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Search Results Type: Posts; User: getoverit

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  1. Respiratory acidosis/failure s/s
    You're right, it isn't easy to pick up on subtle hints at times. Respiratory acidosis is a pCO2>45, regardless of the pH. If the pH is normal, then the acidosis is being compensated. Your body...
    Dec 9, '11
    Forum: CCU Nursing / Coronary / Cardiac
  2. Correct way to take a carotid pulse
    I've heard the same thing from instructors, the only rationale anyone ever provided was that checking the pulse on the opposite side may increase the risk of occluding the vessel or manipulating his...
    Nov 30, '11
    Forum: General Nursing Discussion
  3. What is the most interesting case you've seen in the ER?
    strange aneurysm around the aortic root, closest surgeon who would accept the case was 1000+ miles away (Baylor). He exsanguinated right in front of us as we were loading him into the plane, gone in...
    Nov 30, '11
    Forum: Emergency Nursing
  4. static electricity & temporary pacers/cvc's
    very transient and should probably not cause an actual arrythymia. What they cause is interference, similar to 60-cycle. we have an emergency light switch that will cause interference, looks...
    Nov 29, '11
    Forum: CCU Nursing / Coronary / Cardiac
  5. Drug choice during intubation
    My personal experience: I usually use etomidate on a medical intubation (copd exacerbation, resp failure, CVA etc). I haven't seen etomidate work well on a trauma patient, esp a closed head injury. A...
    Nov 28, '11
    Forum: MICU / SICU Nursing
  6. Is there anything good that being a nurse has taught you???
    I agree with the above posters who wrote about proof of God and the importance of a second opinion. I've witnessed too many miracles to doubt either one. Knowing when to pick your fights and...
    Nov 28, '11
    Forum: General Nursing Discussion
  7. Would you ever own a motorcycle? YES or NO?
    I've had a motorcycle for a long time, mostly antique cruisers and I don't ever see myself not having one. and believe me, I've seen more than a few people torn to bits...many times we'd fly the...
    Nov 9, '11
    Forum: General Nursing Discussion
  8. Nitro vs Morphine
    i work in the areas you describe and have for many years. i am very comfortable in my understanding/working knowledge of taking care of these patients. your blanket statements include some patients...
    Oct 13, '11
    Forum: CCU Nursing / Coronary / Cardiac
  9. Nitro vs Morphine
    what about unremitting chest pain caused by esophageal vasospasms? or costochondritis? an incomplete assessment and workup can overlook things like that. even though ntg has been documented to...
    Oct 13, '11
    Forum: CCU Nursing / Coronary / Cardiac
  10. Nitro vs Morphine
    It depends. Everyone with chest pain obviously doesn't need to go to the cath lab. Was the pt's troponin elevated? Did he have a NSTEMI? Is the pain reproducible? Aggravation/alleviation? If he...
    Oct 4, '11
    Forum: CCU Nursing / Coronary / Cardiac
  11. Titrating and Bolusing
    You mentioned that the levophed was at 0.5mcg/kg/m. I've never heard of weight-based dosing for norepinephrine. Our max is ~30mcg/m. We see levophed used as a 1st line pressor mostly in sepsis. ...
    Aug 18, '11
    Forum: MICU / SICU Nursing
  12. Using technical jargon with patients-EYE OPENER
    I have overheard MDs/RNs etc "explaining" things to patients and their families as if they had the same level of understanding as us.I told a CRNA once: "the family knows that you know what you're...
    Aug 4, '11
    Forum: General Nursing Discussion
  13. Ethics for nurses in everyday practice: Insubordination in the ICU?
    Thanks and no worries. I couldn't agree with you more about the culture and forces that influence it. You have a very good way of describing it. I see your point about losing a license and having...
    Jun 23, '11
    Forum: Nursing News
  14. Ethics for nurses in everyday practice: Insubordination in the ICU?
    Ruthfarmer, I read your post twice and I am sorry you're having to deal with the situation you described, it does sounds like you're able to hold your head high and know that you did the right...
    Jun 23, '11
    Forum: Nursing News
  15. Simple IV Questions
    Insulin deserves it's own primary line, I wouldn't ever piggyback it into another IV line for any reason.
    Jun 23, '11
    Forum: General Nursing Discussion
  16. Ethics for nurses in everyday practice: Insubordination in the ICU?
    Yeah, in the distant past I've refused too. And you're exactly right speculating about the lawsuit, then returning to their old ways. It would take a lot to go up against them. We can fill out...
    Jun 22, '11
    Forum: Nursing News
  17. Ethics for nurses in everyday practice: Insubordination in the ICU?
    Essentially the same scenario happened in our ICU tonight, obviously not resolved yet. It was interesting to read the different viewpoints of responsibility. What I see most often is the...
    Jun 22, '11
    Forum: Nursing News
  18. EKG assume 35 year old male?
    It can make a difference based on the input of a patient's age and gender. I did a 12 lead EKG class for the fire department and one of the officers volunteered to be a patient. When we entered his...
    Jun 22, '11
    Forum: Cardiac Nursing
  19. EKG Interp. and Axis
    Determining axis deviation is important because of bi- and tri-fascicular blocks. A patient with an extreme right axis deviation is at a higher risk of developing a complete heart block, regardless...
    Jun 22, '11
    Forum: CCU Nursing / Coronary / Cardiac
  20. Question about flushing lines
    good point. when I wrote that I had a patient with a large LA thrombus, chronic AF, etc and I was thinking about him. although, very few things are completely impossible.
    Jun 1, '11
    Forum: General Nursing Discussion
  21. Bedside Nursing and Families
    Family-centered care, open visitation or any of the other names has pros and cons. I am polite but will reinforce some basic rules about visiting, e.g. please call us from the waiting room before...
    Jun 1, '11
    Forum: General Nursing Discussion
  22. Becomimg a flight nurse???
    Wow! that's too bad about the new grads not finishing their contracts in order to go to anesthesia school! and yeah, there's no way anyone can predict based on initial education...but we've seen a...
    May 31, '11
    Forum: Flight Nursing / Surface Transport Nursing
  23. Question about flushing lines
    Remember, the diameter inside an IV catheter is bigger than some capillaries/collaterals. A dislodged clot from there could easily occlude a coronary or pulmonary vessel.
    May 31, '11
    Forum: General Nursing Discussion
  24. Just let me go!
    Yes, I see things all the time that introduces me to a new boundary of my own ethics. and I think to myself "If my family did that to me, I would haunt them after I'm gone!!" there are times...
    May 31, '11
    Forum: General Nursing Discussion
  25. Position difference between RN vs. BSN
    Annaiya, Thanks for posting the link to the studies. I read a couple of them when they came out. I'm definitely not arguing against furthering education, but my issue with the studies (only...
    May 31, '11
    Forum: General Nursing Discussion


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