valsalvamanuever2

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1. blood transfusion and first 15 minutes

   valsalvamanuever2 replied to valsalvamanuever2's topic in MICU

   Thank you all for entertaining such a thorough discussion on the topic. When I originally posted the question, I was new in my setting, but questioning what isn't necessarily in line with what I have been taught is the standard of care. I thought of...

2. Best resources/advice/education for a new MICU nurse w/ m/s expirence?

   valsalvamanuever2 replied to heydelilah's topic in MICU

   Hello, I just completed my second shift off orientation, with about a year of tele experience, so my advice is framed from that perspective. For factual stuff, the ICU book by Merino, as well as CCRN review materials are often suggested. Most hos...

3. difficulties in transitioning to ICU

   valsalvamanuever2 replied to valsalvamanuever2's topic in MICU

   Thank you all for sharing your feelings. I thought that I probably wasn't the first to feel this way. It does feel good to have this outlet. My unit was nice enough to provided us with a giant binder of things to know/learn/tips. I agree that a ...

4. blood transfusion and first 15 minutes

   valsalvamanuever2 replied to valsalvamanuever2's topic in MICU

   Thanks for the responses. Our policy states to stay for 15 minutes. (ICU). There is a clause regarding emergent/unit patients (which most of ours are) and changing assessment based on pt. condition, but I find that a hard way to say: "see, you don...

5. blood transfusion and first 15 minutes

   valsalvamanuever2 posted a topic in MICU

   Anyone work on a unit where the predominant attitude is one of it being ok to leave a pt. during the first 15 minutes of a blood transfusion due to the monitors attached to the pt.?

6. difficulties in transitioning to ICU

   valsalvamanuever2 posted a topic in MICU

   1 year RN experience on telemetry. Switched to trauma/surgical icu at different facility (dream job). Nearing end of 12 week orientation. Still feeling inefficient/slow. Limited experience with actual sick people over last few months as most have...

7. rapid a fib with high blood pressure?

   valsalvamanuever2 replied to valsalvamanuever2's topic in Cardiac

   I meant if her heart did this again and was either symptomatic (i.e. dizzy and takes an unplanned meeting with the ground) or asymptomatic (until her heart can't do this anymore and takes an unplanned break). Thanks everyone for the responses as I ...

8. rapid a fib with high blood pressure?

   valsalvamanuever2 replied to valsalvamanuever2's topic in Cardiac

   Pt. converted spontaneously. Bolus and GTT were about to be started when she went SR 60's/70's. The cardiologist who follows her as an inpatient felt that she could be seen outpatient for f/u. Typically when we convert people via drips we do the d...

9. rapid a fib with high blood pressure?

   valsalvamanuever2 replied to valsalvamanuever2's topic in Cardiac

   Pt was told to come to hospital after observed bp/hr at pcp's office. Yeah I have not been oriented/asked out loud how/why exactly some pt.s of this type are allowed to come over unsupervised if they warrant inpatient status. 1. In an old copy of "...

10. rapid a fib with high blood pressure?

    valsalvamanuever2 posted a topic in Cardiac

    Hello, New nurse almost off orientation on telemetry. Pt. was direct admit from MD, walked onto the floor and into my room with no information to moi. When put on monitor hr a fib 160's- 180's, apical the same (if I could really count three ir...

11. bradycardia with nitro drip?

    valsalvamanuever2 replied to valsalvamanuever2's topic in Cardiac

    Hello all. Thanks for the responses. I do not know the full story, aside from the fact the pt. remained on the floor for another week with dx of endocarditis. Did run into family member of pt. who said that she was there as pt. was being transferr...

12. bradycardia with nitro drip?

    valsalvamanuever2 replied to valsalvamanuever2's topic in Cardiac

    Thank you all for the input. Assigned to same pt. today. Pt. is 1. septic. 2. EF of Thanks all as I start to learn what I need to learn.

13. bradycardia with nitro drip?

    valsalvamanuever2 posted a topic in Cardiac

    Nurse of 2 weeks experience on telemetry floor. Pt. transferred from smaller hospital with decompensated hf, scant information provided. Upon admission orders written for nitro drip and lasix drip. Stable bp's/hr's ( slightly over 100 sbp/hr 60-70...

14. moving..what's a nice area to live in Rochester?

    valsalvamanuever2 replied to newRN_NY's topic in New York

    Hello, My wife and I lived around the area for 6 years for school and still at times miss it. Depending on what type of living you like (i.e. complex vs. apartment in a house), there are a great many choices. Originally we lived at Elmwood m...

15. Freezer Meals

    valsalvamanuever2 replied to my4helpers's topic in General Students

    Pretty much any cooked protein. We store them in quart canning jars (good size for two and it leaves some leftovers.) It's not freezer related, but my wife has learned to time crock-pot meals that she throws in before we leave the house for the day ...