haji

Latest Activity

1. Ativan IVP vs Propofol gtt

   haji replied to General E. Speaking, RN's topic in MICU, SICU

   Propofol is a great drug for quick weaning. It has an extremely short half life. There is absolutely no reason to leave a patient on psv overnight when they are clearly failing. With a respiratory...

2. Vasopressor and Inotrope Titration Orders

   haji replied to RN Nick's topic in MICU, SICU

   This just came up in my unit recently. Its absurd. I guess next time I start norepi on a crashing patient I will start at 0.5mike and then wait 5 min to increase by another 0.5 ARRRRGGGG stop the...

3. Respiratory Therapists Stingy with o2?

   haji replied to haji's topic in MICU, SICU

   My belief system? The cascade of the dying process? Is this about nursing theory? Are any of you icu

4. Critical care book help

   haji replied to monkey2008's topic in MICU, SICU

   This isn't a nursing book, but I liked it better than all the critical care books I read. It covers lots of physiology that's relevant to icu work. Clinical Anesthesiology by Morgan/Mikhail/Murray...

5. Respiratory Therapists Stingy with o2?

   haji replied to haji's topic in MICU, SICU

   Wow, I guess I should just start a morphine drip the next time I respond to an Rapid Response call on the floor for a DNR or Limited code patient. Or maybe just refuse to treat them and go back to the...

6. Respiratory Therapists Stingy with o2?

   haji replied to haji's topic in MICU, SICU

   One patient was DNR but we were trying to keep him going until his family got there. The next was a meds only code. So in both cases I had an intensivist in the room and we were giving pressors and...

7. Respiratory Therapists Stingy with o2?

   haji posted a topic in MICU, SICU

   This has happened to me twice recently. I have had some very sick patients on bipap (DNR) who were near death. When the patients desaturated, and I suggested to the respiratory therapist (both times...

8. Titrating Multiple Pressors

   haji replied to NSJodi's topic in MICU, SICU

   I agree that more volume (dry?) and maybe blood (low hct?) might be good options when you are on multiple pressors. Steroids might help also. Lots of people think bicarb helps, but after reading lots...

9. Trouble with understanding pH-related death

   haji replied to mlbdestined's topic in MICU, SICU

   I think you would need to know a lot about physiology to understand why a low pH kills patients. I don't understand it really, but from what I've read at some point your body cannot carry out the...

10. CCRN testing help

    haji replied to scorpionrn's topic in MICU, SICU

    Do the Pass CCRN practice questions like crazy and if you can do well on the practice test you're good to go for the real

11. Cardiac gtts???

    haji replied to Deb123j's topic in MICU, SICU

    wow i have never heard or read anywhere that levophed dilates the coronary arteries. it might increase coronary perfusion by increasing diastolic arterial pressure. maybe you are thinking of...

12. What do you want in a set up of a new room for an incoming patient?

    haji replied to meghan91's topic in MICU, SICU

    yeah i agree don't bring a bunch of stuff into the room. if the patient is sick the last thing you want is a bunch of cleaning supplies getting in the way. you can get that stuff when you need it.. i...

13. Not feeling it...

    haji replied to LostN's topic in MICU, SICU

    I think experience is the best teacher but here are some good resources for learning outside of the icu: Pass CCRN (throw the book out but do the practice questions on the cd) Emergency Management of...

14. Great Podcasts

    haji posted a topic in MICU, SICU

    I just want to recommend to everybody to check out some of the great resources on the internet, especially if you are relatively new to the icu. Some of the info is over my pay grade (c-spine...

15. Studying for CCRN... question regarding test plan

    haji replied to RNcairo's topic in MICU, SICU

    I studied for several months before I took ccrn and passed. I read a lot of medical stuff on my own (especially relevant topics in Anesthesia books like physiology and meds). I watched the gasparis...