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Search Results Type: Posts; User: Mully

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  1. What EXACTLY causes GI symptoms r/t myocardial ischemia
    GI symptoms and vomiting can be caused by a number of different mechanisms that can be quite complicated. I did a quick Google search to see if I could find an exact mechanism on this, and I found a...
    Apr 12
    Forum: Critical Care Nursing
  2. Sliding scale insulin...give or hold?
    Wait a second... he's a frail 80 something year old in LTACH?! Why are we treating him at all? I say give the man a sandwich and let him R.I.P.! bahahaha No for real though, a good motto someone...
    Apr 7
    Forum: Long Term Acute Care (LTAC/LTACH)
  3. Question on PAD and wedge (& Gasparis)
    The wedge wouldn't be accurate with mitral stenosis either, so yeah I don't know why she did that. In order for a wedge pressure to accurately be a measure of LVEDP, equal pressure across the system...
    Apr 5
    Forum: CCU Nursing / Coronary / Cardiac
  4. Sliding scale insulin...give or hold?
    Just give it. Problem solved lol.
    Apr 5
    Forum: Long Term Acute Care (LTAC/LTACH)
  5. Dopamine
    All ways round, though, that baby needs a central line!
    Mar 31
    Forum: NICU Nursing / Neonatal
  6. Dopamine
    I see what you're saying, kind of. The physics thing I believe you're referring to is Poiseuille's law, which says (among other things) that flow is directly related to the radius of a cylinder...
    Mar 31
    Forum: NICU Nursing / Neonatal
  7. Dopamine
    Why would the baby get less than what you infuse? Can you explain the mechanism behind what you mean? I'm not saying you're wrong, but I've never heard this.
    Mar 31
    Forum: NICU Nursing / Neonatal
  8. All about the tubes... reflections of a new ER nurse
    Well written. We've all been there! Those 88 y/o vaginas.. you don't know which way is up! I've had so many catheters in there, at times, that it resembled the lake monster from lord of the...
    Mar 28
    Forum: Emergency Nursing
  9. IV bolus ordered because pt hypertensive
    If you can't explain something well, then you don't understand it well. Too complicated to explain = to complicated to comprehend... by anyone lol. I agree with the previous posters here. If the...
    Mar 20
    Forum: Nursing and Patient Medications
  10. What are the best nursing schools to learn neurology on the East Coast?
    In my experience, that's not really how it works. Mostly nursing schools are all going to cover all the same topics relatively evenly. If a particular school does clinicals at a place that you're...
    Mar 7
    Forum: Neuro Intensive Care Nursing
  11. IJs
    IJs
    When you're removing a line which is placed above the level of the heart, especially a large gauge line, you want to lower the patient's head to at least the level of the heart. This would be either...
    Feb 11
    Forum: MICU / SICU Nursing
  12. Calculating SVR, CVP, Preload, etc..
    Resistance = Change in pressure/Flow Or in cardiac terms: SVR = MAP-CVP/CO. This is because MAP is basically your starting average pressure at your aorta, and CVP is your ending pressure at the...
    Feb 7
    Forum: CCU Nursing / Coronary / Cardiac
  13. Art line question
    Excactly. If you did have a good waveform, dicrotic notch, and were able to draw blood and flush appropriately, it is likely that the art line is more accurate than the cuff. A better method that...
    Jan 31
    Forum: Critical Care Nursing
  14. Anybody want to discuss pKa?
    I may not be the best one to answer that as I am only in semester 2 of anesthesia school, but so far it hasn't come into play much. It's definitely important for people who create the drugs...
    Jan 24
    Forum: Student Registered Nurse Anesthetist
  15. Anybody want to discuss pKa?
    I'll take a stab at it. Others can correct me if I'm wrong... Ok, in the sense of the question you posed, you could technically figure out at which pH the drug would be more ionized vs. unionized....
    Jan 24
    Forum: Student Registered Nurse Anesthetist
  16. Going from SDU to ICU at a different hospital. Anyone else done this?
    I did the same thing you are. It was a very smooth transition for me and I think you're doing all the right things. Good luck and have fun! ICU nursing is my favorite type of nursing.
    Dec 29, '14
    Forum: Critical Care Nursing
  17. Intubation - confused about orders
    Regardless of the flowrate, the patient will get the same Fi02 with a non-rebreather. The flowrate just works to provide the 02 to the bag which the patient then breathes from. Non-rebreather valves...
    Dec 18, '14
    Forum: Critical Care Nursing
  18. Intubation - confused about orders
    Did you see my last post...
    Dec 17, '14
    Forum: Critical Care Nursing
  19. Intubation - confused about orders
    Throwing someone on a non-rebreather is generally going to make their pO2 levels tolerable for a while. It's more about the trending. My best guess (correct me if you think I'm wrong): Pt with CHF is...
    Dec 17, '14
    Forum: Critical Care Nursing
  20. Intubation - confused about orders
    Right so respiratory acidosis would be caused by sleep apnea when the patient is asleep. But that's self limiting. When the patient awakes, they breath fine right? So ignore that that's what the MD...
    Dec 17, '14
    Forum: Critical Care Nursing
  21. Intubation - confused about orders
    I like this discussion. Okay so you have a CHF pt that's likely been getting worse over the past few days. RNexplorer: What could explain a ABG of respiratory alkalosis in this patient? Or, if you...
    Dec 17, '14
    Forum: Critical Care Nursing
  22. Intubation - confused about orders
    An important clarification is how quickly after the roc did you give the Etomidate? As many people have pointed out, the onset of rocuronium is slower than the onset of etomidate, so it makes...
    Dec 17, '14
    Forum: Critical Care Nursing
  23. Assessment question
    We always had an intermediate box "withdraws to pain". "Arousable" alludes more to waking up, as in consciously. It can definitely be taken either way (depending on the attorney ;)) and would best be...
    Dec 16, '14
    Forum: Neuro Intensive Care Nursing
  24. RIP Betty Ackley RN - Nursing Diagnosis textbook author
    She taught at the school I graduated from! Although she was retired when I went through there, everyone had nothing but great things to say about her. Thanks for posting this.
    Dec 16, '14
    Forum: General Nursing Discussion
  25. I need advice! DNP-A or MSN?
    I PM'd ya
    Nov 23, '14
    Forum: Student Registered Nurse Anesthetist


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