sarahrain

Latest Activity

1. clinical case

   sarahrain replied to poppy07's topic in MICU

   As we can see the albumin is only 1.5, the reduction of oncotic pressure may further dry the patient intravascularly. The doctor should consider giving albumin to temporary bring up the level. However, the underlying cause should be pinned. I would...

2. Do you prefer 12 hour or 8 hour shifts?

   sarahrain replied to Scrubz's topic in MICU

   8 hours. I prefer to have the balanced time distribution for everything in everyday.

3. Arterial line caps

   sarahrain replied to poppy07's topic in MICU

   i don't understand about how the mistake can take place.. about wrongly assumed that the art-line is cvl... the cvl and art-line normally is inserted in different part of the body. example the common practice are - sub-clavian cvl and radial art-li...

4. How Can She Take That...

   sarahrain posted a topic in General Nursing

   It was at 3 am that the patient, a young gentleman man with cardiac monitoring, was sent to us. Sitting in high fowler, breathing via nasal prong and on infusion amiodarone running through the peripheral vein, he seemed to be alert and conscious. "On...

5. BP cuff or A line

   sarahrain replied to labman's topic in Neuro

   A-line for major op patient, critical ill pt those who on inotrops (so that we can titrate).. if patients' BP is known to be stable, we would follow NIBP

6. About Prisma Dialysis

   sarahrain replied to sarahrain's topic in MICU

   That patient was so sepsis that he had to put back on CVVHDF again. Despite on various antibiotics namely cravit, fortum, cloxa, superazone.. His TWDC was still very high.. As the INR is 4.25 and the platelet only 29, the prisma was run without hepar...

7. How to transfuse DIVC regime?

   sarahrain posted a topic in MICU

   I was told that the best effect to transfuse DIVC set is to start with cryoprecipitate, followed by platelet then FFP. I couldn't find the reason behind it. Please advice. Thanks!

8. Syringe Reuse: Patient Safety Threat - Factsheet Feb. 2008

   sarahrain replied to NRSKarenRN's topic in Safety

   We should use new syringes/needle for each time. And not supposed to be kept. That's infection control rules for ISO.

9. confuse and scare.

   sarahrain replied to prEciously001's topic in New Nurse

   It is only two hours late? It's indeed very scary but I tell you it happens anywhere to any new nurses around the world. You are not alone.. Trust me. There are people who makes bigger mistake than you. There is a trick to make you feel better - try...

10. Nurses Being brought in from another country

    sarahrain replied to KTYRN's topic in General Nursing

    We do have foreign nurses as well. I pity them cos they have to be by their own.. More stressful than the local staff nurses. For me I wouldn't want to go to be an immigrant nurse. but as a volunteer or traveling, it is ok for me.

11. High Alert Medications

    sarahrain replied to JAMDMAY08's topic in Neuro

    Anything that caused GCS down.. Dextrose (increase cerebral edema), all drugs with sedative effects..

12. About Prisma Dialysis

    sarahrain replied to sarahrain's topic in MICU

    Ok, we don't equip any heating device in every bed, probably because Malaysia is hot and humid and the ICU is always regulated in room temperature. Thanks MNC_RN for your info. I just knew about it.

13. Are 12 hour shifts safe?

    sarahrain replied to psychnurse1998's topic in Safety

    I got to work 15 hours once or twice in a week depends on the census. It does make me feel tired especially in the evening. And my night offs sometimes were substituted with overtime. Generally, I prefer to have quality of life rather than work and ...

14. About Prisma Dialysis

    sarahrain replied to sarahrain's topic in MICU

    We used the bair hugger. Light? what light? you mean the infra-red?

15. About Prisma Dialysis

    sarahrain replied to sarahrain's topic in MICU

    No warmer circuit. It is the conventional prisma dialysis machine. We are pretty sure that the hypothermia was due to the dialysis. His temperature picked up to above 36 deg after the completion. The surgical site is at the anterior Rt thigh. It sh...