manncer

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

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 own account. I am facing retirement in a few years and am in trouble because of the recession and the lousy plan the hospital arranged. I can't emphasize the importence of having adequate monies when you are done working.

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

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 antiseptics are usually avoided because they interfere with wound healing because of cytotoxicity to healing cells." -Emedicine You'll get lots of arguments, purveyors of witchcraft and voodoo still use it.

Way to go Doc!

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

Good grief. Don't you have a pharmacy?

PO with a long straw helps for PO

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 saying to you easily, but you can tell them to speak simply and it may help. It will be comforting that you are trying to understand them. Polyglotism is here to stay as frustrating as it is.

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 should know this. To double check yourself call your hospital Pharmacist.

Phew! :argue:

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 fault.

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

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 higher.

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

OopS!

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 risk benefit to patient. As long as doctor and patient agree on using them, seems you wouldn't be libel?

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 busy and think they're the only ones struggling. Please talk to your supervisor first. And don't feel bad! You did the right thing, and anyone who acts like the manager, should be felt sorry for.

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

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 they get this drill sergeant answer. we're her to support each other, not make other, possibly new nurses tow the line. Any question asked is knowledge gathered.

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 it?

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 tell her, that wasn't in the book. NTG Patch is site changed daily to avoid skin irritation.

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 levels. I assume potassium levels are high normal, or high. Usually given as k*Phos. Phosphate is a chemical present in all organs and tissue. Mediates calcium levels, etc I assume we're talking IV replacement?

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

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 IV every 4 hours for up to 24hours, if needed. It will cause flushing if given too fast.