AwesomeManRN

Latest Activity

1. Maximum number of IV meds & lines

   AwesomeManRN replied to nursebettee's topic in CCU

   Pressors are usually all compatible. Stack them all together on a CVL port. Next find compatibilities for your other 2 ports. Draw blood through the non- life sustaining gtt lines. If you got a CVP, use it for blood draws and IVPBs. If you have not v...

2. The benefits of therapeutic hypothermia in a comatose pt after arrest?

   AwesomeManRN replied to thatoneguyRN's topic in CCU

   If he was following commands post arrest, he does not need hypothermia. Hypothermia is only indicated in pts who are unresponsive post arrest. The anoxic injury was not significant enough to have any benefit from hypothermia. Side note- recent study ...

3. Clots related to fast afib

   AwesomeManRN replied to maloneys's topic in CCU

   Usually the rule of thumb for afib and a clot my cardiologists use is 24 hrs. If a patient knows when they go into afib and it's been less than 24 hrs, they will just receive a cardioversion. If unknown time or greater than 24 hrs, you do a tee and t...

4. Tx for seizures with anoxic brain injury

   AwesomeManRN replied to nsti's topic in Neuro

   Was therapeutic hypothermia performed post code? While some facilities have moved away from it, it is still believed to be best practice post code for neurological injuries. Everything else sounds correct for his tx. It is an almost certainty that hi...

5. What type of device goes in the ankle during cardiac arrest??

   AwesomeManRN replied to stdntograd06's topic in CCU

   It really depends on the insertion device. The EZ-IO drill is approved for the distal tibia in adults. It is not a common insertion site. In our facility, I do the education for all ICU nurses. The EZIO is used in codes in places of dropping in a fem...

6. What type of device goes in the ankle during cardiac arrest??

   AwesomeManRN replied to stdntograd06's topic in CCU

   It was most likely an IO. The first choice for selection for a drill-based IO is the tibial tuberosity below the knee cap. If the pt has had knee replacements or trauma to that area, the second selection is the medial malleolus at the ankle. Last spo...

7. CCRN-CMC

   AwesomeManRN replied to AwesomeManRN's topic in CCU

   I have a newborn so didn't get to study near as much as I wanted. It's more in-depth medical than CCRN. It was heavy on hemodynamics, shock, ACS, CHF, pacers; and all the meds/assessment/interventions for all. The biggest difference for me between th...

8. CCRN-CMC

   AwesomeManRN posted a topic in CCU

   Just took the CMC exam, and I felt it was much more difficult than the CCRN. While I did well on both ( CCRN 114/125 and CMC 63/75) the CMC just had a different feel to it. Much harder IMO. Maybe cause it didn't have any easy ethical questions to buf...

9. CCRN Review

   AwesomeManRN replied to TopSICU Nurse's topic in Critical

   Check out CCRN review podcast on iTunes. Very good review seminar