advice requested= track to PICU - page 4

Hi all, I am a nursing student about to enter my last semester :) !!! I feel a calling to work in peds, and I think specifically PICU. I'm looking for advice in which direction I should go... Read More

  1. Visit  sergel02 profile page
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    Quote from NotReady4PrimeTime
    I'd go Bed 9, Bed 3, Bed 5 and Bed 14. The reason why I'd attend to bed 3 before Bed 5 is that post-op cardiac surgical patients often have hypotension shortly after admission and the usual measures (liver squeeze, stimulation, increasing pressor support) fail with some regularity. Even giving a fluid bolus to these kids can be dangerous, depending on their underlying cardiac anomalies (most of the ones you'll have challenges with are going to have multiple anomalies) and how stunned their myocardium is. They don't need to be severely hypotensive to arrest either. So this would be more critical than attending to a child with a secure airway and good saturations who is seizing.
    Thanks for the insight. I was debating between 5 and 3, the other two I felt pretty sure about. I think it's partly because I don't really know the signs of seizures or how to treat them yet.
    I feel like I'm learning so much from you!

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