sunnybabe

Latest Activity

1. CCRN review question

   sunnybabe replied to got2startsomewhere's topic in MICU

   I practice questions I found in various books from Kaplan to Barron's. I thought Barron's CCRN book was really good.

2. Pressure Support Mode VS CPAP/BiPAP

   sunnybabe replied to SterlingArcher's topic in MICU

   Speaking of vents (sorry OP to jack your thread), how much is too much for your patient to be breathing over the vent? I've had patients who were vented and did not look agitated yet were breathing upwards 30-40x a min when their respiratory rate on ...

3. CCRN review question

   sunnybabe replied to got2startsomewhere's topic in MICU

   I used it. I thought it was great! The review series is really thorough but doing lots of questions and focusing on my weak points was the biggest help. I also listened to Laura G's videos but found Med Ed to be more detailed... I made 91% on the tes...

4. CCRN Study: So confused on dead space vs. shunt

   sunnybabe replied to sunnybabe's topic in Critical

   Thanks offlabel! That makes it very simple to remember. And you're right, in real life, its a mix of both. I think that's where I get messed up with understanding at times because I try to relate everything I read to the patients I have (especially t...

5. CCRN Study: So confused on dead space vs. shunt

   sunnybabe posted a topic in Critical

   Is COPD considered dead space or shunting? I understand that dead space is ventilation without perfusion and examples include lack of blood flow to the lungs, pulmonary embolism, since the aveoli is getting air but there is a problem with circulation...

6. PEEP and blood pressure/other hemodynamics

   sunnybabe replied to sunnybabe's topic in Critical

   Thank you all! You guys are awesome.

7. PEEP and blood pressure/other hemodynamics

   sunnybabe replied to sunnybabe's topic in Critical

   So if CVP is not an indicator of preload, then how do we determine preload. I've been asked over and over again, "What's the patient's CVP" to see if they are dry or wet (whenever the number was too high, they wanted to give lasix or low, some fluid....

8. PEEP and blood pressure/other hemodynamics

   sunnybabe posted a topic in Critical

   Hey all, I had a patient who cardiac arrested and they thought he was in ARDS given his Pa02 compared to his FiO2 and we were increasing his PEEP upwards to around 14 until he finally started oxygenating in the 90's (he was in the 80's before on 100%...

9. Confused about dobutamine. Help!

   sunnybabe replied to sunnybabe's topic in CCU

   Thanks a lot for the video. That really helped!

10. Always feeling a bit anxious/stressful before each shift...need some tips/wanting to vent

    sunnybabe replied to barcode120x's topic in New Nurse

    I had to comment on your post because it sounds exactly like my experience, except I am a new transfer to ICU. I have a year of nursing experience on a observational med surg/tele floor which is less acuity, but it's always stressful to be a new grad...

11. Confused about dobutamine. Help!

    sunnybabe replied to sunnybabe's topic in CCU

    Thanks everyone for their response. When I returned to work, I was told that because the patient had severe valvular disease (particularly the mitral/triscupid valve), his DBP would be low. This was considered his baseline. They didn't focus on his M...

12. Confused about dobutamine. Help!

    sunnybabe replied to sunnybabe's topic in CCU

    There were other nurses who advised me to talk to the doctor. The patient looked stable but his bp was low so that was my primary concern.

13. Confused about dobutamine. Help!

    sunnybabe posted a topic in CCU

    Hi, everyone. I've on my second week of off orientation in a CCU. The other day I had a patient who had multiple issues: pleural effeusion w/ chest tube ( the effeusion was resolving however), improving septic shock, AKI, moderate valvular disease. I...

14. How to develop ICU critical thinking skills and move away from being "task" focused

    sunnybabe replied to midnitej's topic in MICU

    I know this is an old thread, but I wanted to mention that I too am struggling with developing critical thinking skills as I am focused on tasks in a busy ICU on day shift. I'm still on orientation and I have until Christmas till I'm on my own (I get...

15. New Grad needs job in Atlanta Metro area

    sunnybabe replied to terri8's topic in Georgia

    Hi, terri8 When you said dropping off your resume, did you mean dropping it off to the unit manager or to HR? Also, were you able to apply to non-residency programs too because I realize that not all of the hospitals have residencies and some hospita...