MrBubbles

MrBubbles specializes in SICU/NeuroICU.

Latest Activity

1. Am I a good candidate for ICU?

   MrBubbles replied to NessaNurse's topic in MICU

   I went straight to a surgical/neuro icu in a level 1 trauma hospital from school with a 4mo residency. If I was able to handle it I'm sure you can. Just be careful, most ICU RNs are very type A personalities. So be very respectful, and don't go in...

2. Heat/cool w/ CVC?

   MrBubbles posted a topic in CCU

   I just had my first experience with a femoral CVC that has the ability to heat or cool the pt. I'm under the impression that they are usually used to induce hypothermia post MI to reduce metabolic demand on the heart. Or of course heating a pt who is...

3. Proning

   MrBubbles replied to nightshift82's topic in MICU

   I have seen it have a positive result. Problem is, if you need to be proned, you are really sick, and usually the recognition that a pt needs to be proned comes too late. It's like stating that mortality is high in pts who get a SWAN, well yea, it'...

4. cooling/heating w/ CVC setups

   MrBubbles posted a topic in MICU

   I just had my first experience with a femoral CVC that has the ability to heat or cool the pt. I'm under the impression that they are usually used to induce hypothermia post MI to reduce metabolic demand on the heart. Or of course heating a pt who ...

5. PRBC citrate=low Cal?

   MrBubbles posted a topic in MICU

   I recently learned that PRBCs have citrate in them to prevent clotting, and that this citrate binds to the Cal in the pts blood thereby lowering the Cal level. And in some cases this can lower the Cal to the point that hyperexcitability of cardiac m...

6. Normal CVP?

   MrBubbles replied to nursingdude78's topic in MICU

   That's hard to answer without getting a better pic of the pt. If a pt is on higher peep than their cvp will be elevated. If they have asities then I assume there is liver failure going on. You may have heard that we don't go clamping down on a pt ...

7. Labs and vasopressors..new icu nurse needs advice

   MrBubbles replied to icu26RN's topic in MICU

   Yes I meant pedal. We do also use fem lines. Last resort seems to be a brachial, but only for use in the OR. At my hospital brachial a-lines must be DCed by an MD upon arrival to the ICU. An MD told me this is because of a higher incidence of amp...

8. Labs and vasopressors..new icu nurse needs advice

   MrBubbles replied to icu26RN's topic in MICU

   YOU MUST HAVE AN A-LINE! Any MD who does not say yes needs to be slapped, then call his upper to ask for an a-line. YOU MUST BE A PATIENT ADVOCATE! When the Dr. says no to an a-line when pressors are being run that is when you step up as the patie...

9. Mistake examples?

   MrBubbles posted a topic in General Nursing

   I am trying to find like a database of mistakes. Nursing mistakes. I have always been very forward about any mistakes I make and make every effort to let everyone know what they are so that they don't have to make the same mistakes. So I am trying...

10. mistakes made during your first year...

    MrBubbles replied to RNmaria's topic in New Nurse

    Don't do that to yourself. I'm guessing you've been told before, you're going to make mistakes, there's just no way around it. I've screwed up too, and it tears my guts up inside. But that means I care. We worked so hard for so long to make it th...