February 2012
44 posts
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Like this post if you are a nurse, nursing...
I want to follow you.
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Things you don't want to hear during surgery..
Better save that. We’ll need it for the autopsy.
Someone call the janitor - we’re going to need a mop.
“Accept this sacrifice, O Great Lord of Darkness”
Bo! Bo! Come back with that! Bad Dog!
Wait a minute, if this is his spleen, then what’s that?
Hand me that….uh….that uh….thingie.
Oh no! I just lost my Rolex.
Oops! Hey, has anyone ever...
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The nurse who can smile when things go wrong is...
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EMERGENCY ROOM RULES
If it requires the ambulance team and entire truck crew of firefighters to transport you and safely place you on a hospital stretcher, it is time to go on a diet.
When you present to the triage nurse, do not tell him/her that your doctor called ahead. If you survey our waiting area, probably 50% of the people waiting said the same thing, and the other 50% use the ER as their regular doctor.
...
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What your doctor is really saying..
ilovehotcoffee:
says: “One of several things could cause your symptoms.” means: “I haven’t the foggiest idea what’s wrong with you.”
says: “Are you certain you haven’t had this before?” means: “Because now you’ve got it again.”
says: “I’d like to run that last test over.” means: “The lab lost your sample.”
says: “This prescription has a few side effects.” means: “You may experience sudden...
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Work avoidance techniques
ilovehotcoffee:
pretend to check meds
go to the bathroom
hide in empty room
pretend to chart
look at call light and say, “now who can that be?”
personal phone calls
extra long back rubs for patients
smoke
pretend to be interested in what patient says while you are watching their tv
wait until everyone is sitting at the desk and offer, “does anyone need any help?”
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Nurses are here to save your ass - not kiss it.
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REASONS TO DATE A NURSE (Part 2)
White scrubs are see through
We assess all areas of the body
Scrubs make for easy access
We are clean
We don’t gag
We know your body inside and out
We know mouth to mouth
2 words… Sponge Bath
We know how to penetrate things
We have restraints and aren’t afraid to use them
We always have a rubber on hand
We can go all night long
We’re used to handling all types of...
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MURPHY'S LAW OF NURSING (Part 2)
You can please some of the patients all of the time, and all of the patients some of the time, but you just can’t please the family.
Management truly believes you are overpaid. But would never work for what they pay you.
People farthest from your work area are the least needy - and least afraid of pushing the nurse call. Invariably.
The more minor the injury, the more angry that person is for...
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MURPHY'S LAW OF NURSING (Part 1)
When you need the money, your shift is cancelled; when you have a weekend planned, you have to do overtime.
Realizing the patient you’ve just injected has a serious infection causes you to stab yourself with the used needle.
A 500 pound patient needs all care, while your 80 pound patient needs a finger dressing … and your colleague has a “bad back.”
It’s you’re first night shift for three...
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BASIC LIFE SUPPORT GUIDELINES FOR CARDIOPULMONARY...
Age: 8 years and older
Assess responsiveness: activate EMS if unresponsive
Open airway: if no trauma suspected - head tilt/chin lift position; if trauma suspected- jaw thrust only
Assess breathing: look, listen, feel <10 sec
Airway obstruction: Heimlich (abdominal thrusts)
Rescue breathing: 1 breath q 5sec (12/min)
Assess pulse: carotid
Provide compressions: landmark- lower half of...
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DEAR FELLOW NURSE,
Be on time. No, that does not reflect the time you swipe your badge. If you’re going to spend 15 minutes gossiping and another 15 getting your gear and preparing your coffee, be sure to arrive ahead of time so that when you do clock in, you’re ready to roll.
Lay off the cologne/perfume. We’re not out clubbin’.
If you must smoke, figure out a way not to take 30 minute smoke breaks four times per...
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EMERGENCY DRUG CALCULATIONS FOR CHILDREN...
1. Epinephrine 1:10,000 (0.1mg/ml)
0.01mg/kg= __mg
2. Epinephrine 1:1000 (1.0mg/ml)
0.1mg/kg= __mg
3. Atropine (0.1mg/ml)
0.02mg/kg= __mg (max dose=0.5mg, minimum dose-0.1mg)
4. CaCl2 10% (100mg/ml)
20mg/kg= __mg
5. Adenosine (3mg/ml)
0.1mg/kg= __mg
6. Dextrose 25% (25g/100ml) (dilute D50 1:1 with sterile water)
0.5g/kg= __gm (up to 1g/kg)
7. Na bicarb (1mEq/ml) (dilute 1:1...
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COMMON EMERGENCY DRUGS (Adult...
1. Albuterol
Neb: 2.5-5.0mg in 2ml q4h; inhaler: 1-2puffs q4h
Neb can be given as continuous with 2-3 doses over 1hr
-acute bronchospasm
2. Dexamethasone
PO/IM/IV: 0.75-9mg/day in divided doses
-asthma, allergic reactions, spinal injury
3. Diazepam
5-10mg IV q10-15min prn, max 20mg
administer slow IVP
-seizures
4. Heparin
35-70units/kg IV bolus followed by 15-18units/kg/hr continuous...
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Medical slang and acronyms
ilovehotcoffee:
3H enema - enema that is “high, hot, and a hell of a lot.” (reputedly given to patients who give staff a hard time)
3P’s - Pill, Permissiveness and Promiscuity (relates to female patients with sexually transmitted disease)
AALFD - Another Asshole Looking For Drugs
Acades vulgaris - medical students.
Acute Pneumoencephalopathy - airhead
ADR - Ain’t Doing Right
AFU & BR -...
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Like this post if you are a nurse, nursing...
I want to follow you.
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TRANSFUSION REACTIONS
1. Acute hemolytic reaction - usually occurs within 5-15 minutes after initiation of transfusion.
Symptoms:
hypotension
burning in vein
flushed face
headache
diffuse pain
Intervention:
stop transfusion
start NS or LR
consider diuretics
monitor BUN, serum creatinine, LDH, and bilirubin levels
2. Febrile nonhemolytic - usually occurs within 30 minutes after initiation of transfusion to 6...
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LUNG CONDITION AND EXPECTED SOUNDS
1. Pneumonia and consolidation
bronchovesicular or bronchial breath sounds over the affected area
rales may be present on late inspiration
2. Pneumothorax
decreased or absent breath sounds
no adventitious sounds present
3. Tumor
decreased or absent breath sounds over area
4. Emphysema
bronchial breath sounds with prolonged expiration and decreased intensity
fine rales often present in...
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Friends,
Can anyone offer any words of encouragement for our anonymous friend here?
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COMMON CARDIAC RHYTHMS
1. Normal Sinus Rhythm
Rate: 60-100
Rhythm: regular
P waves: similar; 1:1 with QRS
PR: 0.12-0.20 sec; constant
QRS: equal to or less than 0.1 sec
2. Sinus Bradycardia
Rate: <60
Rhythm: regular
P waves: similar; 1:1 with QRS
PR: 0.12-0.20 sec; constant
QRS: equal to or less than 0.1 sec
3. Sinus Tachycardia
Rate: 101-180
Rhythm: regular
P waves: similar; 1:1 with QRS; at very...
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COMMON IV SOLUTIONS
1. D5W (hypotonic)
Indications:
replace water and low calorie needs
dehydration
hyperkalemia
spares body protein; provides nutrition
Precautions:
do not use in head trauma, early post-op patients, or in patients with fluid overload (CHF)
c/i with diabetes
Incompatibilities
whole blood
ampicillin
erythromycin
warfarin
fat emulsions
sodium bicarbonate
dilantin
B12
2. 0.9% saline...
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EMERGENCY CARDIAC DRUGS (Adult...
1. Adenosine
6mg rapid IVP, then 12mg IV q 1-2min X 2 prn
half life <10sec; give at closest IV port, follow with IV flush
-symptomatic SVT
2. Alteplase (tPA)
15mg IV bolus followed by infusion 0.75mg/kg over next 20minutes followed by infusion 0.5mg/kg over next 60minutes
-fibrinolytic; treatment of acute developing myocardial infarction
3. Amiodarone
rapid infusion 150-300mg IV over...
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THE OLD SCHOOL NURSE
Still wears her hair ABOVE the collar at work.
Knows how to use a bath blanket and still prefers soap and water to body cleanser wipes.
Owns a case of white leather shoe polish for a VERY distinctive pair of lace-up nursing shoes.
Keeps a pack of mints in her pocket for post-op patients who have sore throats from the intubation.
Wears ONLY two pieces of jewelry to work–a wristwatch and (if...
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FAVORITE NURSING GEAR
Stethoscope
Roll of tape
Retractable badge holder
Scrubs
Shoes
Insoles
Nose saver
Pens (multiple colors)
Highlighters
Sticky notes
Pen light
Scissors
Alcohol wipes
A watch with a second hand/pulse oximeter
iPod Touch
What else?
WORST SMELLS IN THE HOSPITAL
Alcohol swabs
Benzoin tincture
Tube feeds
Cafeteria food
TPN
Code Brown
Bile
Vascular wounds
C. diff
GI bleeds
What else?
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105 REASONS WHY EVERYONE SHOULD LOVE A NURSE.
Nurses are regularly voted the most trusting of professions – and for good reason.
Somehow, they find ways to make their scrubs look so stylish.
They’re tough and nurturing at the same time.
They know how much we weigh but won’t tell a soul.
They break the rules for their patients everyone once in a while.
They’re our therapists, parents and drill sergeants rolled up in one.
Bedside manner...
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WAYS FOR NURSES TO RELIEVE STRESS.
Remember to always take a minute to just breathe.
Embrace being a nurse.
Go on a vacation.
Indulge in your favorite dessert.
Say it! Get it off your chest.
Take some alone time or spend time with friends or family.
Enjoy a warm latte or mocha.
Retreat to the nearest day spa.
Enjoy each day of your life (no matter what)!
Remember why YOU became a NURSE.
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ANTIDEPRESSANTS
Other nomenclature:
mood elevators
energizers
Purpose:
to treat dysthymia, major depression with melancholia or psychotic symptoms, depression associated with organic disease, bipolar disorder, dual diagnoses
Main effects:
decrease depressive symptoms
improve mood
improve sleep
increase ability to experience pleasure
decrease psychomotor retardation
Common Antidepressant meds
...
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“If we recognize our talents and use them appropriately, and choose a field that...”
– Ben Carson
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“It does not matter where we come from or what we look like. If we recognize our...”
– Ben Carson, Think Big: Unleashing Your Potential for Excellence
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WHY AM I A NURSE?
Helper, teacher, mentor, friend. Working for others, hours on end. Kind words, friendly smiles, a listening ear. Taking the time to calm a patient`s fear.
Dependable, trustworthy, caring, Living for others, loving, sharing. At times wondering ” Why am I a Nurse? Is it a Blessing or maybe a curse? “
Because, at times, Nurses are not appreciated, For the work to which their life is...
Cranky doctor or annoying patient?
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If you could have any job in the world, what would...
Me: Barista!
“All that adrenaline makes your friend-or-foe reflex kick in.”
– A nurse in my clinic. Thankfully, another nurse pointed out the correct term for sympathetic nervous system activation (FIGHT-OR-FLIGHT), because I was too busy snickering into my shirtsleeve. (via cranquis)
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“Whether a person is a male or female, a nurse is a nurse.”
– Gary Veale
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“Our job as nurses is to cushion the sorrow and celebrate the joy, everyday,...”
– Christine Belle
January 2012
101 posts
4 tags
ANTIANXIETY AGENTS
Other Nomenclature:
minor tranquilizers
anxiolytic drugs
Purpose:
to treat anxiety, panic, phobias, OCD, PTSD
some benzodiazepines may be used as muscle relaxant and anticonvulsant
Main effects:
decrease in anxiety
increase in sleep
decrease in nervous system activation
decrease in skeletal spasms
produces anticonvulsant activity
Examples:
Antihistamine: hydroxyzine (Vistrail,...
Extraordinary things happening right now..
ilovehotcoffee:
An emergency room surgeon is in the middle of saving her patient’s life.
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SPECIAL DIETS
1. Clear liquid diet
Indication:
transition from NPO
Examples:
tea
apple juice
ginger ale
broth
2. Full liquid diet
Indication:
transition from clear liquid to soft foods
generally after surgery
Examples:
milk
cream soups
3. Soft foods
Indication:
useful if patient has dysphagia or poor dentition
useful after esophageal surgery
Examples:
foods that are easy to chew (e.g. mashed...
FUCK CANCER
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EWING'S SARCOMA
- malignant (cancerous) bone tumor that affects children - Ewing’s family of tumors; Primitive neuroectodermal tumors (PNET)
Cause, Incidence, Risk Factors:
can occur any time during childhood and young adulthood, but usually develops during puberty, when bones are growing rapidly
10 times as common in Caucasian children as in African-American, African, and Asian children
tumor may arise...
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