rnguy25

rnguy25

PICU

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About rnguy25

rnguy25 has 8 years experience and specializes in PICU.


Forever learning!

Latest Activity

  1. What is wrong with these kids? (Mystery Diagnosis)

    Check into primary amebic meningoencephalitis (PAM), particularly Naegleria Fowleri. Over a year ago, we had a case with similar presentation as you described and usual work up showing nothing. It turned out to be PAM.
  2. Toradol for pain control after abdominal surgery?

    We use Toradol post-op for several our patients, excluding those at risk as janfrn has mentioned. We typically schedule the toradol for three doses then make it prn thereafter and have opiods for breakthrough pain. I have not read the article above ...
  3. SN first day in the PICU

    I can too share your sense of being "called" to a nurse in a PICU. I felt the same way during my clinicals as an undergrad as well. Peds is what led me to becoming a nurse in the first place, but never thought about the PICU until our critical care...
  4. Pediatric RSI

    Our unit typically uses fentanyl, versed, and rocuronium. Atropine prior to intubation is used for the neos and infants. As others have said, it is physician pref, as etomidate and vecuronium is also used, but not as frequent as the three listed ab...
  5. We collect our EVD cultures or samples from the sample port that is proximal to the patient using sterile technique. RNs are allowed to collect CSF samples, but not allowed to infuse any meds or flush the EVD tubing. If there is a known infection, w...
  6. Peds CVICU

    Congratulations sicushells!!! Kick butt!!! janfrn, I know this is off topic, but I have to say that I admire what you write and what you do for this forum in many ways. You give hope, inspiration, knowledge, comfort, confidence, support, and much m...
  7. New and Drowning

    Sorry to comment on an old thread. Deleted.
  8. New Nurse...

    gab.rielle, Hi. I say go for it. I started my career and life as a nurse in the PICU and have loved every bit of it (still do too). You seem to already have a special connection with the PICU life from your experience in one. Many new grads are hired...
  9. suctioning the intubated pt...1 nurse/RT, or 2?

    Hi Anna, Bagging during suctioning is needed to maintain adequate arterial oxygenation levels and to maintain adequate lung volumes, especially for those patients who require a high PEEP. All of which, if lost, can induce hypoxia. Since you don't use...