@janfrn: You all ran ECMO through the VAC cannula? Thats interesting. What Size? and how much flow are you getting through it? I guess if it is VAD cannula you are pulling from the LV and infusing to the AO? If so, there is no need for a membrane...
I assume you have taken a good look at their website. They have a nice excel tool that helps you enter your last 60 hr GPA and math and science GPA to see where you are. As far as your plan, I don't think I would take a full load on top of working ...
This is a tough situation. I found myself wondering this same thing recently. I could give a small dose of a narcotic or a bigger dose. I told the family, "we should try the smaller dose now and we can always give it again and make it the bigger d...
AUicuRN replied to NotReady4PrimeTime's topic in PICU
Great Job working through this. This one has fooled me before in the middle of the night. The next time it didn't. Working, once again in the middle of the night, with a second year resident we admitted the patient. Checked 4 extremity b/p's and ...
AUicuRN replied to NotReady4PrimeTime's topic in PICU
No GI symptoms. CXR is unremarkable. The patient has had 2 10ml/kg boluses in route. Yes we do have metabolic acidosis. Perhaps I should add that brachial pulses are 2+ femoral pulses are 1+ and not palpable in the feet.
AUicuRN replied to NotReady4PrimeTime's topic in PICU
YAY!! Lets see how I do. This one may make our NICU nurses a little happy. 3 week old presents to an outside hospital ED with resp. distress poor feeding and listlessness. Mom says she this all started 4-5 hours ago and isn't getting better. Patien...
AUicuRN replied to NotReady4PrimeTime's topic in PICU
one of the top items on my differential list would be a foreign body airway obstruction. I'd request neck films to rule it out. And give her some more O's in the mean time.
Thanks Ginger, here is a specific problem we are having right now; There was levofed infusing at .05 mcg/kg/min and pt was high normo-tensive so the levo was turned off. Then the blood pressure dropped too much. There was no dose between off and ....
The hospital I work for is trying new IV pumps. The one's we have now are pretty old and basic but they get the job done. We are previewing some different types now the first evaluation was just up for Alarys pumps. I wasn't too happy with them. ...
Anyone have a good resource for new drugs. In the PICU we have started using Caspofungin and I can't find very much info on it like admixture compatability and min concentration etc. Any info will help.