[graduate_2002]

Originally Posted by incublissRN

I kept my test date a secret for as long as I could, hehe.

I passed!!! I got 115/150 which is almost exactly what I got on my last two practice tests. I'm so glad it's over and it feels like a great achievement! I haven't decided on a reward yet

Woo Hoo!!!!!!!! Congrats incublissRN, CCRN!!!!!!!!!

[incublissRN]

Well the first question was about an overdose and I definitely didn't know the answer. I hate when you don't know the answer to the first question on a test! I was sweating those 25 unscored ones too! They make you feel like you are going to fail.

One question was right off Dennison but the answer choices were different.

The content on the Pass CCRN exams is so similar to the exam. They helped me a ton. I think studying with the Gasparis DVDs and Pass CCRN tests is the perfect studying plan.

[deeDawntee]

Originally Posted by incublissRN

Well the first question was about an overdose and I definitely didn't know the answer. I hate when you don't know the answer to the first question on a test! I was sweating those 25 unscored ones too! They make you feel like you are going to fail.

One question was right off Dennison but the answer choices were different.

The content on the Pass CCRN exams is so similar to the exam. They helped me a ton. I think studying with the Gasparis DVDs and Pass CCRN tests is the perfect studying plan.

yeah, that is exactly how I felt about those 25 questions, really rattled me...I wasn't sure that I was going to pass. They seem to be at the beginning of the test, if I recall, so you feel that you aren't getting many correct....eeeeyyyyoooowwww that makes me SO mad!!! I really believe it is ultimately about handling stress, because you have to remain centered and together, to make it through the rest of the test.

Now that you are CCRN certified, I really hope you will be a frequent visitor to this thread! Please let us know how it is received at work! And let us know what you decide to do for yourself!!

Again, my hearty congrats!!!! YOU GO GIRL!!!

[sirI]

Originally Posted by incublissRN

I kept my test date a secret for as long as I could, hehe.

I passed!!! I got 115/150 which is almost exactly what I got on my last two practice tests. I'm so glad it's over and it feels like a great achievement! I haven't decided on a reward yet

CONGRATULATIONS, incublissRN, CCRN!!!!!

[cardiacRN2006]

Congrats incublissRN !!!!!

[Mave RN]

Originally Posted by deeDawntee

Very cool scenario!

Looks to me that the patient went from the hyperdynamic stage to the hypodynamic stage of septic shock.

I would have gotten him on a bipap immediately as bridge to likey intubation given his decreased level of consciousness. It would depend if he were able to maintain his airway or not (of course).

The guy needs a central line ASAP. In my institution, Levophed would be the pressor of choice, if ineffective Vaso would be added (at a set rate).

Lets get some antibiotics on board, probably Zosyn or Levaquin.

We need to give fluids per CVP, but lets get renal involved, given the failure. This may be a good time to intubate, since fluid balance will be an issue. Titrate Diprivan to effect. Send a sputum spec for culture.

Looks like the guy has some serious PVD. Is he diabetic? What is his Cardiac status? Lets get a cardiac enzyme series. The guy will probably needs an insulin gtt. Also, lets get a bedside ultrasound of his lower extremities after pt stabilized.

Also lets get a lactate, CMP, lytes, CBC with diff, what are his neutrophils? A Cortisol stim test, then q 8hr Solu Medrol asap.
Lets start replacing lytes per renal.

Hey Burnt, what really happened???!!!

Good Lord, Woman!! How did you get that??? I genuinely feel stupid...

[incublissRN]

So far the news has been well received at work! I have been congratulated by management and staff. A doctor overheard the nurses talking about it and congratulated me too! I get my name put on a plaque on our unit. For my reward I decided to buy myself a CCRN pin and badge holder. I earned it and want people to see it!

[Legaltrends]

Getting ready to take my CCRN tomorrow. Will get back here tomorrow night to let you guys know how I did-hopefully with initials in hand

[cardiacRN2006]

Good luck!!!

[deeDawntee]

Originally Posted by Legaltrends

Getting ready to take my CCRN tomorrow. Will get back here tomorrow night to let you guys know how I did-hopefully with initials in hand

HI!!! Good luck! Thanks for letting us know. Have you used the Gasparis/Dennison formula? Sending you good wishes and the white knowledge of wisdom............hehe