Trauma

Trauma has 17 years experience and specializes in Critical Care, Psych, Transport.

Latest Activity

1. iabp

   Trauma replied to Feldner's topic in CCU

   I work in a 32 bed CV Recovery/CVICU. Our IABP patient are typically part of a 2 patient assignment. Since we are the only unit in the hospital that cares for the IABP, we usually have 2-3 in the unit. Just a few weeks ago both of my patients had IAB...

2. Should I do it?

   Trauma replied to jpaschen's topic in Pre-Nursing

   gratz on getting accepted. my advice is simple.3 words. follow your heart!

3. Chart too much...

   Trauma replied to RN2B07's topic in Med-Surg

   I have a different viewpoint than most. Our flowsheet is organized to chart by exception only. If the lungs are clear, just put a check in the box. If they present fine scattered rhonchi upon auscultation, then put an asterix in the box and write tha...

4. Want to Discuss Hearts?

   Trauma replied to nedanurse's topic in CCU

   We are a 30 bed CV Recovery/CVICU. Our 10 bed recovery bay is dedicated to all fresh surgical patients. We average 100 pump cases a month including CABG,Valve replacements/repair, AAA, Thorocoabdominal Aneurysm repair, TMR, and MAZE. Our pump cases a...

5. Pulmonary Hypertension

   Trauma replied to FranEMTnurse's topic in Pulmonary

   Shortness of breath (dyspnea). Initially, you may notice that you're short of breath only when you exert yourself physically, but eventually you may be short of breath most of the time, even when you're at rest. Fatigue. Dizziness or fainting spell...

6. Dobutrex

   Trauma replied to TennRN2004's topic in CCU

   Augigi, Please forgive me if I have insulted you for that was not my intention. The phrase "does not prevent" was misleading to me to mean a definitive no. I had no intentions of insulting your knowledge as I agree everyone is here to assist each oth...

7. questions about PVCs and mitral regurgitation

   Trauma replied to LanaBanana's topic in Cardiac

   LanaBanana, Just to clarify to avoid confusion, the degree of regurge should be known. If it is insignificant such as trace, +1 or +2 then ususally there is no concern. However, if the regurge is +3 causing dyspnea on exertion then you may consider a...

8. Dobutrex

   Trauma replied to TennRN2004's topic in CCU

   Augigi, Please review your information before you post. Trasylol does in fact help to prevent the bypass-related hiastamine release. Being a protease inhibitor, it inhibits multiple mediators including cytokine and kinin-kallikrein system. The only t...

9. questions about PVCs and mitral regurgitation

   Trauma replied to LanaBanana's topic in Cardiac

   Premature ventricular contractions become more common the older we get. They can occur because of stress(both mental and physiological), pathology and sometimes without an explanation. The most important question is are these PVCs unifocal or multifo...

10. phlebostatic axis?

    Trauma replied to j.shot's topic in Student Assist

    Well I guess you could elaborate and say the left and right atrium as well as the pulmonary artery. Other than those 3 things, I am stumped. Peace, Troy

11. phlebostatic axis?

    Trauma replied to j.shot's topic in Student Assist

    Ill take a wild guess here and suggest that maybe he/she is asking for the location of the reference point. The junction of the fourth intercostal space and the midpoint of the anterior-posterior diameter indicates the phlebostatic axis. Exactly what...

12. map & dbp question

    Trauma replied to chaosRN's topic in CCU

    I was going through all the post and I can only think of a couple of tidbits to add that may or may not be responsible for the low DBP but I'll share my experience. The first thing that caught my eye was that this pt was on Dobutrex. Being a Beta 1 a...

13. Please Recommend A Critical Care Book

    Trauma replied to EyesForward's topic in CCU

    The book that I have used throughout my career for studying for the CCRN and whle finishing my BSN is AACN Clinical Desk Reference. This book will give you more than you ask for about any system and will provide you the majority of the answers you se...

14. Common Drips Used in CCU

    Trauma replied to DangJ's topic in CCU

    We use a combination of all the drugs above at any given time depending on the circumstances. All of our pump cases are started on an insulin drip with Q1 hour accuchecks for the first 24 hours and then Q 4. I have to agree with TENNRN2004 about the ...

15. skill question

    Trauma replied to Kendra's topic in General Nursing

    One thing that I know for sure if you can palpate a femoral pulse, then you have a blood pressure of at least 60 systolic. Sometimes if you can not hear a pressure using the cuff then you can accurately palpate a systolic in the arms. Hope this helps...