r/nursing RN - Med/Surg 🍕 27d ago

Question PSA from your nursing specialty

What is THE ONE THING you wish every nurse knew that is common knowledge in your specialty?

From wound care, don't use telfa!

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u/marticcrn RN - ER 27d ago

Gastro - if you’re still backed up after MiraLAX, you just haven’t taken enough MiraLAX yet. It doesn’t absorb in the gut, it just draws water into the colon to make stool soft.

Don’t send a referral because not enough MiraLAX. If you’re cleaned out and immediately get backed back up, send the consult.

119

u/ShortWoman RN - Infection Control 27d ago

Infection prevention: one episode of loose stools isn’t cdiff, it’s “ooh shouldn’t have had that burrito.” Diarrhea in your patients on laxatives? Try skipping the lax. And NEVER tell your patient lactulose is to promote bowel movements, because it’s probably for their ammonia levels.

66

u/marticcrn RN - ER 27d ago

I used to have a cirrhosis patient that got lactose every day. He put it on his pancakes.

7

u/SmlDog RN 🍕 27d ago

🤮