[NPInfo] RE: NPInfo Digest, Vol 18, Issue 44 Getting NPI #
Anne Chamberlain
aec417 at comcast.net
Sun Sep 9 09:10:39 PDT 2007
Here's the link for NPI
https://nppes.cms.hhs.gov/NPPES/Welcome.do
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of npinfo-request at nurse.net
Sent: Sunday, September 09, 2007 10:15 AM
To: npinfo at nurse.net
Subject: NPInfo Digest, Vol 18, Issue 44
Send NPInfo mailing list submissions to
npinfo at nurse.net
To subscribe or unsubscribe via the World Wide Web, visit
http://lists.nurse.net/mailman/listinfo/npinfo
or, via email, send a message with subject or body 'help' to
npinfo-request at nurse.net
You can reach the person managing the list at
npinfo-owner at nurse.net
When replying, please edit your Subject line so it is more specific than
"Re: Contents of NPInfo digest..."
Today's Topics:
1. RE: Re: [NPInfo] My Reply...Back to Sue (Priscilla Merrill)
2. NPI (Margienp at aol.com)
3. Re: NPI (Thiem)
4. Re: Psych question (Louise Moon Rosales)
5. Unique Opportunity for NPs and Educators
(David W. Woodruff, MSN, RN, CNS)
6. RE: Question about PA vs NP scope of practice roles (Dena)
7. RE: Psych question (Dena)
----------------------------------------------------------------------
Message: 1
Date: Sun, 9 Sep 2007 06:36:58 -0400
From: "Priscilla Merrill" <prispunnyfnp at metrocast.net>
Subject: RE: Re: [NPInfo] My Reply...Back to Sue
To: "'NP Info'" <npinfo at nurse.net>
Message-ID: <005f01c7f2cd$59b7be60$6600a8c0 at Priscilla>
Content-Type: text/plain; charset="windows-1250"
Thanks! A rainy few days on the way so will try to find this.
Priscilla
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Paula Sumner
Sent: Saturday, September 08, 2007 11:11 PM
To: NP Info
Subject: RE: Re: [NPInfo] My Reply...Back to Sue
Wit was originally a broadway plaw the mary tyler moore playing the english
lit prof whose whole life was her work, and who lived more for her work and
her mind. She is forced to reevaluate her life, and forced to dealwith a
cold medical system. I found Emma Thompson's 2001 DVD at blockbuster. It is
also shown, in parts, thru the hospital's EOL training program. Here is more
info on it: http://www.imdb.com/title/tt0243664/
Paula
Dena <galdena at sbcglobal.net> wrote: "Wit" is an HBO movie made several years
ago starring Emma Thompson as a woman dying of cancer and how she is treated
by her physicians and hospital staff. Excellent and should be required
viewing by every nursing and medical student. Dena Galler
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Priscilla Merrill
Sent: Saturday, September 08, 2007 6:26 PM
To: 'NP Info'
Subject: RE: Re: [NPInfo] My Reply...Back to Sue
Never heard of it. Is it new? Anyone famous in it? Not that it matters
but just curious. Is it out in theaters or just rentable? I would like to
recommend TWISTED. It was on PBS but if you Google it, I bet they have it
at the major rental DVD companies. It's about life with a movement
disorder. Having a minor version of one, spasmodic Dysphonia, I can tell
you it's really an eye opener. Priscilla Merrill
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of pattinp at verizon.net
Sent: Saturday, September 08, 2007 9:14 PM
To: NP Info
Subject: Re: Re: [NPInfo] My Reply...Back to Sue
I highly recommend "Wit". It is a very insightful and well-done movie
regarding EOL issues.
Patti Robertson
>From: Paula Sumner
>Date: 2007/09/08 Sat PM 07:54:56 CDT
>To: NP Info
>Subject: Re: [NPInfo] My Reply...Back to Sue
>For a movie, I recommend "Wit", wonderful nursing care in it. paula
>
>np at c-zone.net wrote: Maybe this weekend would be a good time for
>everyone
to go rent the movie
>on DVD entitled "Misery" (1990) with the overly caring, possessive and
>dedicated Nurse played by actress Cathy Bates!
>
>
>> Gosh, I am beginning to be sorry for the post lol. Most patients
>> like
the
>> fluff and buff, which is good, I was using that as an example of
>> using evidence based nursing (research) that many nurses don't
>> realize is based on solid research, it is intuition to them.. The
>> other part of the example is
>> when the same nurse carried it to the extreme and irritated a patient by
>> doing excessive vital signs and disturbing her to he point that she said
>> for
>> the nurse to not come back in the room, she would rather have cancer than
>> have her irritating her to the point she could not rest. And now it
seems
>> to be completely off topic from the original post I made =:) Sue
>> Emmite
>>
>> On 9/7/07, Shelby Havens wrote:
>>>
>>>
>>> Sorry, I guess I read that wrong! I hope if I ever have cancer,
>>> there will be a nurse who brings me ice chips and fluffs my pillow.
>>> I like that stuff,
>>> the intangible parts of nursing that make us uniquely who we are. I
>>> don't
>>> see it as bothersome at all.
>>>
>>>
>>>
>>> Best Regards,
>>>
>>> Shelby Havens, ARNP
>>>
>>>
>>>
>>> >From: "Sue Emmite"
>>> >Reply-To: NP Info
>>> >To: "NP Info"
>>> >Subject: Re: [NPInfo] My Reply...Back to Sue
>>> >Date: Fri, 7 Sep 2007 16:35:06 -0500
>>> >
>>> >Stephanie, you are correct, my intent was to show that some of the
>>> "little
>>> >extra things" this nurse did drove paitients crazy.
>>> >Sue Emmite
>>>
>>> _________________________________________________________________
>>> Get a FREE small business Web site and more from Microsoft(r) Office
>>> Live! http://clk.atdmt.com/MRT/go/aub0930003811mrt/direct/01/
>>>
>>> _______________________________________________
>>> NPInfo mailing list
>>> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>>> *****************************
>>>
>>
>>
>>
>> --
>> Because God is all-wise and all-loving, he works in our lives to
>> bring
the
>> best possible results in the best possible way at the best possible
>> time. _______________________________________________
>> NPInfo mailing list
>> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>> *****************************
>>
>>
>
>
>_______________________________________________
>NPInfo mailing list
>NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>*****************************
>
>
>
>Paula J. Sumner RN, MSN, HTP, CHt
>Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2 3500
>Westgate Dr., Suite 504-G Durham, NC 27707 (now Carborro too.)
>919-490-4656, 8#
>
>http://paulajsumner.byregion.net Referral ID#10102918
>
>http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2
>
>http://www.letstalkcounseling.com/sites/paulasumner
>
>---------------------------------
>Need a vacation? Get great deals to amazing places on Yahoo! Travel.
>_______________________________________________
>NPInfo mailing list
>NPInfo at nurse.net
>http://lists.nurse.net/mailman/listinfo/npinfo
>*****************************
_______________________________________________
NPInfo mailing list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
*****************************
No virus found in this incoming message.
Checked by AVG Free Edition.
Version: 7.5.485 / Virus Database: 269.13.10/995 - Release Date: 9/8/2007
1:24 PM
No virus found in this outgoing message.
Checked by AVG Free Edition.
Version: 7.5.485 / Virus Database: 269.13.10/995 - Release Date: 9/8/2007
1:24 PM
_______________________________________________
NPInfo mailing list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
*****************************
_______________________________________________
NPInfo mailing list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
*****************************
Paula J. Sumner RN, MSN, HTP, CHt
Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2 3500
Westgate Dr., Suite 504-G Durham, NC 27707 (now Carborro too.)
919-490-4656, 8#
http://paulajsumner.byregion.net Referral ID#10102918
http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2
http://www.letstalkcounseling.com/sites/paulasumner
---------------------------------
Choose the right car based on your needs. Check out Yahoo! Autos new Car
Finder tool. _______________________________________________
NPInfo mailing list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
*****************************
No virus found in this incoming message.
Checked by AVG Free Edition.
Version: 7.5.485 / Virus Database: 269.13.10/995 - Release Date: 9/8/2007
1:24 PM
No virus found in this outgoing message.
Checked by AVG Free Edition.
Version: 7.5.485 / Virus Database: 269.13.10/995 - Release Date: 9/8/2007
1:24 PM
------------------------------
Message: 2
Date: Sun, 9 Sep 2007 07:55:13 EDT
From: Margienp at aol.com
Subject: [NPInfo] NPI
To: npinfo at nurse.net
Message-ID: <c00.1f364fc3.34153921 at aol.com>
Content-Type: text/plain; charset="US-ASCII"
Good morning,
I would appreciate is someone could give me info on the NPI number. Do we
apply or our workplace? Any info or a site would be great, concerning this
issue.
Thanks in advance,
Margie FNP
************************************** See what's new at http://www.aol.com
------------------------------
Message: 3
Date: Sun, 9 Sep 2007 05:15:38 -0700 (PDT)
From: Thiem <ljthiem at yahoo.com>
Subject: Re: [NPInfo] NPI
To: NP Info <npinfo at nurse.net>
Message-ID: <41850.22808.qm at web60924.mail.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
Here's the link. If it is not active, copy and paste it. Laura, NP,
Missouri
https://nppes.cms.hhs.gov/NPPES/StaticForward.do?forward=static.npistart
Margienp at aol.com wrote: Good morning,
I would appreciate is someone could give me info on the NPI number. Do we
apply or our workplace? Any info or a site would be great, concerning this
issue.
Thanks in advance,
Margie FNP
************************************** See what's new at http://www.aol.com
_______________________________________________
NPInfo mailing list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
*****************************
------------------------------
Message: 4
Date: Sun, 9 Sep 2007 09:16:15 -0400
From: "Louise Moon Rosales" <lmr_vt at comcast.net>
Subject: Re: [NPInfo] Psych question
To: "NP Info" <npinfo at nurse.net>
Message-ID: <006701c7f2e3$9a5d1d00$0b02a8c0 at LMR>
Content-Type: text/plain; format=flowed; charset="windows-1250";
reply-type=original
I agree with Priscilla. I will go to Effexor after 2 or 3 trials on
different SSRI's. I have had students experience symptoms of withdrawal
after missing just one dose. My favorite SSRI for GAD is Zoloft. The
biggest problem with that are the very common sexual side effects.
I also am hesitant to prescribe paxil in women of child bearing age because
of the risk of congential heart defects should they become pregant. It also
is hard to wean off of because of the discontinuation syndrome.
Here is a link to the FDA statement on Paxil:
http://www.fda.gov/bbs/topics/NEWS/2005/NEW01270.html
Louise Rosales (who takes the psych np certification exam 9/21!)
----- Original Message -----
From: "Priscilla Merrill" <prispunnyfnp at metrocast.net>
To: "'NP Info'" <npinfo at nurse.net>
Sent: Sunday, September 09, 2007 6:30 AM
Subject: RE: [NPInfo] Psych question
> Effexor not my first choice as it's VERY hard to get off of and much
> more seratonin withdrawal. Many love it and it's one I'll switch to
> if the SSRI not effective. Another tip to work with the "poop out" of
> the ssri or weight gain/fatigue is to add on low dose buproprion at a
> later date. Everyone is unique in how they respond to these meds.
>
> Priscilla
>
> -----Original Message-----
> From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On
> Behalf Of Lisa Meyer
> Sent: Sunday, September 09, 2007 12:33 AM
> To: NP Info
> Subject: Re: [NPInfo] Psych question
>
> I just took over another NP's position in a university counseling
> center. She apparently was quite fond of long-term benzo prescribing,
> as I have had one sorority girl after another in for "refills". Most
> of these girls, in my mind, don't even meet criteria for an anxiety
> disorder, just usual
> situational stressors of college life. Anyway, I have disappointed
> several
>
> young ladies, and have started a few on SSRI's. How do you all think
> Effexor compares in your experiences to Lexapro and Paxil for GAD?
>
> Lisa
> ----- Original Message -----
> From: "Shelby Havens" <shelbyhavens at hotmail.com>
> To: <npinfo at nurse.net>
> Sent: Thursday, September 06, 2007 1:36 PM
> Subject: RE: [NPInfo] Psych question
>
>
>>I prefer Paxil for patients with panic attacks or severe anxiety. It
>>is a little more anticholinergic (sedating) and less activating than
>>Prozac, Zoloft, and other SSRIs.
>>
>> I am fine with long term benzo use in patients with anxiety
>> disorders, as long as they do not have a substance abuse history.
>> Buspar can be helpful,
>
>> but it must be taken TID due to the short half-life, and it tends to
>> be effective only in patients who are benzo-virgins. If a patient has
>> used Ativan or Xanax for longer than a brief period, they generally
>> won't like Buspar.
>>
>> Best Regards,
>>
>> Shelby Havens, ARNP
>>
>>
>>
>>
>>>From: <mmarnp at ec.rr.com>
>>>Reply-To: NP Info <npinfo at nurse.net>
>>>To: NP Info <npinfo at nurse.net>
>>>Subject: RE: [NPInfo] Psych question
>>>Date: Thu, 6 Sep 2007 13:57:03 -0400
>>>
>>>I agree 100% with Priscilla, Benzo's for maintenence is bad medicine
>>>although episodic use until SSRI kicks in is appropriate. I do like
>>>Zoloft a little better for several reasons: 1--Less weight gain,2-,
>>>Less male sexual side effect, and 3--it is now generic. (1 & 2 are
>>>reflect my clinical experiences and my not be supported in the
>>>literature but I don't
>
>>>care)
>>>Michael
>>>---- Priscilla Merrill <prispunnyfnp at metrocast.net> wrote:
>>> > Nope, xanax is the Devil's cocktail. Very habituating and SSRI's
>>> > are
>>>DOC if
>>> > pt needing med. I like Lexapro, "clean" and gentle. Otherwise,
>>> > behavior mod, emotional freedom technique.
>>> > Most of us prefer clonazapam only for very rare occasions since less
>>>buzz
>>> > and longer action. I explain that SSRI's take a week or 2 to kick
>>> > in
>>>but
>>> > the klonopin gives more immediate relief but agoraphobia is a long
>>> > term
>>> > progressive situation that a short acting anxiolytic is not indicated
>>>for.
>>> > Counseling to figure out what's behind the fear of exploration
>>> > outside
>>>the
>>> > home. I have had great success with getting to the root of it,
>>> > not that
>>>I'm
>>> > a professional counselor but often times, rape or abuse is part of
>>> > the
>>>story
>>> > that is hidden and when safe territory is provided, out it comes.
>>> > Best wishes to this person.
>>> >
>>> > Priscilla Merrill FNP
>>> >
>>> > -----Original Message-----
>>> > From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net]
>>> > On
>>>Behalf
>>> > Of David Mittman
>>> > Sent: Wednesday, September 05, 2007 6:52 PM
>>> > To: NPinfo
>>> > Subject: [NPInfo] Psych question
>>> >
>>> > My Esteemed Colleagues:
>>> > I remember years ago Xanax being the drug of choice for
>>>agoraphobia/panic.
>>> > Is it still?
>>> > Someone I know asked if there was something else they could use
>>> > and
>>> > was
>>>not
>>> > sure if there were meds used that worked but may not have an
>>> > indication
>>>for
>>> > it. She also was on Xanax for a long time (do not know the dose)
>>> > and was
>>>now
>>> > placed in Ativan.
>>> > I did not say anything except I am sure there are reasons. I
>>> > SHOULD have asked if the agoraphobia returned when taken off the
>>> > long standing
>>>Xanax,
>>> > but did not.
>>> > Dave
>>> >
>>> >
>>> > _______________________________________________
>>> > NPInfo mailing list
>>> > NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>>> > *****************************
>>> >
>>> > No virus found in this incoming message.
>>> > Checked by AVG Free Edition.
>>> > Version: 7.5.485 / Virus Database: 269.13.5/990 - Release Date:
>>> > 9/4/2007 10:36 PM
>>> >
>>> >
>>> > No virus found in this outgoing message.
>>> > Checked by AVG Free Edition.
>>> > Version: 7.5.485 / Virus Database: 269.13.5/990 - Release Date:
>>> > 9/4/2007 10:36 PM
>>> >
>>> >
>>> > _______________________________________________
>>> > NPInfo mailing list
>>> > NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>>> > *****************************
>>>
>>>_______________________________________________
>>>NPInfo mailing list
>>>NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>>>*****************************
>>
>> _________________________________________________________________
>> More photos; more messages; more whatever. Windows Live Hotmail - NOW
>> with
>
>> 5GB storage.
>>
> http://imagine-windowslive.com/hotmail/?locale=en-us&ocid=TXT_TAGHM_mi
> gratio
> n_HM_mini_5G_0907
>>
>> _______________________________________________
>> NPInfo mailing list
>> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>> *****************************
>
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
>
> No virus found in this incoming message.
> Checked by AVG Free Edition.
> Version: 7.5.485 / Virus Database: 269.13.10/995 - Release Date:
> 9/8/2007 1:24 PM
>
>
> No virus found in this outgoing message.
> Checked by AVG Free Edition.
> Version: 7.5.485 / Virus Database: 269.13.10/995 - Release Date:
> 9/8/2007 1:24 PM
>
>
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
------------------------------
Message: 5
Date: Sun, 9 Sep 2007 10:12:43 -0400
From: "David W. Woodruff, MSN, RN, CNS" <dwoodruff at ed4nurses.com>
Subject: [NPInfo] Unique Opportunity for NPs and Educators
To: <npinfo at nurse.net>
Message-ID: <001e01c7f2eb$8f96ce90$aec46bb0$@com>
Content-Type: text/plain; charset="iso-8859-1"
Unique Opportunity for NPs and Educators
Would you like to add additional income, while Empowering Nurses to Become
Extraordinary? If you are a CNS, NP or Nurse Educator who has great
presentation skills and wants to make a difference in the lives of nurses
and their patients, then this might be the most important letter you will
ever read.
I am searching for a few good people to help me empower 100,000 nurses to
become certified by the year 2010, and to give them the tools to provide
better care by implementing useful and practical strategies at the bedside.
I am not looking for people to simply regurgitate facts and tell nurses how
they should practice, by rather for those unique individuals who have a
sincere interest in helping nurses achieve mastery in their clinical care.
You will use our programs that have a track record of proven results, and we
will handle all of the details for you. In addition, I will personally
train you to deliver the programs with enthusiasm and impact!
I am currently looking for Implementation Specialists with a strong
Med-Surg, Critical Care, or Emergency background, who are certified in their
specialty area.
If you have experience with public presentations, are excited about making
nursing all that it can be, and are willing to travel to conduct seminars,
then you may be just who I am looking for. Take a moment to peruse the role
description at: http://www.ed4nurses.com/implementation_specialist.htm and
fax your CV to the attention of Shelli at (440) 397-0512.
Best wishes,
David W. Woodruff, MSN, RN, CNS
President, Seminars4Nurses, LLC
Empowering Nurses to Become Extraordinary
(440) 397-0511
E-mail: dwoodruff at seminars4nurses.com
Web: www.Seminars4Nurses.com
------------------------------
Message: 6
Date: Sun, 9 Sep 2007 08:20:18 -0700
From: "Dena" <galdena at sbcglobal.net>
Subject: RE: [NPInfo] Question about PA vs NP scope of practice roles
To: "'NP Info'" <npinfo at nurse.net>
Message-ID: <0ec401c7f2f4$eedef680$d68cb545 at Dena>
Content-Type: text/plain; charset="us-ascii"
Gail--
Good grief, where have you been??? This subject has been discussed ad
nauseum on this list way too many times to count. There is NO difference in
the jobs performed by NPs and PAs. PAs do need MD supervision but can own
their own practice (perhaps not in all states)-- as long as they have a MD
who supervises them.
And by the way, you are definitely mistaken to say that NPs need to have
prior nursing experience before becoming a NP. NOT TRUE! First, many go
straight from a BSN program into a MSN NP program with NEVER having worked
as a nurse. Second, all these horrible 3 yr MSN NP programs that take
someone with a Bachelors degree in ANYTHING and turn out NPs with no nursing
experience.
Dena Galler
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of GIN11153 at aol.com
Sent: Saturday, September 08, 2007 11:29 PM
To: NPInfo at nurse.net
Subject: [NPInfo] Question about PA vs NP scope of practice roles
Please tell me what the difference in capabilities are between a PA and an
NP other than an NP has had nursing experience prior to taking an NP
program.
It seems to me that they both essentially do the same things, such as
diagnose, order tests, prescribe meds, and more. I know that some states
require MD
supervision of NPs while other states allow independent or collaborating
private practices. Do all PAs require MD supervision, so a PA can never have
their own practice? I really don't know much about PA training.
Gail Neuman RNC CPHW
student midwife and student nurse practitioner
certified high risk OB/OB legal consultant
Perinatal Nurse Associates
801 N. Tustin Ave., Suite 305
Santa Ana, CA 92705
(714) 314-7070
(714) 838-1479 fax
************************************** See what's new at http://www.aol.com
_______________________________________________
NPInfo mailing list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
*****************************
------------------------------
Message: 7
Date: Sun, 9 Sep 2007 08:26:14 -0700
From: "Dena" <galdena at sbcglobal.net>
Subject: RE: [NPInfo] Psych question
To: "'NP Info'" <npinfo at nurse.net>
Message-ID: <0ec501c7f2f5$c2a040a0$d68cb545 at Dena>
Content-Type: text/plain; charset="us-ascii"
Hate, hate, hate Effexor!! I would suffer withdrawal symptoms if I was even
a couple of hours late with my dose. And the withdrawal symptoms when trying
to quit is horrendous. Needs several weeks of very slow tapering along with
Prozac or another long acting SSRI to help with the withdrawal. I've often
said I don't know how heroin withdrawal can be any worse than trying to kick
Effexor. I took the drug for about 3 courses throughout the years as it
worked great with food cravings, binge eating, and weight loss.
Dena Galler
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Louise Moon Rosales
Sent: Sunday, September 09, 2007 6:16 AM
To: NP Info
Subject: Re: [NPInfo] Psych question
I agree with Priscilla. I will go to Effexor after 2 or 3 trials on
different SSRI's. I have had students experience symptoms of withdrawal
after missing just one dose. My favorite SSRI for GAD is Zoloft. The
biggest problem with that are the very common sexual side effects.
I also am hesitant to prescribe paxil in women of child bearing age because
of the risk of congential heart defects should they become pregant. It also
is hard to wean off of because of the discontinuation syndrome.
Here is a link to the FDA statement on Paxil:
http://www.fda.gov/bbs/topics/NEWS/2005/NEW01270.html
Louise Rosales (who takes the psych np certification exam 9/21!)
----- Original Message -----
From: "Priscilla Merrill" <prispunnyfnp at metrocast.net>
To: "'NP Info'" <npinfo at nurse.net>
Sent: Sunday, September 09, 2007 6:30 AM
Subject: RE: [NPInfo] Psych question
> Effexor not my first choice as it's VERY hard to get off of and much
> more seratonin withdrawal. Many love it and it's one I'll switch to
> if the SSRI not effective. Another tip to work with the "poop out" of
> the ssri or weight gain/fatigue is to add on low dose buproprion at a
> later date. Everyone is unique in how they respond to these meds.
>
> Priscilla
>
> -----Original Message-----
> From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On
> Behalf Of Lisa Meyer
> Sent: Sunday, September 09, 2007 12:33 AM
> To: NP Info
> Subject: Re: [NPInfo] Psych question
>
> I just took over another NP's position in a university counseling
> center. She apparently was quite fond of long-term benzo prescribing,
> as I have had one sorority girl after another in for "refills". Most
> of these girls, in my mind, don't even meet criteria for an anxiety
> disorder, just usual
> situational stressors of college life. Anyway, I have disappointed
> several
>
> young ladies, and have started a few on SSRI's. How do you all think
> Effexor compares in your experiences to Lexapro and Paxil for GAD?
>
> Lisa
> ----- Original Message -----
> From: "Shelby Havens" <shelbyhavens at hotmail.com>
> To: <npinfo at nurse.net>
> Sent: Thursday, September 06, 2007 1:36 PM
> Subject: RE: [NPInfo] Psych question
>
>
>>I prefer Paxil for patients with panic attacks or severe anxiety. It
>>is a little more anticholinergic (sedating) and less activating than
>>Prozac, Zoloft, and other SSRIs.
>>
>> I am fine with long term benzo use in patients with anxiety
>> disorders, as long as they do not have a substance abuse history.
>> Buspar can be helpful,
>
>> but it must be taken TID due to the short half-life, and it tends to
>> be effective only in patients who are benzo-virgins. If a patient has
>> used Ativan or Xanax for longer than a brief period, they generally
>> won't like Buspar.
>>
>> Best Regards,
>>
>> Shelby Havens, ARNP
>>
>>
>>
>>
>>>From: <mmarnp at ec.rr.com>
>>>Reply-To: NP Info <npinfo at nurse.net>
>>>To: NP Info <npinfo at nurse.net>
>>>Subject: RE: [NPInfo] Psych question
>>>Date: Thu, 6 Sep 2007 13:57:03 -0400
>>>
>>>I agree 100% with Priscilla, Benzo's for maintenence is bad medicine
>>>although episodic use until SSRI kicks in is appropriate. I do like
>>>Zoloft a little better for several reasons: 1--Less weight gain,2-,
>>>Less male sexual side effect, and 3--it is now generic. (1 & 2 are
>>>reflect my clinical experiences and my not be supported in the
>>>literature but I don't
>
>>>care)
>>>Michael
>>>---- Priscilla Merrill <prispunnyfnp at metrocast.net> wrote:
>>> > Nope, xanax is the Devil's cocktail. Very habituating and SSRI's
>>> > are
>>>DOC if
>>> > pt needing med. I like Lexapro, "clean" and gentle. Otherwise,
>>> > behavior mod, emotional freedom technique.
>>> > Most of us prefer clonazapam only for very rare occasions since less
>>>buzz
>>> > and longer action. I explain that SSRI's take a week or 2 to kick
>>> > in
>>>but
>>> > the klonopin gives more immediate relief but agoraphobia is a long
>>> > term
>>> > progressive situation that a short acting anxiolytic is not indicated
>>>for.
>>> > Counseling to figure out what's behind the fear of exploration
>>> > outside
>>>the
>>> > home. I have had great success with getting to the root of it,
>>> > not that
>>>I'm
>>> > a professional counselor but often times, rape or abuse is part of
>>> > the
>>>story
>>> > that is hidden and when safe territory is provided, out it comes.
>>> > Best wishes to this person.
>>> >
>>> > Priscilla Merrill FNP
>>> >
>>> > -----Original Message-----
>>> > From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net]
>>> > On
>>>Behalf
>>> > Of David Mittman
>>> > Sent: Wednesday, September 05, 2007 6:52 PM
>>> > To: NPinfo
>>> > Subject: [NPInfo] Psych question
>>> >
>>> > My Esteemed Colleagues:
>>> > I remember years ago Xanax being the drug of choice for
>>>agoraphobia/panic.
>>> > Is it still?
>>> > Someone I know asked if there was something else they could use
>>> > and
>>> > was
>>>not
>>> > sure if there were meds used that worked but may not have an
>>> > indication
>>>for
>>> > it. She also was on Xanax for a long time (do not know the dose)
>>> > and was
>>>now
>>> > placed in Ativan.
>>> > I did not say anything except I am sure there are reasons. I
>>> > SHOULD have asked if the agoraphobia returned when taken off the
>>> > long standing
>>>Xanax,
>>> > but did not.
>>> > Dave
>>> >
>>> >
>>> > _______________________________________________
>>> > NPInfo mailing list
>>> > NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>>> > *****************************
>>> >
>>> > No virus found in this incoming message.
>>> > Checked by AVG Free Edition.
>>> > Version: 7.5.485 / Virus Database: 269.13.5/990 - Release Date:
>>> > 9/4/2007 10:36 PM
>>> >
>>> >
>>> > No virus found in this outgoing message.
>>> > Checked by AVG Free Edition.
>>> > Version: 7.5.485 / Virus Database: 269.13.5/990 - Release Date:
>>> > 9/4/2007 10:36 PM
>>> >
>>> >
>>> > _______________________________________________
>>> > NPInfo mailing list
>>> > NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>>> > *****************************
>>>
>>>_______________________________________________
>>>NPInfo mailing list
>>>NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>>>*****************************
>>
>> _________________________________________________________________
>> More photos; more messages; more whatever. Windows Live Hotmail - NOW
>> with
>
>> 5GB storage.
>>
>
http://imagine-windowslive.com/hotmail/?locale=en-us&ocid=TXT_TAGHM_migratio
> n_HM_mini_5G_0907
>>
>> _______________________________________________
>> NPInfo mailing list
>> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
>> *****************************
>
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
>
> No virus found in this incoming message.
> Checked by AVG Free Edition.
> Version: 7.5.485 / Virus Database: 269.13.10/995 - Release Date:
> 9/8/2007 1:24 PM
>
>
> No virus found in this outgoing message.
> Checked by AVG Free Edition.
> Version: 7.5.485 / Virus Database: 269.13.10/995 - Release Date:
> 9/8/2007 1:24 PM
>
>
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
_______________________________________________
NPInfo mailing list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
*****************************
------------------------------
_______________________________________________
NPInfo mailing list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
End of NPInfo Digest, Vol 18, Issue 44
**************************************
More information about the NPInfo
mailing list