Alright, friends. I'm keeping this one short and sweet because my brain is sore and my dog is annoying.
This week, I have learned....
1. There should be a time limit hospitals should have to fix a problem. If things aren't better after, say, 15 days, let someone else try.
2. I'm in the mid Atlantic of the US with spring travel plans to Florida, and I'm actually feeling nervous about Zika. I had a guillian barre syndrome patient in nursing school. On his way driving home from work, his chest felt off, so he course corrected to the ED. When he pulled up and walked to the doors, he struggled with leg weakness. After he was done in triage, he couldn't stand. He was intubated, and completely paralyzed, before he left the ED for ICU.
3. A patient on neuroleptics will still have detectable epileptiform patterns on an EEG.
4. A good neurologist knows no matter how crazy the patient sounds describing symptoms, what they say is legit and will stay the course for diagnosis.
5. My favorite doctors to work with are the ones who will sit and talk patho with a nurse and enjoy that the nurse legitimately loves to learn.
6. Sliding scale coverage alone for inpatient management is not currently supported by research.
7. If working day shift doesn't eventually make me check into a psych ward, nothing will.
8. The GI doc who left me scrambling to save a guy's life (what felt like) single-handedly by doing no intervention before he got dumped on us (actively bleeding out 2 points of hemoglobin over 8 hours and maintaining a BP that won't leave 70s-80s) has suddenly become cautious enough to send a perfectly stable (hemodynamically, symptomatically, and on CBC) rectal bleed to ICU before meeting or scoping her after I've literally done all the work needed on her for the shift. And of course, I was rewarded with an end of the shift admission.
9. The Florida Man Collective has evolved to include its latest - Wrinkles the Clown. He is a scary-looking clown who is for hire to scare anyone you want, for any reason.
10. The more you annoy the doctor about the same thing, over and over and over, the more likely it is they will listen and maybe put in an order.
I have nothing else right now. My broken brain is feeble!
I love puppies, monkeys, & babies but some things just should NOT be combined. Maybe this is someone's idea of what could happen to a baby if mom has Zika virus?
I learned to appreciate the human species. It's really amazing the creativity that we are able of in everything - music, art, language. We're kind of awesome.
I love puppies, monkeys, & babies but some things just should NOT be combined. Maybe this is someone's idea of what could happen to a baby if mom has Zika virus?
It's the "spokes thing" for the newest Mountain Dew travesty. The drink apparently combines three different elements, and they decided the "spokes thing" also had to combine three different elements.
It's the "spokes thing" for the newest Mountain Dew travesty. The drink apparently combines three different elements, and they decided the "spokes thing" also had to combine three different elements.
This is why I never drink Mountain Dew...
And here I thought Mountain Dew just rotted out your teeth!
I learned thst septic shock sucks, so... Prevention, prevention, prevention!
All shocks are classified by their lack of adequate oxygenation and tissue perfusion.
Don't give LR's with blood products because of the calcium in it - can cause clotting. Clotting is bad.
Increased HR is the earliest sign of shock.
Electrolyte imbalances has all sorts of %&$# problems. Especially K+. And don't administer K+ IM or subQ because it can cause tissue irritation and necrosis.
I learned thst septic shock sucks, so... Prevention, prevention, prevention!
All shocks are classified by their lack of adequate oxygenation and tissue perfusion.
Don't give LR's with blood products because of the calcium in it - can cause clotting. Clotting is bad.
Increased HR is the earliest sign of shock.
Electrolyte imbalances has all sorts of %&$# problems. Especially K+. And don't administer K+ IM or subQ because it can cause tissue irritation and necrosis.
Oh, yes. Those lovely electrolyte imbalances. I'm thinking of singing you a song about them after the night I just had. And then there's the providers all trying to turf responsibility for new orders to whatever *other* specialty is also involved in management. Let me just say that when that feces starts flying in a heart patient who also has late stage cancer and subsequent SIADH, it's like a little chemistry rodeo all your own.
With clowns. Angry, angry clowns. Ixchel's homies.....
Oh, yes. Those lovely electrolyte imbalances. I'm thinking of singing you a song about them after the night I just had. And then there's the providers all trying to turf responsibility for new orders to whatever *other* specialty is also involved in management. Let me just say that when that feces starts flying in a heart patient who also has late stage cancer and subsequent SIADH, it's like a little chemistry rodeo all your own.
With clowns. Angry, angry clowns. Ixchel's homies.....
*shudders* No clowns. After watching Killer Clowns on YouTube, I've considered carrying a hand gun, just in case.
poppycat, ADN, BSN
856 Posts
Well, I used to like mermaids but now I'm just creeped out! I hope I don't have daymares (like nightmares but in the daytime)!