blucrna

blucrna

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About blucrna

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  1. St Elizabeth's/YSU CRNA Fall 2014

    First off congrats, getting into school is a huge accomplishment!!!! I always try to respect others opinions but let me put a Youngstown spin on things. I work at St E's in the cvicu and though I have elected to go to a different crna school I can t...
  2. 5% dextrose and cardiac outputs with a swan ganz catheter

    I've been meaning to grab one of our s/crna's about this. As soon as we get the pt post op we change all the dextrose bags to Ns. It just seems like a no brainer to start with NS given the need for tight glucose control
  3. Open Heart Training

    I agree. When money dictates patient care I think we all lose
  4. Leaving Phenylephrine on with an Epi Drip?

    I agree, having both gtts seems redundant. Any effects the neo is giving can easily be attained by simply going up on the epi.
  5. New to CVSICU...cardiac gtts

  6. Extubation Difficulties

    Seems I'm too late but self extubation does wonders for these pts. Not that I advocate it but I've been there lol. This case does sound more like delirium than withdrawal. Your time frame would suggest he be past that point anyway. After 5 days your ...
  7. Why not Levo?

    I agree. The 3 L bolus and increased SVR (via pressors) are temp fixes but certainly enough to get you through until tPa busts up the clot. Levo is def a possibility worth considering but I guess you can also say that about dopamine/isoproterenol for...
  8. bp in heart failure

    I like that psu is trying to make you think. Simply put, lower bp (but not hypotension) is desirable because the heart doesn't have to work as hard to drive bp. This in turn decreases cardiac oxygen requirements. The lower o2 requirement helps combat...
  9. Any ICU's ambulating vented patients?

    I've seen videos of this and its wild. We don't do it in my ICU (mixed ICU and CCU) but I've heard nothing but good things outcome wise as long as the pt can tolerate ambulation .
  10. CCRN Practice Tests

    Congratulations
  11. chf and ventilator understanding

    I agree. More info would definitely help answer the question. If its overload related a few days on a lasix or bumex may due the trick to alleviate that sob but if its ejection fraction related then it may take inotrops or vads So could the patient b...
  12. Amiodarone help!

    I'm pretty sure amio can be given in any case of vtach pulseless or not. Its an antiarrhythmic agent and per acls the dose is 300mg iv push for the first dose and 150 after.
  13. Very true Esme. When I was in nursing school every semester that went by my classmates slowly figured out where they wanted to work. (The PEDs/ob semester especially) I thought I'd be a med/surg nurse until I hit my critical care clinical. To the op,...
  14. Kudos to you neuro folks

    Ya neuro is a whole new world. I've been in the nicu for less than a month and probably learned more than I had in my entire critical care class for my bsn. You really have to stay on top of your assessments because the patients change fast
  15. Good for you yshell. I agree that post did come off with a "chip on my shoulder" vibe. I'm new to icu nursing but I started off Tele . I've run into a bunch of icu-rns that give others a hard time. You just have to stick to your ground and give em wh...