Musings of a Nurse (my work life)

The Off-Topic forum for anything non-LDS related. No insults or personal attacks allowed. Rated G.
msnobody
Deacon
Posts: 238
Joined: Thu Oct 29, 2020 11:35 pm

New Pneumonia Vaccine Guidelines

Post by msnobody »

I'm still trying to wrap my head around this one as to where I fit in to the new guidelines as a patient, but here is a link:

https://www.cdc.gov/vaccines/vpd/pneumo ... timing.pdf

for what it's worth, get your prostate checked and screenings for colorectal cancer. Not fun getting old. :P
Get your shingles vaccines (series of two doses), if clinically indicated-- ask your doctor

That is my public service announcement, not to be confused with PSA :P
And he made from one man every nation of mankind… having determined allotted periods and the boundaries of their dwelling place, that they should seek God, and perhaps feel their way toward him and find him. Yet he is actually not far from each one of us.
msnobody
Deacon
Posts: 238
Joined: Thu Oct 29, 2020 11:35 pm

Re: Musings of a Nurse (my work life)

Post by msnobody »

While I'm on here, I have a funny story. My FIL was in a small assisted living facility. He was always quite a character. We got a call one day that he was consuming salt and the salt shakers had to be taken away. What they didn't realize was that most of the time I knew him, he had occasionally poured a little salt into his hand and then into his mouth. He said this relieved his heartburn. So, they asked us to take him to the doctor to be checked for Syndrome of Inappropriate Anti-diuretic Hormone Secretion (SIADH), so we got him checked and testing was negative.

We get another call that during Bible study in the common area that he made pig noises. Again, something that sounds just like my FIL, especially if a female may have giggled at his actions. Anyway, his dementia that had never really been a problem was beginning to get worse. So, we are in a meeting with the LPN facility owner and her husband to have the talk about his condition is worsening and he needs to go to a higher level of care which isn't offered at the assisted living facility. There we were to discuss his "Oinking" incident, when in the midst of a serious conversation, from my husband's pocket comes the sound of sheep bleating, "Baah, baah, baah!" I blurted out, "It is a game on his phone!" Then, I burst out laughing. Hubby had the game app Hay Day on his phone where you tend the farm and if you fail to tend the farm, the farm animals let you know about it. I don't think the owner and her husband even smiled when that happened.
And he made from one man every nation of mankind… having determined allotted periods and the boundaries of their dwelling place, that they should seek God, and perhaps feel their way toward him and find him. Yet he is actually not far from each one of us.
msnobody
Deacon
Posts: 238
Joined: Thu Oct 29, 2020 11:35 pm

Medication errors

Post by msnobody »

It is always good to be sure you are prescribed medication correctly, or the right medication for your condition.

As you know, I had a kidney stone recently. I was prescribed, by mistake, potassium chloride 20 mEq twice daily for kidney stones (elevated uric acid in the urine), rather than potassium citrate (the correct medication). I asked what led to this mistake by the doctor's office and was told that potassium citrate didn't have a option for a 20mEq when prescribing electronically, and potassium chloride was chosen instead because it did have a 20mEq option. Scary thing is that this could have caused issues with the heart. Also, potassium chloride would not have treated the condition. Imagine getting the next 24-hour urine and the uric acid level still being high in the urine. Would there have been a chance to have been prescribed an even higher dose of the WRONG medication? Makes me wonder how many of their patients are taking the wrong drug to help prevent kidney stones.

The average person would not have noticed this. The pharmacy didn't catch it because, there was no indication in the prescription for what the drug was being used to treat.

This make me want to jump on my soapbox about MDs using medical assistants rather than real licensed nurses, yet calling them "nurse." I'll spare you my diatribe about that.
And he made from one man every nation of mankind… having determined allotted periods and the boundaries of their dwelling place, that they should seek God, and perhaps feel their way toward him and find him. Yet he is actually not far from each one of us.
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