New to CVSICU...cardiac gttsRegister Today!
- by Stormy8 Feb 9Hi everyone! I am a new nurse in the CVSICU. Just completed my first week of orientation and wow there's alot to learn!! I was wondering if anyone had any advice on learning the cardiac gtts. Especially in regards to titrating which makes me nervous. Any study tips?
Thanks for your help!
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- Feb 9 by Nursingbride12I am a new grad who started about 7 months ago on a cardio vascular transplant unit. My advice would be to get to know the drips you use most often and know how long it takes them to work.
For instance, if you're nervous about titrating Vasopressin, then you could bump up the drip fast because of the low blood pressure. But then your systolic pressure will be in the 200's and will continue to climb.
So in short my advice is find the drips you use most often, and know how fast they work.
- Feb 10 by Stormy8Thanks for your help! I'm trying not to feel too overwhelmed. Going to take it one day at a time but besides the gtts, there is sooooo much to learn! Very excited/nervous.
- Feb 10 by prep8611We never titrate vasopressin....
- Feb 10 by limaRNWe don't titrate vasopressin either. It's either at 0.04 units/ min or off.
- Feb 10 by Nursingbride12On. My..
- Feb 10 by Nursingbride12Ok my point is still the same.
And on my unit we can titrate Vasopressin from .03 to 3.
- Feb 11 by dah dohTitrating gtts comes with experience. It helps to learn the range for each gtt. Based on the drug range, it gives you an idea how to titrate. So if the range is small like 0-20, change the gtt by small increments, but if the range is larger like 0-300, then you might want to change the gtt by larger increments. It is also based on your facility's policy, but mostly based on patient's response to the change in drug dose. FYI: Vasopressin 0.1-0.4 for bp and max of 2 for bleeding at our facility.Last edit by dah doh on Feb 11