mochamonster

mochamonster specializes in ICU.

Latest Activity

1. Extreme Lab Values

   mochamonster replied to TX.RN.Shannon's topic in General Nursing

   K+ of 1.5 yesterday and dropping with boluses. Didn't work today and I'm not back until Thursday.

2. Floating? I need your comments!

   mochamonster replied to editor2rn's topic in Safety

   I pray I have a good CNA, because they have always been the ones to make or break a float for me.

3. What do you want in a set up of a new room for an incoming patient?

   mochamonster replied to meghan91's topic in MICU

   Here's what else I do: Zero the bed, lower it and put all the side rails down Remove blanket, top sheet and extra pillows Take the recliner out of the room (our bathrooms are big enough to put it in there) Ensure there are flushes, IV tubing, etc. Se...

4. Post Mortem Care

   mochamonster posted a topic in General Nursing

   I am interested in finding out how you all cope with giving post mortem care. It has never really bothered me, but I see, from my coworkers, that it bothers them. When I give post mortem care, I treat the patient as though they are still alive. I ...

5. Taking post-mortem pictures

   mochamonster replied to Double-Helix's topic in Pediatric

   This made me tear up. I'm glad she had that picture. ETA: in response to the post above this one.

6. Making sense of metabolic alkalosis...

   mochamonster replied to MPKH's topic in General Nursing

   The only thing I could come up with is perhaps they were previously compensating for an acidosis (respiratory depression from the morphine perhaps) which drove up the bicarb (which takes longer) and then started hyperventilating making them alkylotic...

7. Stopping IV infusions

   mochamonster replied to Ciale's topic in Student Assist

   This is what I was thinking.

8. How do you possibly study with YOUNG kids???

   mochamonster replied to TryingNot2BeScared's topic in LPN/LVN Students

   I stayed at school after class and studied there. I also started studying after they went to bed or got up early to study.

9. Nurse with migraine?

   mochamonster replied to mochamonster's topic in General Nursing

   Thanks for your input folks. Unfortunately mine do respond to meds and are on the rarer side. I have neurological symptoms, but no pain. I felt like I was letting everyone down by not being able to care for my patients. I am sure I am being harde...

10. Nurse with migraine?

    mochamonster posted a topic in General Nursing

    Hi everyone,So at work today I got an abnormal migraine and was unable to take care of my patients. Other nurses took over their care, but I feel awful because I was sent home by employee health and we were already short staffed. I haven't had one ...

11. Sleep cycle while sedated on propofol

    mochamonster replied to mochamonster's topic in Critical

    Usually after, yes. What is prompting me to write this is a patient that has their days and nights so mixed up that they sleep all day and then they are a wild banshee all night. Unfortunately they had to be put back on propofol because they are so...

12. Sleep cycle while sedated on propofol

    mochamonster posted a topic in Critical

    Hello everyone, It is my understanding that patients still experience sleep/wake cycles while sedated on propofol. However, I am having difficulty finding more information about this. I am curious if measures can be taken when a patient is sedated ...

13. Fluid bolus with BP 140s/100s?

    mochamonster replied to mochamonster's topic in MICU

    I'm with ESME12, but like you say we weren't there and who knows what they saw. Mattmrn2013, COPD is not a confirmed diagnosis, just my suspicion from looking at the patient. They just "looked" like a COPDer to me along their decades long smoking h...

14. Fluid bolus with BP 140s/100s?

    mochamonster replied to mochamonster's topic in MICU

    Point taken Altra. It is.

15. Fluid bolus with BP 140s/100s?

    mochamonster replied to mochamonster's topic in MICU

    Thanks for your responses everyone. Patient was not a good historian. All the patient could tell was that they had a "lung disease" (suspect COPD, but ABGs were good on BiPAP) and history of heart fibrillation from the patient's adult child (a-fib ...