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Birdy2's Latest Activity

  1. Well, the patient I most recently had did have a slight pink discoloration to chest and neck and itching there. This was with Zosyn. He also had that reaction to vanc when given earlier.
  2. I have been instructed to give medications, in several situations, that a patient was having a mild reaction to. Every time the doctor will order Benadryl to be given with the Med (mostly antibiotics) and there is only itching and/or a mild rash. Is this common? Some doctors will immediately discontinue a med and then others will knowingly order a med that someone’s allergic to and just give Benadryl. It makes me pretty uncomfortable and seems like it shouldn’t be allowed
  3. Birdy2

    Help with baby spitting up medicine

    Yes he does. I think it has something to do with him having a rough start so less tone, plus the pediatrician we saw said he had a third degree tongue tie. Unsure if she's right about that causing issuwa because he nurses well, but he does seem to have a hard time latching on a paci and also I have to use a nipple shield for him to be able to latch. He did latch a few times at first but then after getting a bottle from nicu nurses who had to feed him when I wasn't there he stopped trying to even latch and got frustrated quickly.
  4. Birdy2

    Help with baby spitting up medicine

    No clinics are open on Sunday and urgent care clinic had no advice to offer other than what I have already concluded myself. Yes it's my child and yes I'm a general Med-surg nurse...not a nicu nurse or pediatric. My son was discharged Wednesday from nicu and I wasn't given much advice on what to look for with seizures. His neurologist said seizures were hard to identify in infants. In fact he himself didn't think my son was seizing, but an eeg revealed he was. Every move he makes makes me anxious. I did ask them how they gave him the medicine and they acted like he hadn't had a problem with it in a bottle with a small amount of milk, but when I tried that he lost a lot out of the corner of his mouth...plus what if he doesn't finish it? Then his pediatrician said give it in the side of his cheek, so I did and he swallowed it, but with much difficulty and then spit up within a few minutes. I just don't know what to do. It seems like I can't get any good advice from anyone, so that's why I thought I'd try asking some nurses who deal with this all the time. Like I said, tomorrow I'll get the pediatrician to see about switching it to a different form if possible, but other than that I don't know what else I can do.
  5. Birdy2

    Help with baby spitting up medicine

    I will definitely call his doctor Monday and the pharmacist in the morning
  6. Birdy2

    Help with baby spitting up medicine

    Good idea with the nipple alone instead of in a bottle but still he loses a lot while sucking on one so not sure if that would work. That's why I squirt it on the back of his tongue and squeeze his cheeks, so he can't spit any out or it can't fall out.
  7. Birdy2

    Help with baby spitting up medicine

    This is seriously worrying me. I mentioned it to his doctor and she kind of blew me off and acted like I should have no problem giving it. I feel like if it were her child she may be more concerned. It's not a drug to mess around with and isn't something you can just stop taking, plus I'm scared to death my 3 week old is going to have more seizures. I'm not even sure how to know if he is. I've read, been taught, and watched videos on it, but infant seizures just look like normal baby movements to me.
  8. Birdy2

    Help with baby spitting up medicine

    What do you do if a baby spits up within minutes of getting medication? I have a baby on phenobarb and every single time he's given his dose he spits up after and I'm afraid he's losing it all. His level was low last check. Also, the only way to get it down is to lay him flat and slowly squirt a little at a time on the back of his tongue while squeezing his cheeks so he swallows. Otherwise the medicine is running out of his mouth or he's spitting it out. In a bottle there's the risk of him not finishing even a small amount and spitting up is still an issue.
  9. Birdy2

    Heparin injection sites

    So I usually give heparin in the abdomen, but sometimes have given in the patients arm depending on if they were severely emaciated. I figure if they have no subcutaneous tissue on their abdomen and it's supposed to be injected into fat then choose the next best thing, like their arm...if there is more fat there. However, a nurse I work with who has been nursing for over 15 years says that it is against hospital policy to give heparin anywhere except for the abdomen. The hospital I work at has the most unclear policies I've ever seen, but I have never been told that was a rule. I tried searching new guidelines, but everything is out of date. What is the policy at your facility?
  10. Birdy2

    Phenytoin and albumin

    Can someone explain to me why we check albumin levels when a patient is on phenytoin long term? I know I must've learned this at some point but I have forgotten and can't find anything with a clear answer when googling.
  11. Birdy2

    Bruise vs hematoma

    I know that a hematoma is a collection of old blood that can get infected, but how do you tell if it's actually that and not just a bruise? One of the nurses I work with said she was worried a patient might be bleeding because of a large bruise and that she wondered if it might be a hematoma. Well, I thought hematomas were old blood, not a sign of active bleeding. The patient supposedly had an abscess after having hysterectomy, but was severely bruised all the way around her body and in a lot of pain. Also her wbcs were pretty elevated. Anyways, I'm just wondering if there are any ways of telling if it's a hematoma or just bruising, other than a ct.
  12. Birdy2

    How to eat on night shift

    I'm thinking I should eat breakfast when I wake up, then maybe lunch when I finish first rounds which sometimes is 10 o'clock. Then that would leave dinner for about 4 in the morning. Ugh it just doesn't seem right lol I need some serious help. Plus when am I supposed to workout?? On off days I guess....night shift problems
  13. Birdy2

    How to eat on night shift

    I am going to start doing the same. THe problem is I just don't know what eating schedule I should be on. Especially since I'm up during the day on my off days. I guess I should be eating when I wake up and then probably around the time i clock in. Lol this is the problem.
  14. Birdy2

    How to eat on night shift

    I have a 7 year old and have to make time for him. He stays with a sitter so I can get some sleep. I usually pick him up at 2:30. Then have to drop him off again at 6 to make it to work by 6:30. So I'm basically getting an hour and a half with him before I have to make something to eat and get ready for work. Thank goodness it's only 3 days per week, so I can catch up on sleep on my off days. But it's still very hard
  15. Hey guys! I need some advice on what and when to eat while I'm working 7-7. So far I've gained 10 lbs since starting work and I'm just so out of shape because I rately have time to workout. Most of the time I'm so tired I have to go to sleep when I get home. The max amount of hours I get to sleep is about 6 hours from 8:00-2. Then I have about 2 hours before having to get ready to go back to work. So any help would be appreciated. Working night shirt sure is a struggle.
  16. Birdy2

    Giving meds early/late

    I'm learning more and more how to make my own decisions based on what I know and have been taught. In most hospitals if you were to give something up to an hour or two before/after its due you would be fired. I have realized that where I work things are just not the same as others. We are so understaffed that often we have no choice but to give things a little off schedule. I still try my best to give things close to when they're due. I pay close attention to when the med was given last, what the recommended time between doses is, how the pt tolerates it, vital signs, Etc. There are still a lot of meds that I'm not familiar with and have to be extra careful when giving. I actually am still a little confused about vanc. I have only given it before surgery and so I haven't ever had to decide when to give/hold it. If someone could explain peak/troughs and what I need to know to safely give this med that would be great.

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