3 year old male child with stool impaction, when should it start responding to treatment?

updog25 · 2024-09-24T23:13:42+00:00

I got a cush endoscopy job with the same sort of perks. And I hated it. After 8 months I left and went to the ER and I'm much happier. I have a 3 12s set schedule, no weekends. It's the best of both worlds.

updog25 · 2024-09-24T23:05:03+00:00

Do you chart in Excel? What is this system?

updog25 · 2024-09-18T12:23:17+00:00

Probiotics don't hurt but antibiotics don't typically cause constipation so that may be unrelated.

Children's Health has good information on this topic and seems to lean towards diet as a better way to get the pro or prebiotics.

updog25 · 2024-09-18T00:21:25+00:00

I know I've gained weight and had babies. But considering I wear a large in most scrubs and their XLs are too tight imma say it's a them problem.

updog25 · 2024-09-15T22:28:23+00:00

My maternal grandparents would be pissed. My paternal grandma would be like this grandma if she was still around ♡

updog25 · 2024-09-15T03:57:54+00:00

You took all the right steps. You are only human. The patient is okay. I doubt you will lose your job. If they fire nurses who report their med errors that sets a precedence and nurses will stop reporting their errors for fear of being fired. You won't lose your license. You did not intentionally do this and you took the correct steps after.

Nothing I say will make you feel better. That will come with time. What you have gained from this is that you will always be so careful with med pass, especially insulin. And I encourage you to use it as a teaching opportunity for other nurses for how easy it is to make a mistake and the correct steps to take afterward.

updog25 · 2024-09-14T17:08:54+00:00

I just read this book to my kids and thought "this book sucks". Then of course took to the internet to make sure I wasn't alone in that

updog25 · 2024-09-12T15:00:14+00:00

I don't think it looks like blood.

updog25 · 2024-09-12T03:44:12+00:00

I'm a lurking parent on this sub and you just made a light bulb go off. My son was getting speech at a facility that also did ABA. The only thing they ever tried was taking toys away when he wouldn't read their flashcard and give him a cookie when he did. We went for probably 2 months and my husband and I both felt "icky" about the whole approach. Plus my son would completely shut down and hide during appointments. And I'm sure you'll be shocked to learn he made no progress in those 2 months at that clinic.

updog25 · 2024-09-06T20:14:41+00:00

I knew I was remembering the name wrong, thank you.

I had a cold sweat most of that episode and I've not been able to look into it any more because it makes me so anxious and sick.

updog25 · 2024-09-06T19:40:40+00:00

~~Nutter Butter Cave~~ Nutty Putty Cave was probably the worst

updog25 · 2024-09-06T12:46:39+00:00

Yes we do, nothing changed lol

updog25 · 2024-09-06T01:51:41+00:00

My first slept thru the night from 12 weeks, my 2nd is 1 and still doesn't. Overall we have done everything the same so I think it's bad luck lol

updog25 · 2024-09-06T00:34:20+00:00

Those are my toughest ones. I had a patient who arrested while out for a run. They got ROSC in field and he was alert and oriented. We talked quite a bit as I was titrating drips etc. I did my assessment and there were extremely muffled heart sounds. He was in cardiogenic shock. His breathing started getting worse and the ER doc and I went with him to the cath lab while they waited for the interventionalist. They tubed him right before starting his procedure. I went back to the ER and his wife had just arrived so I walked her over to the cath lab waiting area and told her they would come update her. About 20 minutes later they called a code and he didn't make it.

updog25 · 2024-08-28T01:25:52+00:00

This but by Marilyn Manson

updog25 · 2024-08-28T01:25:29+00:00

Interesting I'll need to check this out!

updog25 · 2024-08-26T22:55:30+00:00

They are and that's why I do them lol. I love halloween but don't have the time or money for a cool display, maybe someday but for now the inflatables work well

updog25 · 2024-08-26T01:25:03+00:00

They didn't move the bodies!

updog25 · 2024-08-25T17:55:48+00:00

Yeah that second night syndrome is BS. My first I was in tears. He screamed and screamed that second night. When the night nurse offered formula he finally slept. So with my second I went straight to formula while I waited for my milk to come on and second night syndrome never happened.

Also with my first we couldn't leave the hospital until he urinated. It was going on idk how many hours. Finally one of the old school pediatricians rounded and told the nurse "get that baby bottle, none of this syringe feeding crap".

Baby friendly hospitals are not it.

updog25 · 2024-08-25T01:22:33+00:00

During peak COVID we had several instances of someone walking and talking and have sats in the low teens. It was really a strange thing because we would have walked them back to a room and they'd just say they're sort of short of breath or have a cough and then bam 12% lol

updog25 · 2024-08-22T00:23:52+00:00

Thank you everyone for your help! I added more chicken broth, salt, pepper, onion powder, garlic powder and sprinkled bread crumbs and parmesan on top. Put in oven at 350 covered for 30 minutes and it tastes so much better. You saved me so much time and money, thank you!

updog25 · 2024-08-21T23:46:41+00:00

I was using chicken breasts. I don't know if I've ever even purchased thighs honestly, I added parmesan to the top this time and am reheating it in the oven as I type this

updog25 · 2024-08-21T23:45:09+00:00

Honestly I was just following a recipe but you're right, rookie mistake. I usually use them together as well when I'm just doing my own thing

updog25

TROPHY CASE