hepatocyte62

Latest Activity

1. australian new grad working in the uk

   hepatocyte62 replied to karlie87's topic in International

   Karlie I know that if I want to work in Australia there are formalities to go through, most of which are about appropriate documentation rather than qualifications as I think our qualifications are more or less transferable. You'll need to start the ...

2. Flow

   hepatocyte62 posted a topic in Neuro

   Hi I always get confused between 'flow' and 'pressure' in relation to haemodynamics, what's really the difference please ? Many thanks

3. opiates and large Vts

   hepatocyte62 replied to hepatocyte62's topic in MICU

   Thank you for replying but no sorry, I meant pts who are sedated and ventilated without a pain factor. I've been told several times that the opiates are causing the large tidal volumes (volumes of 900 1000mls for a 65kg person) but have failed to get...

4. opiates and large Vts

   hepatocyte62 posted a topic in MICU

   I've been told recently that opiate sedation can cause large tidal volumes, do people agree ? and if so why does it happen ? Many thanks

5. Neuro ICU to CRNA

   hepatocyte62 replied to gasmaster's topic in Neuro

   What's the TCU anaesthesia program ? Is it like a nurse-come-anaesthetist ?

6. Increased ICP and Cushings triad

   hepatocyte62 replied to love-d-OR's topic in Neuro

   Depends what you mean by 'early signs'. If you mean a decreased GCS the answer is definitely no, a patient is not going to have a GCS above 3 (I'm not sure if they'd still be extending but I'm guesing not) and also manifest cushings triad as this is ...

7. Visiting times

   hepatocyte62 posted a topic in Neuro

   Our very small neuro unit has visiting times of: 10.30-12.30; 15.30-17.30; 18.30-20.00hrs. I, and a number of my collegues, think this is too much. I understand the anguish of relatives when their loved one is critically ill but I also believe that ...

8. Glycemic control in traumatic head injury

   hepatocyte62 replied to hepatocyte62's topic in Neuro

   Thanks for your reply Ghillbert. Yes I've spent quite a lot of time searching via 'pubmed' and various individual journal sites etc, I can find relevant articles but nothing that is very up-to-date and measures the relationship between high serum glu...

9. Glycemic control in traumatic head injury

   hepatocyte62 posted a topic in Neuro

   I'm writing an assignment about glycemic control in traumatic head injury. Our guidelines are to keep blood sugars to 4.5-8.3mmol/L. This level concurs with the international guidelines recommended by the Surviving Sepsis Campaign 2008 but there seem...

10. propofol infusion syndrome

    hepatocyte62 replied to john 1947's topic in Neuro

    How does higher patient/nurse ratio reduce the need for sedation ? We work one-to-one and use propofol for induction of anaesthesia and to control ICP, if we can reduce it or take it off we do. In critical head injuries (particularly in young people)...

11. I want her fired!!!!

    hepatocyte62 replied to HisTreasure's topic in General Nursing

    Yes but this does not stop relatives shouting. There was a time when there was more respect for nurses. Of course a genuine complaint needs attention but I've encountered 'difficult personalities' who (in my opinion) are seeking to fill a need for at...

12. Co-Workers Read My Medical Files

    hepatocyte62 replied to nurse7272's topic in General Nursing

    Goodness me, that's harsh discipline but maybe deserved:)

13. Co-Workers Read My Medical Files

    hepatocyte62 replied to nurse7272's topic in General Nursing

    This is outrageous ! They acted unprofessionally, moreover this is serious misconduct. In the NHS (we do not have computerised access to medical notes where I work, but we can retrieve notes manually) they would almost certainly be immediately suspen...

14. I want her fired!!!!

    hepatocyte62 replied to HisTreasure's topic in General Nursing

    It happens in the UK as well. It seems to me that visitors and relatives often grasp the opportunity of this context to assert power that they lack elsewhere. It is mostly people who are not capable of understanding the nature of the work we do that ...