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Regarding SVR - you have the basic idea but just remember you're not treating the actual SVR number. You're treating the hypotension or low cardiac output state or whatever. So yes if pt is...

Other than the SVV they should want to know things like the CO/CI (or SV/SVI same concept) and the SVR/SVRI. Just like with a swan the goal being try to figure out how to fix a hemodynamic problem...

Thats because there isn't one. The patients brain is literally dying rapidly during a code so trying to limit the blood pressure and perfusion is just silly. I can see not being over the top...

Your pharmacy probably has a policy as far as "max" doses for pressors which should give you an idea of what high doses are. The typical dose ranges are just memorization info you can find anywhere....

if the infusion is running in mcg/kg/min you could multiply mcg by kg to get mcg/min. Not sure what that would do for you though? Some hospitals run certain gtts like epi, levo, or neo in mcg/kg/min...

I cant say for sure as I dont have experience with ECMO but yes the augmentation pressure is accounted for in the MAP. I have seen the MAP > assisted systolic before with severe cardiogenic shock....

Be sure the blood is high and the IV is low and that the IV isn't kinked if it's in the AC or something, really no reason why it shouldnt. If it's a perfectly patent IV that's 20g or greater I can't...

It depends what you need it for. You may see a lot of septic patients who are in a vasodistributive kind of shock and hence why you see a lot of powerful vasoconstrictors but there is no specific...

I don't think the BP readings or ABG values would be worth anything anyways right? I'm not 100% sure which arteries are used for AVF's but it would seem that an a-line distal to the fistula would...

Go work in another institution in another setting. Sounds like your coworkers don't like you or don't like new nurses in general and you are having a hard time with it. Become a male nurse if you're...

Hmm good question. I couldn't exactly say WHY it would happen that way without pressure, bleeding, or pt movement. I'm not too familiar with the intervention they did in the lab but could that have...

I work on a closed unit CVICU that also has the universal bed system for open hearts. Staff are required to take one on-call day per week on 3/4 weeks in a month. We rarely get called in but that's...

That's interesting there must have been more to the story. CRNA's, MD's, and Anesthesiologist Assistants can all push propofol and do so thousands of times a day (maybe even per hour) it just needs...

Stupid and ridiculous. Needs to be 1 on 1 for at least 4-6 hrs

You only need 1 year of full time experience to pass ccrn. It has to be WITHIN the past two years though. I'd say study up on stemi and the differences between the different wall mi's.

I dont know I'm surprised that there's people that would actually go out of their way for this. I wouldn't worry about it unless there was some unusual reason that it caused concern. Just take note...

He was overreacting and I would only call for something like that in rare instances like pt needs IV lasix now and no orders for K replacement or some other situation that I was afraid of the K level...

I don't think quitting is a good idea. My admittance to the program I have been accepted to is contingent upon several things, one of which is that I maintain employment as a critical care RN. Have...

Learn the differences between the pressors and how strong of an effect each one has on each sympathetic receptor. There are charts that show a representation for of this for each pressor on each...

That's how I feel. There may be a very good reason to wait to give epi or vasopressin later rather than sooner. I would surmise that in early CPR the myocardium may still be quite viable, now you...

Hey everyone, Take a look at the pulseless VT/VF algorithm. Your patient goes into VF so you start BLS and shock ASAP. Then, according to ACLS, you give NO drugs for the next two minutes while you...

Yeah give it a try. You're still new and fresh outta training so it shouldn't be greek to you. That would give you a very unique skill set.

I think a 5:1 assignment is ridiculous and unsafe. I work at a small cvicu and occasionally I take 3:1 assignment of step down acuity pts. Just the other day I had 1 pt on heparin gtt who was...

That is an expected result. Just as Ranier said. Look at the curves of the rise, peak, fall of the different cardiac enzymes. That's why we never check a troponin after an MI and PCI, it doesn't...

Yeah that's very stupid to say the nurse cannot accept another pt because that would make 2 patients on levo. Maybe they meant to say the nurse cannot accept another because the other pt was too...