catamounts303

Latest Activity

1. Army Nurse Corps acceptance

   catamounts303 replied to sammitate's topic in Government

   You're easily going to get critical care RN, sometimes they play a game to fill slots and might try to talk you into med surg and say you can move over to icu immediately; don't do it stick to your guns they are just trying to fill a quota; they will...

2. Army Nurse Corps acceptance

   catamounts303 replied to sammitate's topic in Government

   sammitate, with that academic profile you should be going to CRNA school, or applying to the Army's USGPANN active duty crna school.

3. Alcohol Withdrawal & CIWA

   catamounts303 replied to jschong93's topic in Student Assist

   Great questions. So the drug in most protocols used is lorazepam iv push 1 - 2 mg sometimes as frequently as every 30 minutes. Lorazepam has a short half life, it's also a benzodiazepine which in high doses can be dangerous causing respiratory depres...

4. Can you explain why I got this test question wrong?

   catamounts303 replied to peds4life08's topic in Student Assist

   Kegels are intervention and outcome is continence of urine. You will never ever use this stuff in practice.

5. UMass Worcester GEP to DNP

   catamounts303 replied to CreateHealing's topic in General Students

   You have a great shot and welcome to the profession. BSN backups are a great easy option, umass Amherst is awesome, check out umass Boston, and lastly mgh institute of health professions, mgh is costly but an excellent program.

6. inotrope via syringe driver or pump?

   catamounts303 replied to sister s's topic in MICU

   Bottom line make them stop this and get all your pressors and sedation on infusion pumps. This must be so frustrating for you!

7. MICU patient population

   catamounts303 replied to Chaserr's topic in MICU

   Heavy GI bleeds, ARDS, exacerbation CHF/COPD, and DKA. Progression to Septic shock, organ failure, from the aforementioned population. Exciting therapies now for ARDS and Sepsis. More patients surviving these critical illnesses.

8. Proning ARDs patients

   catamounts303 replied to catamounts303's topic in MICU

   So ya just flip em eh? Will give it a go. Work for a big county hospital, many uninsured so it's hard to get reimbursed on the KCI.

9. Proning ARDs patients

   catamounts303 posted a topic in MICU

   Hi everyone, Our ICU is starting to get really aggressive in identifying and aggressively treating ARDS patients much sooner. We have used the huge KCI beds that rotate with much success. With that said we want to try proning more patients sooner and...

10. The next pressor...

    catamounts303 replied to MLB55's topic in MICU

    MICU: Levo, Vaso, and then inotripics dobutamine for hearts dopamine for sepsis. Ionitropes selection may also be influenced by extent of AKI.

11. Dopamine in cardiogenic shock

    catamounts303 replied to FF_RN's topic in MICU

    I don't think you really had a choice especially if fluid bolus was something you had to avoid. Levophed is at least our standard. Do you guys carry primacor drip ? The MD probably was just squeamish because of the chance and incidence of fatal arytm...

12. ARDS management with ECMO

    catamounts303 replied to catamounts303's topic in MICU

    Outstanding reponses. I've been thinking lately when cases do arise would this adult patient event benefit? So many are lung transplant receipients, ILD, and in full blown septic shock on Levo and fluid resuscitattion. But we still see a steady flow ...

13. Unsafe Practices

    catamounts303 replied to **LaurelRN's topic in MICU

    Good work laurel

14. pls help...advice for 1yr RN getting into ICU/SICU

    catamounts303 replied to stacia77's topic in MICU

    Definately do the ACLS and their is also one called TNCC (Trauma Nurse Core Curriculumn you might find helpful). I can imagine you're probably good with Rythms working in tele. There is a book published by the AACN called Essentials of Critical Care ...

15. ARDS management with ECMO

    catamounts303 posted a topic in MICU

    Hi everyone On our unit we've been seeing a lot of ARDS lately for multiple reasons. Usually things like aspiraton pneumonitis, fibrotic lung disease, acute lung injuries, trauma, etc. One of the treatments we have done has been of course the KCI bed...