CalvinJ

Latest Activity

1. Why do Critical Care nurses look down their noses at Med-Surg nurses?

   CalvinJ replied to marisatheresa's topic in Critical

   I get where you're coming from as I have been to the floors as well before becoming a CCRN. Personally, I don't ask irrelevant questions. I only ask questions to get a clear picture of the situation for faster management just as what BelgianRN mentio...

2. Running multiple drips into one line

   CalvinJ replied to IheartICUnursing's topic in Critical

   Id go for a manifold myself. The most important part of titrating pressors in one line/lumen is just as you thought... Not running one to a bolus and with a manifold - usually a 5-way manifold, all the drips go in as equal as how you really want the ...

3. Pain management post open heart surgery?

   CalvinJ replied to twinkletoes53's topic in CCU

   I do understand where you're coming from about tramadol however as a drip, nausea is boiled down to a minimum since its administration goes in real slow. From experience pain associated with the sternotomy is resolved by tram in 80% of our patients. ...

4. Pain management post open heart surgery?

   CalvinJ replied to twinkletoes53's topic in CCU

   In our institution we use Tramadol as a drip for our post open heart patients. This is to eliminate the risk of bleeding with Toradol and to help decrease chances for drowsiness in patients for more chances to rehabilitate the lungs post op. We prefe...

5. Understanding cardiac gtts

   CalvinJ replied to squirtle's topic in CCU

   Id have to agree with Cruffler. To understand the drips I guess understanding hemodynamics is essential. Understand the adrenergic receptors since those are the targets of the drips and compare the effect of each drug to the alpha and beta receptors....

6. Understanding cardiac gtts

   CalvinJ replied to squirtle's topic in CCU

   Id have to agree with Cruffler. Basically, the drips are chosen depending on the cause of hemodynamic instability. The drip of choice would depend whether the problem is the pump or the squeeze.Basically Dobutamine highly affects the beta1 receptors ...

7. Is there a max dose of Levophed?

   CalvinJ replied to KevinS's topic in MICU

   I happened to see this and it has been like what? 4 years?! Lol. Anyway, in our institution we use weight based computations and accdg to pharmacology literature levophed shouldn't be given more than 2 mcg/kg/min but as per experience, I have never r...