questionsforall

questionsforall

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About questionsforall

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  1. Some Nurses too Almighty?

    In my ICU the nurses complete all patient care. This includes bathing patients, getting them out of bed, helping them onto bedpans, cleaning them when they are done. The nurse does everything. The nursing assistant just stocks rooms and take blood...
  2. Dialysis, HIV and terminal Pts. Abuse?

    I understand what the OP is saying and I think some people are misunderstanding the post. Some people hit it right on the mark. I don't think she is talking about taking a decision away from the patient or their family. She is saying that maybe dialy...
  3. Things you'd LOVE to be able to tell patients, and get away with it.

    To family members who think your only job is to give them updates: You were on hold for 15 minutes. Well this is an ICU, there are sick people here. Actually, I was in your mother's room taking care of her when you called. She is having trouble brea...
  4. What do you do when you can't do it all?

    Haha, this is only funny because I was thinking the same thing you posted after I got off of work today, "What can you do when you can't do it all?" I hear you, you are preaching to the choir. I work in the ICU and I still feel the way you do (but ...
  5. I want my children to find something they would be happy with and where they would feel like they were making a difference. However, I wish for them something I feel I did not have growing up. That is, I want them to know about all their options. ...
  6. Ideas from nurses who've been around awhile!

    The nurses I worked with that were around in the 70's and 80's said that they remember when HIV/AIDS didn't have a name and that these patients would come in the hospital with the diagnosis: Fever of unknown origin. Also, many antiobiotics were giv...
  7. question about acidotic pts and labs

    Need more info, (like maybe the complete blood gas). However, you said he was a renal patient with phos of 12. I would need more labs like BUN, creatinine to say this, but maye he needed dialysis. It sounds like his CO2 was low, maybe he was compe...
  8. How much lorazepam have you given....

    We switched over to valium IV for ETOH withdrawal and we even sometimes use ketamine drips (like they do with burn patients).
  9. Gave up in ACLS class

    I will tell you that even doctors have problems in ACLS class. In my experience, the nurses know more :)
  10. Signing out meds you do NOT administer yourself?

    This whole process seems to defeat the purpose of the 5 rights and the 3 checks and should be re-evaluated.
  11. The Problem with Nursing

    1. I had a BS in neuroscience before I became a nurse and I will say that nursing school was harder. Once you actually become a nurse you will see that everything always falls on the nurse. If a change needs to be made, it all falls on the nurse. ...
  12. Computers

    I was thinking of buying a new labtop for CRNA school. I was wondering if anyone had opinions on what type of computer to buy. I was wanting to buy a MAC but I was wondering if it is necessary to buy such an expensive computer or if I should just k...
  13. everyone is stumped

    Also, why are they not starting a beta blocker?
  14. everyone is stumped

    What about pheochromocytoma? This tumor can secrete excessive amount of epi and norepi. Besides the physical symptoms of elevated BP and HR they can get crazy too. Did you guys check her urine for catecholamine metabolites? Maybe the poison is an unr...
  15. What is the highest temp you have seen?

    106.7 neuroleptic malignant syndrome, patient survived episode. Surprisingly cooling and treating with dantrolene worked (we treated it like malignant hyperthermia). Patient died a week later, but from whatever caused the syndrome and not because of ...