sleepy17

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1. Bicarb Drip and Low GFR...

   sleepy17 posted a topic in Med-Surg

   During my clinical, I had a patient who had to go to the cath lab. The GFR was low, so the patient was given a bicarb drip. Could anyone explain the physiology behind this?

2. Bicarb Gtt

   sleepy17 replied to sleepy17's topic in MICU

   Oh dear, I did mean metabolic, not respiratory! My apologies. Thank you all who have responded so far :)

3. Not a real nurse huh?

   sleepy17 replied to kkrlaa5512's topic in School

   I have to get THIS off my chest. I'm really sick of nurses berating other nurses/not having each other's backs. Just because you don't work in a hospital doesn't mean you are not a "real nurse". You are doing a job that you love, makes you happy, and...

4. Bicarb Gtt

   sleepy17 posted a topic in MICU

   Another question from a student new to the ICU. 1) I have seen bicarb drips started for pts in respiratory acidosis with a lower than normal pH. Is it only resp acidosis in which this is useful? 2) At what pH would you consider starting a bicarb gt...

5. GI Bleed/BiPap

   sleepy17 replied to sleepy17's topic in MICU

   Makes sense. So, in summation, this person should be intubated right off the bat because of resp distress AND inability to protect their airway (not to mention, all the contraindications for a bipap)

6. GI Bleed/BiPap

   sleepy17 posted a topic in MICU

   Hello... I'm a student with a clinical rotation in the MICU, and I was hoping to have an experience clarified. I recently followed a patient who was on the BiPap with worsening ABG's throughout the day. This patient had a hx of liver cirrhosis. She ...