Search Results

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...

Nothing says 'Happy Nurses Week' like a few close calls with bodily fluids.

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...

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. ...

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...

This almost sounds like a test question on therapeutic communication haha...I can hear my professor saying,"tell me why you feel that way?"

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...

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.

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...

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...

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...

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,...

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...

Critical thinking skills, motivations, and the ability to admit you don't know it all and aren't afraid to ask for help.!

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...

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...

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...

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....

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...

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...

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...

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....

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...

I think it depends on where you work and how you get your assignment. I work in an ICU. We are split into teams. Each team gets a group report and hears the basics of each patient on their team. ...

I passed the CCRN first try doing lots of practice questions. I did the Pass CCRN CD and the cardiac was hard. I prob did 50%on the CD and 85 on the legit exam. Remember they make the CCRN for ALL...