Bec7074

Bec7074

Trauma, Critical Care

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About Bec7074

Bec7074 has 3 years experience and specializes in Trauma, Critical Care.


Latest Activity

  1. Acidotic Questions

    I'll speak to the second question. Read up on lactate, lactic acidosis, and base deficit. Those are related concepts especially in sepsis or after a cardiac arrest. It has to do with anaerobic metabolism (lack of O2 to tissues when you code). As a...
  2. PEA arrest

    It's hard to say....I think I would wonder the same thing. His SvO2 was 50 the day before...not fantastic so maybe an early indicator that he was going to get worse regardless of whether or not you took him to IR. I'd imagine all his body systems w...
  3. Hypoglycemia Mystery Theater

    I'm kinda perplexed by a few things in this scenario. First, why does someone who got only 1 cardiac stent need Neo???? Was this a cath-lab patient? He sounds super stable given that he's eating and peeing and reading his Kindle....not the kinda pat...
  4. May 2013 Caption Contest: Win $100!

    Nothing says 'Happy Nurses Week' like a few close calls with bodily fluids.
  5. Advanced practice nurses in trauma?

    I worked in a Level 1 trauma center and we have all NPs at night and one attending in house. The NPs who work with the trauma service are all ACNPs (acute-care nurse practitioners). There are 4 of them at night and more during the day, so yes their...
  6. Blue about Code Blue

    Medical staff and patients, and patients and their loved ones need to have clear ideas of the pt's end of life wishes whether the patient is coding or is just unable to make decisions on their own. I give kudos to all families/patients that know wha...
  7. Increasing creatinine

    Not that it's a good answer, but did the lasix increase her UO? If so, then it was the right choice for her. I look at your patient Ike this...she was severely hypotension in OR. Kidneys are the most susceptible organ to hypoperfusion. Her kidneys ...
  8. calcium chloride

    CaCl is also a buffer for acidosis if that's what they think part of the problem was. It's a typical part of the "high K" cocktail that coincides with acidosis. I had a patient so acidosis/hypotensive once that her pressure would bottom out the se...
  9. Insulin drip/hourly BG checks

    I worked on a med surg that took insulin gets with 1:4 ratio. Insulin ggts we're more common in the PCU I worked in with 1:3-4. I think it's very much facility specific.
  10. Lung auscultation question

    Diminished lung sounds are what we call it when we don't hear much air moving. Lungs can be both clear and diminished. Are you sure you are placing your stethoscope the in correct location? Try listening to their back if possible...sounds are usual...
  11. This sounds awful for pts and nurses. Part of your assessment is assessing the rhythm. The ICU nurses are not caring for these patients and can't quite possibly know or have the time to see if something like frequent PVCs are normal or abnormal for ...
  12. how to make it clear when call doctor

    The pt may have been a symptomatic at a rate of 130 only temporarily. In afib > 120, the heart loses its "atrial kick" (the small portion of blood ejected from the atria to the ventricles) and thus, cardiac output decreases. I've seen it take a ...
  13. Nebulized flolan for severe ARDS

    We use inhaled Flolan in our ARDS pts as a last-ditch effort. Usually they are on Bi-Vent (bi-level or APRV) and a prone bed already. To me it makes sense. ARDS causes pulmonary edema which surely can cause pulmonary hypertension.
  14. Tips for becoming a solid CC nursing candidate...

    Critical thinking skills, motivations, and the ability to admit you don't know it all and aren't afraid to ask for help.!
  15. Gaining skills. What is important?

    I did med surg to PCU to ICU in 3 years. I love ICU and will never go back. I admire the med surg nurses who juggle all those patients. I did it, but not very gracefully. You need confidence and experience. You'll know when you've gained both of th...