We pretty much always run TPN and Lipids together and it's pretty much always central (can go peripherally with the proper dextrose concentration) I've seen drips run with TPN/IL when access is an issue though its not ideal. When compatibility and ac...
janfrn, your explanation makes a lot of sense, it was never explained to me that way. So once you've zeroed your line initially you don't need to do it again, but you do need to relevel when you change the patients position, is that correct? Our poli...
Usually the most we would weight a patient is 3Xweek. All our beds weigh and some of our cribs. For the beds people ususally zero the bed and attach a sticker at the bottom of the bed stating what the bed was zeroed with. Everyone tends to make their...
Jan I would be interested to hear if you learn anything from the rep. I have seen both, some kids awake and calm on the max dose of precedex, and also awake and agitated. I've also given it as a PRN to one particular chronic patient and it would knoc...
DO you guys like precedex? We've been using it more and more lately but I seem to find that we have kids on the max dose and they are still wide awake and require the versed anyway...We used to only be able to use it for 24 hrs but now its up to the ...
We also still use mag regularly in our asthma pathway. I haven't seen the use of ketamine for status asthmaticus at our facility yet, though I am still new :) we use terbutaline IV if continuous nebs aren't effective.
Rookie12 replied to rach_nc_03's topic in Pediatric
i work on a PICU and we will draw labs from a PIV if we can get them. We don't return waste on a PIV however, only on PICC lines or CVL's. Why is drawing labs off a PIV with MIVF running so different than drawing labs of a PICC with MIVF running?? I'...
Rookie12 replied to mfrancisco's topic in Pediatric
this was a very hot topic in my nursing program: should i request a preceptorship in the area i want or in med surg for a "well rounded experience?" in my opinion, you mind as well go for what you want if you can get it! any experience is good experi...
chlorhex wipes on anyone 2 months or older daily, if under 2 months soap and water daily. Might not happen on fresh post-ops mostly because people dont get to it as opposed to the surgeons saying no. Our CLABSI rates are also climbing...hmmmm
Rookie12 replied to NotReady4PrimeTime's topic in PICU
would you want to decrease dwell time to say 30 minutes? i think the amount of waste products diffuse more quickly at the beginning of the dwell when the concentration gradient is steepest. Isn't it rare to have hyperkalemia with PD? I had a very sim...
the gtt's/mL don't matter. Think about it, if the fluid runs at 125 mL's and hour and there are 1000 mL's.... 1000 divided by 125 = 8 So it will take 8 hours for the 1000mL's to run out. If you start at 7 AM add 8 hours to that and that's when the b...