continuous pulse ox (this is a psych setting). We are ordered to check her pulse Ox 2 times/shift or if she c/o of...

  14. supplemental O2???

    sweetieann replied to sweetieann's topic in General Nursing

    that's what I suggested...she is on 2 pillows right now but she also has some positional pain in her legs from edema (alot of eating disorder patients get refeeding edema) and she wears SCDs and...

  15. Is it normal to graduate nursing school & feel like you know nothing.

    sweetieann replied to OBGYN*RN's topic in General Nursing

    Wow, I feel like I could have written this post 2 years ago. I felt EXACTLY the same way then as you do now...terrified! It might not be of comfort to just hear it, but trust me...things will get...

  16. supplemental O2???

    sweetieann replied to sweetieann's topic in General Nursing

    this is the first day I noticed this (thefirst day she was ordered this) so maybe now they will just put it on her at night. It would make sense

  17. shot opinion?

    sweetieann posted a topic in General Nursing

    I feel like that in most instances, the vastus lateralis is a good site to give an injection. Anyone agree/disagree? Is this a good site even for elderly/very thin patients requiring an IM injection?...

  18. oral vanco?

    sweetieann posted a topic in General Nursing

    A pt I have gets oral vancomycin suspension in a little individual cup. I looked up in a drug guide and it says this can be mixed with "one onuce of fluid." I'm wondering why it couldn't be poured in,...

  19. oral vanco?

    sweetieann replied to sweetieann's topic in General Nursing

    hmmm what if we're putting it down, say an NG tube? ok to mix it with H20 to draw it up then follow with another

  20. Ativan IM?

    sweetieann replied to sweetieann's topic in General Nursing

    i couldnt find this addressed in a text in terms of IM, only IV. I just like to get second

  21. Ativan IM?

    sweetieann replied to sweetieann's topic in General Nursing

    and you don't dilute it with anything for IM,

  22. Depo-Provera IM

    sweetieann posted a topic in General Nursing

    A ton of sites on the web say this should be given in deltoid or buttock. Can you give in the lateral thigh? Would this be contraindicated for any reason? I get confused sometimes when they recommend...

  23. vitamin b12 injection

    sweetieann posted a topic in General Nursing

    Which muscle does this have to be given in to? Does it matter? I can't find any info about this. I know sometimes, for different injections it is recommended to give into a certain muscle.

  24. seizure questions...help!

    sweetieann posted a topic in General Nursing

    Believe it or not, I am having troubling finding this info. I basically know what to do for a patient during a seizure, but I'm confused about after....but that I mean--how long after a seziure (say...

  25. peripheral IVs

    sweetieann posted a topic in General Nursing

    I know sometimes with a peripheral heplock/IV, the IV catheter can be against a wall of the vein.... If you attempt to aspirate blood and don't get any, should you try to flush and anyway and asess...