September 26, 2016, 12:16 am

Allegra 30mg Pills $100.00

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Allegra 30mg pills $100.00 Being a nurse never helped me as a parent. Allegra 30mg pills $100.00 When my first baby ran a temperature of 104.8 I ran to the ER as fast as I could get my old VW bug to fly. Allegra 30mg pills $100.00 When I found my 2-year-old son blue and drooling on the side of my bed after a febrile seizure, allegra 30mg pills $100.00 we went 911 all the way. Allegra 30mg pills $100.00 Of course by the time I had #3, allegra 30mg pills $100.00 I was an ER nurse and an experienced parent. Allegra 30mg pills $100.00 She never even saw the inside of an ER until she was 14 and that was only because she was having an allergic reaction.

Allegra 30mg pills $100.00 I know what it is like to be absolutely terrified because your child is sick.

Allegra 30mg pills $100.00 In the ED, allegra 30mg pills $100.00 the child may be ill but you are caring for the parents as well. Allegra 30mg pills $100.00 I find parents fall into three categories:

  • The Newbie: a parent who is dealing with a sick child for the first time. Allegra 30mg pills $100.00 They have no clue about what to do for the fever and they are frantic because the child vomited once and has not stopped crying/fussing. Allegra 30mg pills $100.00 They truly feel this is an emergency. Allegra 30mg pills $100.00 They did not call the pediatrician, allegra 30mg pills $100.00 having rushed to the ER after the first emesis. Allegra 30mg pills $100.00 They usually have at least one grandmother with them for support. Allegra 30mg pills $100.00 The child is dressed in a diaper, allegra 30mg pills $100.00 a onesie, allegra 30mg pills $100.00 a second onesie, allegra 30mg pills $100.00 a one piece sleeper with footsies, allegra 30mg pills $100.00 a sweater, allegra 30mg pills $100.00 a jacket with hood and a thick flannel blanket. Allegra 30mg pills $100.00 They are scared to death.
  • The Walking Worried: They’ve been through this before, allegra 30mg pills $100.00 only the fever keeps coming back when the Tylenol wears off and the vomiting has been going on “all day”. Allegra 30mg pills $100.00 They called the pediatrician and have an appointment for tomorrow but they are too worried to wait that long. Allegra 30mg pills $100.00 There may be new symptoms with this illness or it may have come on very suddenly. Allegra 30mg pills $100.00 They’ve gone through all the treatments they can do at home (ie nebulizer treatments) but their gut tells them something is not quite right or the child is no better. Allegra 30mg pills $100.00 They aren’t panicky, allegra 30mg pills $100.00 but they are anxious.
  • The Veterans: They’ve seen it all. Allegra 30mg pills $100.00 The kids are older, allegra 30mg pills $100.00 or the child is the youngest in the family. Allegra 30mg pills $100.00 They can handle the usual stuff at home, allegra 30mg pills $100.00 so the child will be in with asthma exacerbation, allegra 30mg pills $100.00 an orthopedic injury or a laceration. Allegra 30mg pills $100.00 They’re concerned, allegra 30mg pills $100.00 but not anxious.

Allegra 30mg pills $100.00 So how do we help the parents while we care for the child?

  • Acknowledge that the parents are concerned/worried/anxious.
  • Begin treatment at triage. Allegra 30mg pills $100.00 If appropriate, allegra 30mg pills $100.00 give the medications for fever allowed by the triage protocol. Allegra 30mg pills $100.00 If the child will need to wait to be seen, allegra 30mg pills $100.00 let the parents know that the fever is being addressed while they are waiting.
  • Tell the parents that if they become worried about their child while waiting, allegra 30mg pills $100.00 you (the triage nurse) are available. Allegra 30mg pills $100.00 This will help allieviate some of their anxiety about waiting.
  • Reassure the parents that although the patient seemed deathly ill at home but is now playing peek-a-boo with the respiratory therapist and trying to stand on their head on the gurney, allegra 30mg pills $100.00 this is not unusual for children and we do believe their story…
  • Discuss the care for the illness as you care for the child. Allegra 30mg pills $100.00 For example, allegra 30mg pills $100.00 talk about the need for minimal clothing in the presence of a fever as you undress the child for a weight. Allegra 30mg pills $100.00 Go over what a clear liquid diet consists of when offering the child Pedialyte.
  • Encourage the parents to ask questions if they are concerned about an aspect of care.
  • Be sure to reinforce aspects of care that the parents did right. Allegra 30mg pills $100.00 This is especially important for new parents who may not be confident in their ability to care for a sick child.
  • If the parents are very anxious, allegra 30mg pills $100.00 they may not retain a lot of what is discussed. Allegra 30mg pills $100.00 Let the parents know that everything will be written in the discharge instructions given at the end of the visit.
  • Discuss options for care of future illnesses at discharge. Allegra 30mg pills $100.00 The parents may not realize that there is a doctor on call for their pediatrician 24 hours a day and they are able to give out telephone advice. Allegra 30mg pills $100.00 They may utilize an advice line after hours. Allegra 30mg pills $100.00 During office hours, allegra 30mg pills $100.00 their pediatrician may be able to fit them in to a same-day appointment. Allegra 30mg pills $100.00 It is important that the parents are not made to feel that bringing their child to the emergency department was wrong.

Allegra 30mg pills $100.00 In the beginning of my career in ED nursing, allegra 30mg pills $100.00 pediatric patients were not my strong suit. Allegra 30mg pills $100.00 Adult intensive care skills did not transfer over to caring for children. Allegra 30mg pills $100.00 I took a PALS class and told my co-workers I wanted every pediatric patient that came through the door for two months. Allegra 30mg pills $100.00 I became comfortable with pediatric assessments and treatments. Allegra 30mg pills $100.00 Now, allegra 30mg pills $100.00 after 16 years of ED experience I don’t think twice when my patient is a child. Allegra 30mg pills $100.00 I learned early on that when you care for a child, allegra 30mg pills $100.00 you are caring for a family and that the needs of both the child and the parents must be addressed for a successful outcome.

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  • Karen

    October 28, 2005 at 12:56 am

    Great post. I love reading your blog – I learn something new every time!

  • kenju

    October 28, 2005 at 7:03 am

    I learn something too, Kim. I have been at all the levels of parenting you mentioned. It is never easy when you have to bring a child to the hospital for any reason. Sometimes the parent(s) need more care than the child, no?

  • Third Degree Nurse
    Third Degree Nurse

    October 28, 2005 at 4:43 pm

    All I can say, Kim, is “right on.” 🙂 I’m showing my age, I know…but I began to understand how to deal with upset parents intuitively when I became a mom. The key for me is to find the place in my heart where I am a parent. Sometimes administrators in various environments (juvenile justice, education, mental health agencies) forget the common ground and become so focused on their “goal” (whatever that may be in each situation) that they lose sight of that.

    All is well though: I would say at least half of the junior and senior classes at my school are parents.

  • Dr. Deborah Serani
    Dr. Deborah Serani

    October 29, 2005 at 5:38 am

    What a fabulous post. Over the years I have moved from newbie to veteran. Experience so helps in being a parent.


  • Anonymous

    October 31, 2005 at 12:28 pm

    I guess I expected something different when I saw this post’s title. I see too many histrionic parents, too many families where the children are the adults by default, too many who don’t have a clue about child rearing just like their parents before them were clueless too.

  • I think it will help I was a parent (and my kids are now–nearly–grown) before I was a nurse. I was a pretty mellow parent, but think–no, I know–that life-experience will help me as a(n older) new nurse.


About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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