brdavis17

Latest Activity

1. Assessing CIWA

   brdavis17 replied to brdavis17's topic in Psychiatric

   Thank you both! One question...when it comes to patients who are on CIWA and sleeping, you think it is best not to wake them? Say I give Ativan for a score of 10, and the patient sleeps. My hospital's policy is to wake them and reassess CIWA after an...

2. Assessing CIWA

   brdavis17 posted a topic in Psychiatric

   Hi psych nurses, I work on a medical floor but I thought you might be the CIWA experts. I had a patient last night who was on CIWA. I think his last drink was around 2 days ago. He had received Ativan three times during the morning/evening shifts (we...

3. Crackles

   brdavis17 posted a topic in Med-Surg

   In a pt who does not have CHF, is it possible for lungs to slowly fill with fluid if they have IV fluids running and have bibasilar crackles? Or is pulmonary edema more sudden? With bibasilar crackles that don't clear with a cough, is it possible tha...

4. Crackles in lower lobes?

   brdavis17 replied to brdavis17's topic in Med-Surg

   Thank you all! Extremely helpful!

5. Pacemaker and irregularity?

   brdavis17 replied to brdavis17's topic in CCU

   Ok, so if a fib is rate-controlled with amiodarone or other meds, will the heart beat still be irregular on occasion? Or should it be normal sinus? Would it be normal to hear occasional PVCs? Also, if a patient has a pacemaker, is it normal for them ...

6. Pacemaker and irregularity?

   brdavis17 posted a topic in CCU

   I have a few questions for cardiac nurses. Is it normal for a patient to still have an irregular rhythm with a pacemaker? Are pacemakers ever placed for a fib? Also, if a patient has a-fib, is the normal treatment warfarin to prevent a clot, but is t...

7. Crackles in lower lobes?

   brdavis17 replied to brdavis17's topic in Med-Surg

   Okay, so I had her as a pt again last night and the crackles were gone. She also was saline locked. So perhaps the crackles resolved since they stopped the fluids? Also, that first night that she had crackles, her O2 sat was fine, as were her other v...

8. Crackles in lower lobes?

   brdavis17 posted a topic in Med-Surg

   Hi, I am a new nurse. During last night's shift (I work nights), I auscultated fine inspiratory crackles in my pt's lungs in their bilateral lower lobes. My pt was there for something totally unrelated-colitis, and has no heart/lung history besides H...

9. Treating high BPs with high baseline

   brdavis17 replied to brdavis17's topic in General Nursing

   JKL33, by the admitting service do you mean the admitting MD? It was night shift so does that make a difference?

10. Treating high BPs with high baseline

    brdavis17 replied to brdavis17's topic in General Nursing

    Those sound like good options. Thanks for the help! As for learning dosages, did you learn that with time? I'm sure Lexi-Comp has something in there about dosing if I ever encountered a similar situation like this and didn't know the dosing options. ...

11. Treating high BPs with high baseline

    brdavis17 replied to brdavis17's topic in General Nursing

    Yes that makes sense. I don't recall the dosing. I guess I was concerned about dropping him too low but 167/90 is still pretty high and the order did say to give hydralazine for SBP >160. So is this something I should just learn from or could I po...

12. Night shift 8 hr pattern?

    brdavis17 replied to brdavis17's topic in General Nursing

    Thanks, klone. Not sure about the Sunday but I think I can do this pattern for now. :)

13. Treating high BPs with high baseline

    brdavis17 posted a topic in General Nursing

    Hi, new nurse here. I had a pt with a BP of 194/105 last night, and pt had just been admitted to the floor for back/hip pain. Pt was asymptomatic. He had prn hydralazine for SBP >160 and scheduled clonidine due then. I gave the clonidine, per anot...

14. Night shift 8 hr pattern?

    brdavis17 posted a topic in General Nursing

    Hi, I am a new grad working 8 hour night shifts, 32 hours per week. I'm going to start on my own soon and have a 5-day stretch of 8s for my pattern. I was wondering if people who have worked 8-hr nights have been able to find a schedule pattern where...