HyperTension

HyperTension

ED (Level 1, Pediatric), ICU/CCU/STICU

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About HyperTension

HyperTension specializes in ED (Level 1, Pediatric), ICU/CCU/STICU.


Latest Activity

  1. ACLS requires a doctor's order?

    I just can't help myself on this... ::sorry people:: ACLS has successfully recovered this post... Granted, pupils are F&D, no gag, no blink, maxed pressors, and just started epi... "just because".. OH, and the floor just called......
  2. Really bad day

    Leaning towards just bad timing IMO. With regards to the variance between pausing the pacer vs. slow decrease in rate to see what the underlying rhythm, I have seen a difference in the hearts being "more able to tolerate" a gradual transition vs. ab...
  3. Legal/ethical question

    Where to begin... Ethically, I'm not sure. From a personal standpoint, you need to make it very clear to him that this behavior needs to stop. There is no excuse / justification for stealing a patients medications. If one needs to be on something...
  4. Advice on pt with open chest Please!

    No.. And no... You have an air leak. (Give myself the Captain Obvious award for that statement alone). Causes for such are many, compounded with the fact your patient has an open chest (retracted open, or just not sutured?). Is this leak rela...
  5. Help for lovely 87 y/o Male with Cdiff

    Chuckles and shudders at the thought of a stool transplant.......
  6. if i finished L.V.N course what degree would that be??

    certificate
  7. everyone is stumped

    I'd have to echo organophosphates, or some sub-component of the bug spray. More often than not people don't read the directions on the bottle, and have the philosphy of "if one is good, 4 is better". Pesticide.... isn't that what they sprayed in th...
  8. Who Draws blood from a-lines??

    Absolutly... As their primary RN, I am ultimately responsible and accountable for events that happen to the patient. By no means do I desire this next statement to be negative / degrading.... Techs do not have a need to be accessing arterial lin...
  9. What is a good sedative for a hypotensive patient?

    I absolutely echo previous the responses regarding etiology of the hypotension at hand. As a general statement, sedation is not a "one size fits all" type of therapy (not much is in critical care, minus celestial transfer). Lately I'm finding that ...
  10. Pharmacology question.

    Here is a pretty detailed explanation of these... http://en.wikipedia.org/wiki/Receptors,_adrenergic,_alpha The problem you will run into is there really isn't a "simple explantion". Well.. there is, but it's really not worth it especially if yo...
  11. How does blood flow through the heart? Do you know?

    I'll start it with this... Oh, Oh, Oh, To Touch And Feel...... First year ED residents are good for something.. :) On a different note... thats what keeps me involved in medicine and nursing (focal to Critical Care / ED for me). There is alw...
  12. Are we not allowed to discuss patient cases at all?

    My opinion only..... Use common sense. If your discussing something rather graphic / unusual, be very aware of the environment around you, and to who you are talking too. Heck, just do that anyways'. It has a tendency to keep things much simpler-e...
  13. Need Help with Critical Care Topic for Class Presentation

    Another trendy subject is early initiation of antidepressive therapy on patients in the ICU. This is something that is all to frequently missed for both providers and nurses alike to address. Intra Abd. HTN is another nice subject gaining attention....
  14. GE wireless dash 4000 NIBP monitors

    Curious: Whats your / unit's definition of "hypotensive". I know that seems like a short-bus question, but you would be amazed at the variety of answers given. If this is something new / change in trends, I absolutely would say get a manual BP to c...
  15. Need Advice From Emergency Nurses!

    Couple of things that are really important... especially with rotating from ICU #1) The ability to adapt / change gears in a very, very short time (like walking from one room to another) You can literally have an infant with an URI / getting nebs...