[Hawaii RN]

Originally Posted by gwenith

We were trialling hypertonic saline and keeping the Na level at around 150 - seemed to work.

BTW the only "triple H therapy I had heard of outside of this thread was in relation to the old fashioned enema and it stood for

"High, hot and heck of a lot"

HHH therapy is not used for increased ICP but for cerebral vasospasm s/p SAH. Caution if the aneursym is unsecured.
Hypervolemia
HTN
Hemodilution

[NeuroICURN]

Originally Posted by Hawaii RN

HHH therapy is not used for increased ICP but for cerebral vasospasm s/p SAH. Caution if the aneursym is unsecured.
Hypervolemia
HTN
Hemodilution

No one ever said it was used for increased ICP. Perhaps you are confusing this thread with the one about treating increased ICP?

[gwenith]

Actually I was just commenting on the different language usage between countires.

[NeuroICURN]

Originally Posted by gwenith

Actually I was just commenting on the different language usage between countires.

Ok, now I'm really confused!

[gwenith]

Sorry Mate!! But we DO use different terms for things over here than you do over there. Sometimes it is a "local" thing and sometimes it is a national thing. e.g Serial Compression Devices are often refered to as "scuds" disposable undersheets are "blueys" while your schecule is a "roster". Until someone explains it terms like "triple H therapy" can really trip me up.

BTW thanks for your input on this.

[NeuroICURN]

Originally Posted by gwenith

Sorry Mate!! But we DO use different terms for things over here than you do over there. Sometimes it is a "local" thing and sometimes it is a national thing. e.g Serial Compression Devices are often refered to as "scuds" disposable undersheets are "blueys" while your schecule is a "roster". Until someone explains it terms like "triple H therapy" can really trip me up.

BTW thanks for your input on this.

Sure...I love my job and I'm always happy to educate those that want to learn! I enjoy reading your posts too because you're obviously very knowledgable about many things. I've come to "respect" your opinion.

Actually, I've heard SCDs referred to as scuds!

Now, I was originally confused about "Hawaii RN" obviously thinking that someone said Triple H therapy was for increased ICP. Don't know where he/she got that.

[RNCENCCRNNREMTP]

Originally Posted by NeuroICURN

Steroids are also useful in cases of spinal and/or cord injury.
.

Not really. The NASCIS study was very flawed.

Do not give me steroids if I transect my cord. I do not want to die of pneumonia.

[Hawaii RN]

Originally Posted by RNCENCCRNNREMTP

Not really. The NASCIS study was very flawed.

Do not give me steroids if I transect my cord. I do not want to die of pneumonia.

same for me...

[DustinRN]

Originally Posted by RNCENCCRNNREMTP

Not really. The NASCIS study was very flawed.

Do not give me steroids if I transect my cord. I do not want to die of pneumonia.

Can you please elaborate on why you would die of pneumonia if you get steriods to decrease cord swelling. Is it simply because of the lowered immune response with the added ETT insertion? If that's not what you're referring to then I'm lost.

Also, can you explain what this study was supposed to show. Or better yet, a link so I can view the study myself.

Thanks

[DustinRN]

By the way guys/gals I passed the NCLEX. I start orientation on June 21st in Neuro/Trauma ICU. Thanks for all the encouragement.