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Search Results Type: Posts; User: Bec7074

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  1. Acidotic Questions
    I'll speak to the second question. Read up on lactate, lactic acidosis, and base deficit. Those are related concepts especially in sepsis or after a cardiac arrest. It has to do with anaerobic...
    Aug 21, '13
    Forum: CCU Nursing / Coronary / Cardiac
  2. PEA arrest
    It's hard to say....I think I would wonder the same thing. His SvO2 was 50 the day before...not fantastic so maybe an early indicator that he was going to get worse regardless of whether or not you...
    Aug 21, '13
    Forum: CCU Nursing / Coronary / Cardiac
  3. Hypoglycemia Mystery Theater
    I'm kinda perplexed by a few things in this scenario. First, why does someone who got only 1 cardiac stent need Neo???? Was this a cath-lab patient? He sounds super stable given that he's eating and...
    May 14, '13
    Forum: General Nursing Discussion
  4. May 2013 Caption Contest: Win $100!
    Nothing says 'Happy Nurses Week' like a few close calls with bodily fluids.
    May 9, '13
    Forum: allnurses News and Announcements
  5. Advanced practice nurses in trauma?
    I worked in a Level 1 trauma center and we have all NPs at night and one attending in house. The NPs who work with the trauma service are all ACNPs (acute-care nurse practitioners). There are 4 of...
    May 9, '13
    Forum: Critical Care Nursing
  6. Blue about Code Blue
    Medical staff and patients, and patients and their loved ones need to have clear ideas of the pt's end of life wishes whether the patient is coding or is just unable to make decisions on their own. ...
    May 5, '13
    Forum: First Year After Nursing Licensure
  7. Increasing creatinine
    Not that it's a good answer, but did the lasix increase her UO? If so, then it was the right choice for her. I look at your patient Ike this...she was severely hypotension in OR. Kidneys are the...
    May 5, '13
    Forum: MICU / SICU Nursing
  8. Pain management
    This almost sounds like a test question on therapeutic communication haha...I can hear my professor saying,"tell me why you feel that way?"
    May 5, '13
    Forum: MICU / SICU Nursing
  9. calcium chloride
    CaCl is also a buffer for acidosis if that's what they think part of the problem was. It's a typical part of the "high K" cocktail that coincides with acidosis. I had a patient so...
    May 5, '13
    Forum: Critical Care Nursing
  10. Insulin drip/hourly BG checks
    I worked on a med surg that took insulin gets with 1:4 ratio. Insulin ggts we're more common in the PCU I worked in with 1:3-4. I think it's very much facility specific.
    Dec 30, '12
    Forum: Nursing and Patient Medications
  11. surveillance blood cultures with steroids
    Steroids are immunosuppressants. Bacteria may flourish in immunosuppressed environments. I think this sounds like a waste of money. If I were the doc, I would just watch the white count and temp...
    Dec 30, '12
    Forum: Nursing and Patient Medications
  12. Lung auscultation question
    Diminished lung sounds are what we call it when we don't hear much air moving. Lungs can be both clear and diminished. Are you sure you are placing your stethoscope the in correct location? Try...
    Dec 30, '12
    Forum: General Nursing Discussion
  13. ICU nurses assisting in monitoring Med/Surg Telemetry Rhythms
    This sounds awful for pts and nurses. Part of your assessment is assessing the rhythm. The ICU nurses are not caring for these patients and can't quite possibly know or have the time to see if...
    Dec 30, '12
    Forum: Critical Care Nursing
  14. how to make it clear when call doctor
    The pt may have been a symptomatic at a rate of 130 only temporarily. In afib > 120, the heart loses its "atrial kick" (the small portion of blood ejected from the atria to the ventricles) and thus,...
    Dec 30, '12
    Forum: CCU Nursing / Coronary / Cardiac
  15. Nebulized flolan for severe ARDS
    We use inhaled Flolan in our ARDS pts as a last-ditch effort. Usually they are on Bi-Vent (bi-level or APRV) and a prone bed already. To me it makes sense. ARDS causes pulmonary edema which surely...
    Dec 30, '12
    Forum: MICU / SICU Nursing
  16. Tips for becoming a solid CC nursing candidate...
    Critical thinking skills, motivations, and the ability to admit you don't know it all and aren't afraid to ask for help.!
    Dec 30, '12
    Forum: MICU / SICU Nursing
  17. Gaining skills.  What is important?
    I did med surg to PCU to ICU in 3 years. I love ICU and will never go back. I admire the med surg nurses who juggle all those patients. I did it, but not very gracefully. You need confidence and...
    Dec 7, '12
    Forum: General Nursing Discussion
  18. Shadowing after interview
    I shadowed after an interview for my first job in nursing. I basically did the stuff that I could do when I was a student. I helped with turning, handed the nurses stuff for dressing changes, "ran...
    Nov 30, '12
    Forum: Nursing Interview Help
  19. Gifting my orientators
    Sure. I wrote Thank-You's to all my preceptors at my current job just thanking them for their help. I got my main preceptor a $5 gift card to the coffee shop in our hospital. I didn't feel like...
    Nov 20, '12
    Forum: General Nursing Discussion
  20. Simultaneous Electrolyte Administration
    Here are my thoughts (although to be clear I fully disagree with this facility). 1. It cannot be an IV compatability issue since we all know Mg and KCl are compatiible. Hell, they're both in TPN....
    Nov 20, '12
    Forum: Critical Care Nursing
  21. Did I do enough?
    I am of the opinion that there are many things worse than death. Anoxic brain injury combined with STEMI sounds like one of those things. Death does not mean you failed. It means the family made a...
    Nov 20, '12
    Forum: MICU / SICU Nursing
  22. How to choose which PRN blood pressure med
    Just came across the thread but wanted to add: I don't think more than 1 anti-hypertensive prn is weird. If the pt is having sinus pauses do not give any beta blockers!!! Scheduled or prn. This...
    Nov 17, '12
    Forum: Nursing and Patient Medications
  23. How to leave a good situation for a new hospital back home... advice needed
    You could just tell the new managers you don't want your current manager to know. They should get that. Are there any peers that could serve as references that would keep quiet for you? Any...
    Nov 17, '12
    Forum: Nursing Career Advice
  24. What would cause Hgb to plummet?
    On a side note I think it's great you care so much about this lady and want to learn. I had many similar situations when I started and still do on occasion. Some pts don't make sense even to docs....
    Nov 17, '12
    Forum: General Nursing Discussion
  25. What would cause Hgb to plummet?
    First of all, low sats are not related to low hgb. This is a big misconception in nursing. I had a doc explain it to me once (cuz I too used to get confused). Low hgb is having less trucks on the...
    Nov 17, '12
    Forum: General Nursing Discussion


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