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Search Results Type: Posts; User: MLB55

From Date
  1. PEA arrest
    The guy was well over a 100kg...
    Aug 19, '13
    Forum: CCU Nursing / Coronary / Cardiac
  2. New to neuro/TBI/hypothermia
    We only do hypothermia protocol for pts post cardiac arrest. That is, we cool them down to 91.7 - if that's what hypothermia your talking about. Craniectomy within the first 24-48 hours is what...
    Jul 5, '13
    Forum: Neuro Intensive Care Nursing
  3. PEA arrest
    The needle decompression. That's a great question. I'm guessing, since he was pusleless and kept losing his pulse? I just heard the attending say, he needs to be decompressed. And he had a central...
    Jun 25, '13
    Forum: CCU Nursing / Coronary / Cardiac
  4. ICP monitoring and ventricular drain.
    In our 23 bed neuro icu, we clamp the drain to transduce pressures, position changes, and when we transport the pt.
    Jun 22, '13
    Forum: Neuro Intensive Care Nursing
  5. PEA arrest
    Pt is a 63yo male with a hx of a subarachnoid hemorrhage 30 yrs ago s/p clipping. Pt present early in June with a new Sah, from the same aneurysm. Pt was re clipped on the 16th, stayed intubated for...
    Jun 22, '13
    Forum: CCU Nursing / Coronary / Cardiac
  6. Increasing creatinine
    No I meant 4.5 liters. Not uncommon and not the most I've seen. I've had a patient that required 90+units of products... But that's another story. Her urine out put increased after the lasix and...
    May 12, '13
    Forum: MICU / SICU Nursing
  7. Increasing creatinine
    Pts cr peaked the next day at 1.44, she's auto diuresing and cr is back to baseline.
    May 7, '13
    Forum: MICU / SICU Nursing
  8. Increasing creatinine
    Lasix immediately help here urine output. 400 in about 2 hours. Great input... She was definitely +a few liters since the or and had pulmonary edema on chest xray.
    May 5, '13
    Forum: MICU / SICU Nursing
  9. Increasing creatinine
    We sent one. I don't remember, serum na was normal though.
    May 4, '13
    Forum: MICU / SICU Nursing
  10. Increasing creatinine
    Pt is 74 yo with a hx of a parotid tumor that mets to the spine, "kidney insufficiency" (as reported by the patient),baseline cr seemed to be 1.09 and htn. Had a two stage back surgery something like...
    May 4, '13
    Forum: MICU / SICU Nursing
  11. Trust?
    I think everybody feels like this at first. Nobody is truly comfortable until at least there first year. Take this opportunity to provide good care and to be known for the care you can provide. Sick...
    Mar 14, '13
    Forum: CCU Nursing / Coronary / Cardiac
  12. cvp on introducer
    They are hooking it up directly to that white/blue port where the slic or swan would go. We typically put in a tlic and transduce off the distal port. But out of the or, anesthesia transduces off...
    Mar 6, '13
    Forum: MICU / SICU Nursing
  13. cvp on introducer
    Not the big line of a cordis. The part where you put a triple lumen or a swan. The same place and a mac.
    Mar 4, '13
    Forum: MICU / SICU Nursing
  14. cvp on introducer
    Have you guys seen when anesthesia hooks up the cvp to the port where you put a triple lumen or swan line through? I think this is a waste of a port and I sort of think not an accurate way to measure...
    Mar 3, '13
    Forum: MICU / SICU Nursing
  15. MAP vs SBP
    I was only asking about triple H therapy for vasospasm patients. I think we would have better cardiac outcome with the same neuro outcome if we used maps. A lot of times these patients require 5...
    Feb 28, '13
    Forum: Neuro Intensive Care Nursing
  16. MAP vs SBP
    Great post. Are you a neuro critical care team? Again, it just doesn't make sense when your cpp is calculated via map. The reason I ask is that we have put people on phenylephrine,...
    Feb 27, '13
    Forum: Neuro Intensive Care Nursing
  17. MAP vs SBP
    Do your guys neuro Icus use sbp or map for goals when say triple Hing. Since cpp is map - icp... Why do we use sbp for goals. I've seen them order keep sbp > 200. So what do you use in Neuro? Sbp...
    Feb 26, '13
    Forum: Neuro Intensive Care Nursing
  18. invasive lines
    In the same vessel?
    Feb 25, '13
    Forum: MICU / SICU Nursing
  19. invasive lines
    They are directly superior/inferior of each other. They are indeed in the same vessel.
    Feb 24, '13
    Forum: MICU / SICU Nursing
  20. Insulin gtt rates
    It was between 60-70ml/hr or unit/hour. Guy it pancreatitis.
    Feb 23, '13
    Forum: MICU / SICU Nursing
  21. invasive lines
    The two cordis' are for the OR. We would pull one of them once they got to the unit. I've heard of livers getting 91 liters of blood/fluid during a case. So the benefit of two major lines could be...
    Feb 22, '13
    Forum: MICU / SICU Nursing
  22. invasive lines
    I work at very large teaching, level one trauma center and there are a few practices that I have questioned in regards to lines. First one is, two Mac or cordis (introducter) lines inserted into...
    Feb 22, '13
    Forum: MICU / SICU Nursing
  23. Stay in NeuroICU or tx to sICU?
    I have two years Neuro icu experience in a large teaching trauma center in Chicago. I recently started being charge rn as needed, which involves responding to stroke codes. Should I opt to stay in...
    Oct 23, '12
    Forum: Student Registered Nurse Anesthetist
  24. Desating and Suctioning
    Give them more sedation/analgesia before suctioning
    Oct 18, '12
    Forum: MICU / SICU Nursing
  25. Levophed or Neosynephrine pushes?
    Anesthesia gives "sticks" of phenylepherine, usually for sedation hypotension.
    Oct 10, '12
    Forum: Critical Care Nursing