You know you're a neuro nurse if..... - page 5

I was inspired by the looonngggg "you know you're a nurse if..." thread on the Nursing Humor forum, and thought we could do one based on our specialty. Here's a few I came up with and please feel... Read More

  1. by   Valerie Salva
    Quote from Elenaster
    ....Your favorite patient is a GCS=3 and an orphan.....

    You don't have to be a neuro nurse for this to be your favorite type of pt- you just have to be a nurse.
  2. by   Valerie Salva
    Quote from gasmaster
    You find yourself using the phrase, "You have a tube in your bladder" over 100 times in a shift in respones to your patients frantic "I NEED TO PEE!" diatribe.
    This happens in nursing homes w/ demented pts, too. It drives me crazy.
  3. by   gambutrol
    Quote from qt2168
    You SDH patient's BP sky rockets and their heart rate goes to about 180 and your first thought is "better get some Atropine"

    Please explain this. Just curious as im a cardiac nurse and atropine is def not what I would be reaching for!

    this is because most pre-crash/code patients usually goes ballistics with their V/S before going into cardiac arrest.. I usually see patients going tachycardic (with accompanying arryhtyhmias or just tachy) before going into cardiac arrest or becoming bradycardic.. ayt?! so go reach for that atropine or maybe epinephrine perhaps...
  4. by   Trauma1RN
    Quote from qt2168
    You SDH patient's BP sky rockets and their heart rate goes to about 180 and your first thought is "better get some Atropine"

    Please explain this. Just curious as im a cardiac nurse and atropine is def not what I would be reaching for!
    Typically before someone herniates their brainstem their HR with go through the roof along with their blood pressure. Your first instinct is to grab some labetalol, but if you push it you will be sorry in a few minutes. They will brady down shortly after usually.
  5. by   GCS15
    ...you can ID neurobreath in one whiff.

    ...you seriously consider contacting your PCP for a CT any time you have a bad headache, get a bump on the head, slip and fall, etc.
  6. by   aerorunner80
    Quote from JohnnyGage
    When the creative commercials for Listerine Strips give you ideas of how to deal with "neuro breath".
    I realize this isn't neuro related but that may also apply to the breath of someone with a severe SBO as well! Peweee!!!!!!:chuckle:chuckle:chuckle
  7. by   aehart
    You've been hit on by more guys with TBIs than without.
  8. by   SaltyNurse
    Quote from Trauma1RN
    Typically before someone herniates their brainstem their HR with go through the roof along with their blood pressure. Your first instinct is to grab some labetalol, but if you push it you will be sorry in a few minutes. They will brady down shortly after usually.
    Atropine don't work on the brain dead patient.
  9. by   mskate
    Atropine works based on a vagus nerve response with your parasympathetic nervous system which will be gone with a herniation. Hit 'em hard with epi and vaso - although, once you have a full, real herniation - probably better to reach for the phone to call the organ donor team!!
  10. by   Nccity2002
    When in response to "show me two finger" , you get the middle finger...
  11. by   matto
    you know you're a neuro nurse when....

    you spend half your time waking a sedated pt to do their GCS etc and the other half sedating them and telling them to go back to sleep...its a vicious cycle.
  12. by   JoeCrow
    your patient has a GCS of 15 but you still get an order for restraints and a foley catheter

    you've actually spent time finding little spots where you can see your pt but they cannot see you (so you know they are safe but will not yell at you)

    you've ever discussed with teammates who will play the roles of good cop and bad cop

    you've ever gotten applause or oohs and ahhs from family members when doing a neurocheck (they always seem to think they are brain dead or something)

    you've ever been scolded by a family when the pt coughed or started seizing and you didn't come quick enough (as if there was anything you could do)

    you've ever struggled with a two patient assignment when one of them was a "celestial discharge"

    you've ever secretly laughed at a family's anthropomorphism of their brain dead patient
  13. by   MeTheRN
    You're cautious about how much you strain when you defecate because you don't want to end up in a neuro ICU

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