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He actually just self-extubated today so hopefully he will "fly"! Thank you for all the advice!

So the group of doctors working with my patient prefer not to use haldol but he was started on Seroquil!

Well on 35% his CO2 is 65 and his PO2 is 85... That makes me nervous to extubate quite yet. I haven't tried the haldol though! I'll bring that up next time I see ICU :)

HI All! I have a puzzle for you all. My patient is a male with cardiomyopathy and an EF of 30%. He came in to the ED with shortness of breath and was intubated and has been for about a week now....

Hi All, I have a question for you. I have a personal problem that I would love help with. I am a young woman, eat an extremely healthy diet, exercise 3 days out of the 4 I have off, and am a...

I work on a Cardiac Transplant/ Cardiac Surgery unit and we have pacemakers come back from the OR all the time. What our surgeons say is that if you completely pause the pacemaker, it is almost a...

Thanks for all the replies!!! I really appreciate all the stories. :) Love learning this way!

Thanks for the site!

That site is great!! I'm doing the same!!

I personally have never gone up that high. If we were up that high Im sure the pt would be on plenty other drips. Really I was just using this as an example of titrating....

Ok my point is still the same. And on my unit we can titrate Vasopressin from .03 to 3.

On. My..

I am a new grad who started about 7 months ago on a cardio vascular transplant unit. My advice would be to get to know the drips you use most often and know how long it takes them to work. For...

I understand that way of thinking, but if it was the only thing keeping him alive when everything else had stopped working? I mean, his blood pressure was falling, he hadn't eaten in days, his...

Sorry for the confusion! I just had 1 patient in this particular situation. It was my first case where I was the primary RN so I was trying to sort it all out mysel.

Thanks for all the replies :) I'm glad did the right thing but for me this feels like the hardest part of our job. I did give them 4mg of morphine before the tech got there so I'm confident they...

Hi! I was at a homeshow this weekend and heard something interesting I would like advice on. There were TONS of saunas that were being sold but one indicated that their technology was great for...

Hi all! I have an ethical/end of life question for you. I had a patient who had a pacemaker placed in the 90s as well as an AVR a couple years previous to this visit. The patient was a young patient...

Gnbins

Llhgunfu

It was an extremely challenging and rewarding situation. Been here for 7 months and off of orientation for 2months. Ruined me for med surg or anything slower paced ;) My orientation process made a...

Hello! New grad again. Over the weekend I was assigned a patient that was in complete HF. The patient was only on Dobutamine at 2.5 mcg. When the doc tried to wean him off of it he went into...

Thank you for all the advice!!!

Yes I meant ammonia. My phone autocorrected me :)

Thanks for all the topics again! We have orders for Tylenol greater than 38.1, but the issue was that my PTs Albumin levels were in the 60's!! So I called the doc because I didn't want one more...