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Tweety Tweety (New Member) New Member

Thursday December 20, 2018

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Good Morning!

Stars, good news about you getting your injection. Hope it provides much needed relive and mobility for you.

BC, that's quite a scare about the reaction. Guess you never know.

Joe, hope the work situation is better and you enjoy your time with J.

I had a good day off yesterday. Accomplished cleaning the bathrooms, mopping the floors, two loads of laundry, grocery shopping, and cooked three meals. I binged watched the food show competition "The Final Table" and enjoyed that. The only I would have liked to have done was get some exercise. Got to do a bit better on batch cooking days. But I should have done the housecleaning earlier in the week. Meh....

Today is the dreaded Thursday. Not sure how busy we'll be so close to the holiday but there is contingent of people off of work like teachers that schedule surgery during the holidays, as well as snow birds aways from family, and finally people using who've already paid their deductibles for the year and want to get their surgery in at the last minute. Or perhaps we won't be busy at all. We'll see. People that get in today will be home by Christmas so it could be busy.

Hope everyone has a great day.

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Morning Tweety hope your Thursday isn't too crazy

Work was better, I think I have the situation resolved. Who would have thought DME would take so long to order. Hopefully no other roadblocks show up

Extra long choir practice last night. Since J and I didn't meet for dinner I had time to go for a walk and do the grocery shopping. Talking to him last night, packing is done and he leaves for CA this morning

Still waiting on 2 more presents to arrive, kinda annoyed that they're taking this long

Has been a strangely warm December, at least for the last week or so

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Good morning all!

Work till 1430 then off to Apple Valley, for more song-listening.

Hope we get it all done tonight!

Have a good day!

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I leave soon. First I take out her catheter after collecting a specimen.

Then take her to an early lunch and then to her primary physician. If that office cannot scan her bladder for residual I need to take her back to the urologist office just for that.

Then tomorrow to the eye doctor.

I wish you all the best day possible!

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Two hours and 45 minutes to go !

I was thinking of going in to Dr's office, for my procedure, 'with bells on' and a target drawn on my lower spine. Ho-ho-OH! ;)

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Good morning.

I'm caught up on the last few days. I want to respond to the allergic reaction story, as a former school nurse. (I'm still part of the NASN.com website).

A few years back, the protocol for anaphylaxis changed to going straight to epinephrine. And not to use Benadryl, or antihistamines, because they are not indicated to treat anaphylaxis. It can mask symptoms and cause a rebound effect which makes it more difficult to treat. They don't treat shortness of breath, wheezing, gastrointestinal symptoms or shock. Therefore, antihistamines should be considered adjunctive therapy (after dosing with epi) and should not be substituted for epinephrine.

According to the NIAID guidelines, use of antihistamines is the most common reason reported for not using epinephrine and may place a patient at a significantly increased risk for progression toward a life-threatening reaction.

This discussion is part of the school nurse thread from a few years back. Epi first and then epi again. Then the ER.

Epi saves life; Benadryl won't.

https://www.neusha.org/student/programs/attachments/shi_epibenadryl.pdf

The progression of anaphylaxis is not absolute. The signs and symptoms can arise within minutes of exposure to an allergen, but can also develop 30 minutes or more after exposure. Moreover, symptoms that do not initially appear to be life-threatening may progress rapidly unless proper treatment is given.

Ok - my school nurse brain still shows itself at times.

Today is our team meeting. Better get my day started as I've been sitting here most of the morning just reading stuff on the internet.

Hope you all have a great day!

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Good afternoon to you all! I'm new. Nice to meet you!

Very brief introduction on myself: I'm a very new nurse (2 years) with experience in pediatrics and medsurg.

Today I brought my kitten to the vet and he's a whopping 2 lbs and 0.6 oz! Go Little B! Looks like the Albon is working to get rid of the pesky Coccidia in his intestines. He also got his first round of vaccines and is now sleeping soundly. I also got tips on how to teach him manners when playing with our hands.

After visiting the grocery store, I found it's actually very difficult to find Spanish peanuts. I actually visited three grocery stores with no luck. Was really looking forward to making my boyfriend a little treat from the ol' country. Oh well. On tonight's menu: rice porridge, to warm the heart.

The day's half over now, so hope you all make the most of what we've got left! :)

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Thanks for the update on allergic reactions, Steph!

Welcome to adzukibeans! Hope to see more posts from you!

herring, safe travels, I know today and the next couple of days are busy.

Hope stepmom does well with the transition away from indwelling cath.

(enjoy lunch!)

No Stars, hope you have had your injection by now, and are soon feeling good results from it!

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YAAAAAAAAAY!

Done! Procedure went fine...a couple of heavy brief pains during it, when they moved the needle around and injected more, but nothing that lasted, and certainly not of the caliber of the pain I've been feeling the past few months! And it was L-4, by the way.

Major pain is gone, am stinging at the site, and my pelvic bones, groin, and muscles are achey (but not breaky!). Now my body has to get used to going back to 'normal' movement, and I'm guessing the aching muscles are just weak.

I have a "Pain Diary" and I said I was 8-9 going in, and around 4-5 about 30 minutes after the procedure. I have to mark down pain levels after 24 hours, 36, 48, and 72 hours after the procedure, and also 7 days, 10, 14, and 21 days as well. Then I send it back to them.

So, when I got back I had to listen about NANNIE'S morning visit to her dermatologist, whom she HATED 8 months ago, but now (whew!) she thinks he is wonderful. He told her the very same thing we and her primary doc have told her: age, dry skin, yeast under the breasts and overlapping abs, and to use the Eucerin on her arms, legs and chest twice a day. (she seems to think one or two applications should just cure it up. Yuh. okay.) AND>>>QUIT SCRATCHING AND PICKING!!!! Now she is going to use a prescription cream pretty much equal to what I got her OTC (Monistat powder/cream). But, she said she had forgotten about using the Monistat under her breasts; she put it everywhere BUT there. She is also relieved that "at least I'm not dying. I laid awake until 2:30 this morning, scared about what he was going to find." Well, he FOUND that her skin 'problems' are just NORMAL for her age.

Hello to the oldies and the newby here. I hope to be more sociable when I am not consumed by my pains. May they dwindle and diminish! AMEN!

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Glad you got your shot and that it lowered your pain.

Hi adzukibeans! Funny I was rummaging through my fridge looking for frozen corn yesterday and found a bag of frozen adzuki beans I forgot I had. :)

We were busy at work, but not crazy busy and I got to stay a "free charge" all day because several of expected admissions went home and one surgeon was running late. Got an attitude when I gave a nurse a patient, but I dealt with her.

The lazy tech that keeps calling in on my Sunday got written up. I noticed she then promptly looked up the policy on line. I guarantee she's going to figure out exactly when she can call in again and call in on that day exactly. Forget her.

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Hi adzukibeans! Welcome to allnurses.

Cold here and now the rain has started. I can hear it on the roof.

I made two "Cali'flour" pizzas (cauliflower crust pizza). PUt on pesto and brushetta, then cheese, then pepperoni. I'm back on the low carb wagon.

Not on call so poured some red wine.

Nice to have a quiet house; Spidey has practice and my dh has a board meeting.

Enjoy your evening everyone.

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