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NormaSaline

NormaSaline

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NormaSaline's Latest Activity

  1. NormaSaline

    When Police and Nurses Disagree Over Blood Draw Consent - Know What to Do

    Excellent clarification. Thanks.
  2. NormaSaline

    When Police and Nurses Disagree Over Blood Draw Consent - Know What to Do

    I might have been assuming that based on this from the original post -- --I thought the doctor's order carried the same weight as a warrant.
  3. NormaSaline

    When Police and Nurses Disagree Over Blood Draw Consent - Know What to Do

    Interesting that a doctor's order can override consent. Why isn't this more of a topic for docs then?
  4. NormaSaline

    Multivitamins and supplements? My vent.

    I don't know about that, but: https://journal.chestnet.org/article/S0012-3692(16)62564-3/fulltext "Our results suggest that the early use of intravenous vitamin C, together with corticosteroids and thiamine, are effective in preventing progressive organ dysfunction, including acute kidney injury, and in reducing the mortality of patients with severe sepsis and septic shock. Additional studies are required to confirm these preliminary findings."
  5. NormaSaline

    Nurses secretive about getting another job

    Wait, why is this even a topic? And with so many replies! (including mine). This is when I wish there was a moderator. There are so many much more worthy topics with so many fewer replies.
  6. NormaSaline

    Feeling embarrassed, ask the md a stupid question

    "The doctor's forgotten it by now." "Trust me, that doctor doesn’t remember you or anything about this question." Yes, yes, it's ok to insult the person as long as at some point, the insulter forgets all about the person he or she has verbally thrashed. Not that the doc in question truly insulted this nurse. Just in general, the above quotes don't always take the sting away when it does happen, and insults can have a long-lasting corrosive effect. Why in the world do we take this? I'm a bit older, and I would have probably looked up the drug in question, seen that it's already at a very high dose, and, if this doc has a reputation for openly or covertly insulting nurses regularly, possibly anticipated a snide remark by someone bothered by an interruption (as we all are bothered), and said something like, "pt already on a high dose, but blah blah, any chance you'd like to go higher?"
  7. NormaSaline

    Dual Anti Platelet Therapy Question

    Hi Everyone, We have a patient with a history of CVA who is on dual anti-platelet therapy, a newer anti-convulsant, and other medications as well. In addition to having several facial openings of sizes from pinprick to half a thumbnail sized, he has in the past complained of coughing up small amounts of blood, but that has now stopped. Basically it appears to me that the blood seems to be very very close to his skin, like I can almost see it. Am I worrying too much about this? Also, his platelets are less than normal, but not mind-freakingly low, but almost in 5 digits, not quite. Is that normal for someone on ASA and plavix? Norma
  8. NormaSaline

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    "She's my sister and my daughter!" I couldn't help myself. I just knew this conversation reminded me of a certain film.
  9. NormaSaline

    Coworker violated HIPPA

    OMG. Too confusing. Reminds me of that Friends episode when Phoebe goes, "they don't know that we know they know we know."
  10. NormaSaline

    Hot Cheetos are a public health menace

    But the education has not been done on a mass scale the way cigarettes has. It's taken place, if at all, in individual doctor's and nurse's office, or in comments sections or in little discrete articles, geez, it's nearly been boutiqued. Let's do something different for once, is what I say! Also, I did not realize spicy food being bad was a thing. It's the other cr*&p. NS
  11. NormaSaline

    Hot Cheetos are a public health menace

    Well, big govt sure got involved in smoking, so I'll give that to them! Of course ad campaigns do not mean more people can afford healthier food, but a lot of people have no idea of the health consequences of highly processed food, and without a doubt it would help. It's just Step One in a long-term plan.
  12. NormaSaline

    Hot Cheetos are a public health menace

    What we need to do is educate people about diseases and cost. Educate people starting in the school system as young as 1st grade. Develop a plan that takes a patient throughout their life in different grades so by the time the school children get to high school, the patient they are learning about has 2 chronic care conditions and they most surely will know the history of how they got there. Incorporate economics into the picture, the cost of diabetic supplies, the cost of a blood test, all this should be so transparent to a patient just like going to the grocery store and knowing what is on the shelves and the cost. Knowing the actual cost of medication with and without insurance, how much the state you live in gets monies from the state and government and how it is allocated. Oh how I liked this post, though I am not 100% concordant with it. I am so passionate about the two Americas and how one gets crap food, and the other generally avoids it and gets to shop at WFoods, has the time not to mention the money to choose slowly and leisurely, to read up on the food, to cook it with love and enthusiasm, share it, with increasing knowledge. This must change! I believe that we need to advertise and those ads need to feature images of things like Starbucks lattes, candy bars, bags of chips, just the usual junk food, with a question mark next to the image. Then an arrow leading to bottles of metformin, glipizide, eliquis, hctz, atorvastatin etc and so on. Because that's what it's about, for me, pure and simple. End of story. And we need to realize that poverty, stress, and lack of time will lead to these choices which leads to ill health. This is so glaringly obvious to me. /rant
  13. NormaSaline

    Hot Cheetos are a public health menace

    Reminds me a lot of Terry Wahls's work. Thank you for posting.
  14. NormaSaline

    Hot Cheetos are a public health menace

    Reading the back of a bag, there's MSG, and it also says there's syrup and sugar under the ingredients, but the label says 0 added sugar, so I'm not sure if everything is on the level there, and perhaps it's worth a food investigator's time and effort to pull it apart. None of what I've read definitively points to these causing gastritis but I'll keep going. What I have seen is that if you eat enough, it can turn BMs red, which freak a lot of people out and at that point probably do become a drain on resources. But doctors and nurses need to start lobbying Congress and their localities about health and nutrition, else we're just playing whack a mole. I found this on a firm's web site that specializes in lawsuits based on defective products: It's almost amazing that Flamin' Hot Cheetos are regulated by the US Food and Drug Administration instead of the Drug Enforcement Agency. A breakdown of the ingredients by WIRED magazine shows just how little actual food the snack contains. The full article is worth a read, but we've summed it up here: Enriched cornmeal. Corn is milled to break and remove hard kernels, along with most of the nutritional value. Artificial chemical versions of natural nutrients are added back in to "enrich" the meal. Maltodextrin. This flavorless white powdered chemical is used to evenly distribute other chemicals. The FDA considers it safe, but the powder has a high glycemic index that can cause big blood sugar spikes; diabetics, be warned. "Cheddar cheese." When cheeses age, milk fat and protein break down into small fatty- and amino-acid fragments. Fatty acids taste cheesy, and amino acids taste savory; combining them into a slurry with milk solids and salt and drying it to a powder is not the same thing as using cheese. Monosodium glutamate. The dreaded MSG is great for flavor, but bad for almost everything else; the compound has been linked to headaches, fatigue, and cancer. "Natural" flavor. These are protected trade secrets; they're required to be a concentrate of an edible, naturally occurring substance. Unfortunately, natural flavors can constitute as little as 0.1% of the product by volume. With ultra-light Cheetos, that's an ultra-small amount of natural flavor. Red 40 Lake and Yellow 6 Lake. Last but definitely not least, the dyes that make this product look improbably, unnaturally "fiery" are water-soluble dyes that don't play well with food until you make them act like oils. In order to do this, they are chemically altered into substances know as "lakes" through the addition of aluminum hydroxide. The next time your fingers turn orange or red from a helping of snack food, you can rest assured knowing that the sticky colors are the direct result of the aluminum compounds binding to your skin. The Common Ingredients in Your Snack Foods Could Kill You
  15. NormaSaline

    How do you deal with dizziness and syncope?

    Maybe do a little more digging. Assess for what kind of dizziness it is. Lightheaded? Vertigo? Room spinning? When does it happen: standing as well as lying down? Is it position related? Is it constant? Then: Hydration status. Eaten lately? Medications? O2 status. CBC? And of course - chest pain, SOB?
  16. NormaSaline

    How do you deal with dizziness and syncope?

    What about you? What are your tips and tricks? Maybe do a little more digging. Assess for what kind of dizziness it is. Lightheaded? Vertigo? Room spinning? When does it happen: standing as well as lying down? Is it position related? Is it constant? Then: Hydration status. Eaten lately? Medications? O2 status. CBC? And of course - chest pain, SOB?
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