rickard

Latest Activity

1. Question regarding posturing

   rickard replied to newtress's topic in Hospice

   This position sounds like decorticate posturing. It is seen commonly in neuro icu's and trauma units. here are some links Abnormal posturing - Wikipedia, the free encyclopedia Decorticate posture: MedlinePlus Medical Encyclopedia

2. SVR too low!!

   rickard replied to HeartRN80's topic in CCU

   The condition you are referring to is Vasoplegic syndrome. Vasoplegic syndrome - Wikipedia, the free encyclopedia Vasoplegic Syndrome after Off-Pump Coronary Artery Bypass Surgery Vasoplegic syndrome--the role of methylene blue Ganesh Shanmugam * De...

3. am i gonna fail ...cause of math nerves?

   rickard replied to erin01's topic in CCU

   if you have a smart phone or an ipod touch download and become very friendly with something called epocrates (its free). its a quick drug reference tool and also has several calculators. ive been using it for years

4. Early Mobilization after Open Heart (what does this mean to you?)

   rickard posted a topic in CCU

   I work in a CVICU the does approx 200 - 300 open heart procedures a year. Early mobilization means, in my unit, that a pt gets out of bed after PA catheter is removed

5. Post CABG dressings (what do you use?)

   rickard posted a topic in CCU

   i have seen silk tape with sterile gauze changed before 24hrs and elastoplast tape changed at 48 hrs. i'm wondering what other heart programs do for post op dressings????

6. Any Tips for Cardio/Thoracic ICU Preceptorship?

   rickard replied to Team Player's topic in CCU

   probally the best online hemodynamic monitoring site is http://www.pacep.org

7. Book Recommendation?

   rickard replied to Ash1223's topic in CCU

   this was posted on another thread, i took a quick look and seems like an excellent resource. https://allnurses.com/ccu-nursing-forum/vasoactive-drug-table-370869.html

8. Vital Sign & I/O Assessment frequency

   rickard replied to MONITORHOSPITAL's topic in CCU

   i work in a CVICU I&O is assessed at least hourly and VS are pt dependent if no vasoactive gtts then hourly is fine if on something and not titrating the q 30 mins maybe even q hour if very stable on the same rate but titrating gtts are recorded ...

9. Question about dopamine

   rickard replied to lenka SRN's topic in Cardiac

   Another consideration (side effect ) of increasing the contractility of the myocardium is it also increases the irritability. Dopamine causes this less then some of the more powerful inotropes but at higher doses does cause similar effect . The cons...

10. Question regarding CCRN eligibility.

    rickard replied to alibaba123456's topic in CCU

    Many ICU's are willing to take new grads into an orientation period. I work in a CVICU and we are taking our first new grad in the next couple of weeks, but understand an orientation period will be longer then a med-surg floor. Our new grad is expect...

11. CCRN discouragement?

    rickard replied to nursecass's topic in CCU

    to quote the AACN " Eligibility Requirements A BSN is NOT required to sit for the CCRN exam. Applicants must hold current, unencumbered registered nurse licensure in the United States. In order to meet the RN licensure requirement for initial CCRN ...

12. pa lines/swan ganz

    rickard replied to dayshiftnurse's topic in CCU

    best site is pacep.org

13. New to CV ICU from NICU! Yikes

    rickard replied to SFRN's topic in CCU

    best site i've found is http://www.pacep.org

14. ? about coding the post Open Heart pt???

    rickard posted a topic in CCU

    this question is only concerning the first 24 hour period. do you deviate from ACLS protocols or do you give 1 mg epi q3-5 mins? anyone use calcium chloride ?

15. Has anyone taken the new AACN Cardiac Surgery Cert.

    rickard replied to big sweet life's topic in MICU

    i just passed CSC today i've been taking care of fresh post op heatrs for 4 yrs now and found the exam to be a good evaluation of thinking skills, and hands on knowledge. the main basis of the questions were what is considered "best evidence" i found...