fedewa0627

Latest Activity

1. Citrate Protocol for CRRT?

   fedewa0627 replied to rikkemp's topic in MICU

   We are working on bringing it to our facility as well. Sorry, no order set yet but I also would like to see some info. I just had a pt clot off 4 cvvh filters last night.

2. LEVO or VASO--which to wean first?

   fedewa0627 replied to poppy07's topic in MICU

   In my experience our physician prefer to wean the vasopressin before levophed. Often it is up to the physician because vasopressing is still in it's infancy of being understood. At my facility vasopressin is either on or off, no titration. Levophed i...

3. Levophed Max dose.

   fedewa0627 posted a topic in MICU

   I was wondering what the levophed (typical) max dose is used at your facilites.(20,30,40 mcg/min) Also at what point do your physicians say it is pointless to go higher just to get better b/p numbers.(ex. vasoconstiction to organs and b/p adequate bu...

4. Does Levophed increase CVP? Need nice physiology type answer.

   fedewa0627 posted a topic in MICU

   I had a patient the other day that was on 2 mcg/min of levophed with b/p of 110/50. His blood pressure 2 hours into the shift drops into the 60/40. I increased my levophed to 10 mcg/min and his blood pressure responded to 115/50. When I alerted the r...

5. Why is normal saline the only solution used for blood transfusions(PRBC's)?

   fedewa0627 replied to fedewa0627's topic in MICU

   Thanks, if possible could you post a site where I can find that information.

6. Why is normal saline the only solution used for blood transfusions(PRBC's)?

   fedewa0627 posted a topic in MICU

   Why is normal saline the only solution used for blood transfusions? How come lactated ringers or Normosol-R cannot be use with packed red cells. This is the practice at my hospital, let me know if you have seen different and why. Thanks.