Dirk

Dirk

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About Dirk

Latest Activity

  1. ABG analysis

    Long time ago I made a sketch for me, to learn how ABG interpretation works. I hope, I translated everything correct. Perhaps you can use it ... Dirk
  2. Patient diaries on ICU

    Thank you for your comment ! I have talked to many patients, and very often I heared horrible stories about nightmares, or unreal dreams. Very often, they can`t remember, what is dream, and what is reality. We are writing in the diary, what happens d...
  3. Patient to Nurse Ratios: What are yours?

    Not 5:1 - only 1.5:1 Means - 14 bed ICU morning shift : 10 nurses late shift : 9 nurses night shift : 8 nurses BUT in Germany the ratio is very often 4:1 on ICU`s
  4. Patient diaries on ICU

    First - sorry for my english ... but I am from Germany (working in Switzerland), and I always try to improve my english ... A lot of patients, surviving the ICU, are suffering from PTSD-related symptoms like sleep-disturbances, flashbacks, depression...
  5. Patient to Nurse Ratios: What are yours?

    Country Switzerland City Zurich Unit worked ICU Patient load 1,5:1 Shift
  6. ICU Psychosis ?????

    There is a very good article, written by Kimberley Litton. This article deals with the ICU delirium (not psychosis, because it is an acute confusion, not a psychiatric disorder) and shows, how you can reach the diagnosis of ICU elirium, and what are...
  7. ET pilot balloon & Diprivan

    To question 2) Propofol is used on my ICU to some patients for a really lomg time, without any problems. But there are reports about people, have experienced severe problems because of propofol. One very critical thing, you have to look at is rhabdom...
  8. Do you know "basic-stimulation"?

    hmm .. just a little more ... Not only some patients after a stroke feel like this. Try following : You have to be with another (perhaps your friend or collegue) Take place on a chair sit on your hands, and stay sitting. This is like staying in bed -...
  9. Vasopressin = Desmopressin?

    ... one new aspect : The potency-effct is only for the anti-diuretic-effect. The vasoconstriction is only 0,39 of vasopressin. So the use of desmopressin will take a very low effect while CPR. Hope this will help you .... Dirk
  10. Vasopressin = Desmopressin?

    Hello Treboricunurse! I only know Desmopressin as a med, which we use to treat the insipidus too. It is, in comparison to vasopressin , only changed a little bit (it has a little different chemical formula). So the med is used ONLY for treatment of i...
  11. Vasopressin = Desmopressin?

    I try it in english .. Desmopressin is a Vasopressin-derivative with a potency-effect of more than 100. That means, that Desmopressin has a 100 times higher effect than Vasopressin. units are the only measurement of Vasopressin - or do you give Insul...
  12. cooling down after CPR

    http://content.nejm.org/cgi/content/abstract/346/8/549?hits=20&where=fulltext&andorexactfulltext=and&searchterm=hypothermia&sortspec=Score%2Bdesc%2BPUBDATE_SORTDATE%2Bdesc&excludeflag=TWEEK_element&searchid=1095459518145_11309...
  13. Do you know "basic-stimulation"?

    First I have to apologize for my english. I try to describe things, if I don´t know the right english word. Please help me to learn - if you use special words, let me know ! - Thank you ! The constantly existing possibility for the independent move...
  14. Do you know "basic-stimulation"?

    Hello ! Yes I will try - but you have to be patient with me, because I have to translate my knowledge - and it is very difficult for me. I only know school-english - but nursing-englisch is a little different. If it is OK, I will try to give little e...
  15. Do you know "basic-stimulation"?

    Yes - you are right - except some differents. I made the experince, that we some things do, because they have to be done, and the way we do, is the way we ever have done. I will write you more a little later, if I will be at home (now I`m at work). F...