nycsurg

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1. ICP and D5NS

   nycsurg replied to RookieRoo's topic in Critical

   I can't really imagine how there was confusion. NS is pretty much the only fluid you would use for a Neuro pt. (Well, that or hypertonic saline or bicarb)

2. Heparin

   nycsurg replied to bear14's topic in Med-Surg

   Because they need intraop dvt ppx, and prophylactic heparin does not cause clinically significant bleding For outpatients, anesthesia will give 5000u heparin subq after intubation

3. Heparin

   nycsurg replied to bear14's topic in Med-Surg

   Someone going through chemo is at very high risk for dvt. Unless the hgb of 8 is an acute change, the heparin should be given. With platelets of 75 HIT is a possibility, but it is far far more likely to be related to the chemo. On a somewhat relate...

4. 50 Things New Nurses Need to Know About Calling Doctors and Other Providers

   nycsurg replied to Lynda Lampert, RN's topic in New Nurse

   A few more from last night! 8) If the patient is in pain, and you give morphine and then the pain is improved, that does not need a page. 9) Neither does normal vital signs. 10)

5. IVP vs Drip

   nycsurg replied to Matt8700's topic in Emergency

   At a few hospitals that I work at (all the city hospitals), nurses outside of stepdown/sicu are not allowed to push IV medications at all. No BP meds, no pain meds, not even benadryl or ativan. So I order everything inside a minibag, from labetalol ...

6. 50 Things New Nurses Need to Know About Calling Doctors and Other Providers

   nycsurg replied to Lynda Lampert, RN's topic in New Nurse

   Some random things 1) Please know the patient's name and brief history when you call - I have 30-50 patients at night. Tell me you are calling about room 1118 isnt helpful. Tell me you are calling about Ms. Smith, or if you want to be really helpfu...

7. Metformin IV contast

   nycsurg replied to truckinusa's topic in Radiology

   You can discontinue metformin after the CT scan. Also the chance of lactic acidosis is very small to begin with.

8. Do RN's insert EJ's at your hospital

   nycsurg replied to Five&Two Will Do's topic in MICU

   This is very wrong. A 22g IV has like 1/4th the flow rate of an 18g. You also cannot use a 22g for powered injection for certain CT scan protocols. I mean sure, if the patient is entirely stable, and not preop, and not going to need a CT scan, a 2...

9. Can we talk about NG/OG tubes?

   nycsurg replied to foragreatergood's topic in Emergency

   That alcoholic patient is absolutely in need of an ngt. It is needed for gastric lavage, to ensure that this is an upper GI bleed. Ngts should not be placed in patients who have a fresh gastric surgery, or patients with the possibility of a skull b...