manncer

manncer

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All Content by manncer

  1. Toradol/ketorolac for major trauma pts

    manncer replied to back2bRN's topic in Emergency

    I agree that it is not a wise choice and it could be a fatal

  2. Retirement

    manncer replied to ttpurtee's topic in General Nursing

    Don't trust your employer. If they offer a plan, don't be surprised if they suddenly don't contribute to it anymore, or even stop offering completely. Get a good financial advisor and build up your...

  3. Toradol/ketorolac for major trauma pts

    manncer replied to back2bRN's topic in Emergency

    I would see it as a complete no-no. The patient may be bleeding internally. NSAIDS are a dangerous choice in this

  4. Is Dakins still used?

    manncer replied to clemmm78's topic in General Nursing

    It shouldn't be used at all. It inhibits platelet aggregation and thromboplastin formation. "Wound infection requires surgical debridement and appropriate systemic antibiotic therapy. Topical...

  5. Plz help with Bumex, amio, dopamine, cardizem calculations!

    manncer replied to RamaMama's topic in General Nursing

    Way to go

  6. apps, handy references

    manncer replied to Bionic Woman's topic in General Nursing

    IPhone, iPad, iPod touch have numerous apps that I use, epocrates, IV meds, Sedation, Cardio Pharm, ABX Guide, Harriet Lane, Harrisons, Washington Manual, and

  7. Technical problem in withdrawing drugs

    manncer replied to Student Cheryl's topic in General Nursing

    Good grief. Don't you have a

  8. Making Acetylcysteine bearable?

    manncer replied to kaliRN's topic in General Nursing

    PO with a long straw helps for

  9. Major Vent

    manncer replied to LouisVRN's topic in Patient Safety Issues

    I've got an iPod touch and an iPad-There are some apps that will not only translate what you want to say, but actually say the phrase on the device. This doesn't help you understand what they are...

  10. Calculation question

    manncer replied to tigerlily345's topic in Nursing Student Assistance

    98 lbs =45kg (rounded) weight in Kg X (mcg/Kg/min) X 60 min = 45 X 6 X 60 = 20.25(or 20ml/hr) conc of IV in mcg 800mcg/ml If you work in most facilities you...

  11. patient dies from combination of drugs that doc prescribed. who is responsible?

    manncer replied to premedwoahs's topic in General Nursing

    Phew!

  12. patient dies from combination of drugs that doc prescribed. who is responsible?

    manncer replied to premedwoahs's topic in General Nursing

    If there was a Pharmacy involved the Pharmacist would carry blame from not knowing the interaction. There is no excuse for RX not catching this. All three are at

  13. younger generation of nurses and blackberries?

    manncer replied to stephva1008's topic in General Nursing

    Maybe you can ask them? You might find out something you could use and it might be a nice way to get to know

  14. bumex vs lasix

    manncer replied to iluvnoodles's topic in Patient Medications

    Loop diuretics are given to decrease fluid overload with malfunctioning kidneys and to prevent hyperkalemia. Eventually loops become less and less effective and doses of lasix can be 600mg/day or...

  15. what do the docs use in colonoscopy?

    manncer replied to johnnyDoGood's topic in General Nursing

    Just a note all phospho soda laxatives have been recalled, do to rare instances of renal injury. Class action lawsuits are being

  16. Giving Tobramycin nebs while pregnant

    manncer replied to redhairboy's topic in General Nursing

    OopS!

  17. Giving Tobramycin nebs while pregnant

    manncer replied to redhairboy's topic in General Nursing

    Tobramycin inhaled does cross the placenta and is toxic(auditory damage) to the fetus, even though the amounts in serum is low. Also, it should be discontinued in lactation. The doctor should explain...

  18. I wished I worked @ Wal-Mart

    manncer replied to WindyhillBSN's topic in General Nursing

    That behavior is completely detrimental to a professional atmosphere. I, myself, would be leery of going to the Pharmacy Manager. Did anyone else hear her rant? I've noticed that pharmacists can be...

  19. How much lorazepam have you given....

    manncer replied to sassyrn333's topic in MICU, SICU

    Lorazepam acts on GABA receptors in the brain, just like alcohol, so huge alcohol tolerance reflects in Ativan

  20. nitroglycerin clarification

    manncer replied to mcpnurse's topic in General Nursing

    I run across the "look it up" answer all over the internet, at professional sites and non-professional. Of course it's good advice for crying out loud, but it scares nurses from asking again, when...

  21. Can some one develop an allergy to PPD?

    manncer replied to HeartsOpenWide's topic in General Nursing

    The first thing that comes to mind is that you are positive for exposure to TB? Hopefully you told someone that you had a reaction, but it disappeared before they read

  22. nitroglycerin clarification

    manncer replied to mcpnurse's topic in General Nursing

    Really nice. Why bother to reply if you're telling her "to look it up"? Jeeze, that really stinks. Maybe she would learn about something to do with her medication question that an experienced RN could...

  23. Sodium Phosphate

    manncer replied to silentRN's topic in General Nursing

    Usually used for phosphorus replacement IV. Disease states and conditions can cause reduced levels of phosphorus. Hyperparathyroidism, TPN's, diuretics, some antacids hypomagnesemia , low vit D...

  24. Risperdal Constra

    manncer replied to Debilpn23's topic in General Nursing

    Upper outer quadrant of gluteal muscle. Every two weeks. Use needle and diluent in package. Give right away. Alternate right and left

  25. Premarin IV

    manncer replied to prevost's topic in Ob/Gyn

    Premarin can be given IV/IM 25mg mix with 5ml sterile water. It can be given once with a repeat in 6 to 12 hours if needed. It can be put in minibottle, but not necessary. Our facility gives it 25mg...