slcpicu

slcpicu specializes in PICU/CVICU/Ped Nursing Faculty/TSICU.

Latest Activity

1. Oscillator Vents and ARDS

   slcpicu replied to Cindy-san's topic in MICU

   To answer your first question. We calculate an oxygen index (OI) on these patients needing increased vent support and worsing abg's. If the OI is approaching 20 (most of the time more like >15) we will place them on HFOV. If the OI is >25, we ...

2. A sufficient ICU orientation (internship)

   slcpicu replied to PMHNP10's topic in MICU

   Good Question. I would say that 2-3 months is probably enough. BUT with that in mind. I would have to say the acuity of the patients this nurse oriented to would have to be pretty high to feel comfortable with a true critically ill pt. There are m...

3. cover letter

   slcpicu replied to CaliRN29's topic in PICU

   This is what I would highlight. Your previous care of critically ill patients. I would highlight your critical thinking skills, vent management, knowledge of abg's, inotropes, and vasopressors. Those things are much harder to "teach". It takes time t...

4. IV Dobutamine Calculation!!

   slcpicu replied to bluedevils83's topic in CCU

   ok, you made it alittle more difficult, but I am assuming that it is 500 MG/250 ml. Otherwise it would be running very very fast. 2.5*99.7*60=14,955 14955mcg/hr divided by 2000mcg/1ml =7.46 ml/hour Hope that helps!

5. Who wants a bicarb question?

   slcpicu replied to gluck's topic in CRNA

   Great Discussion! I will add my 2 cents. Like others posters have said, bicarb in a code situation will help prevent the overwhelming acidosis that comes from decreased to no cardiac output. In most cases, bicarb only fixes the numbers and not the...

6. Worried about borrowing money?

   slcpicu replied to MBCRNA's topic in SRNA

   Thanks LOVEICU for the update!! I, to, was not worried 6 months ago but I am now. I will be starting school in May 09 and hope the credit freeze has improved somewhat by then. My school has set the COA at a "reasonable" amount and it is doable. Bu...

7. Experience before CRNA school

   slcpicu replied to rnrn10's topic in SRNA

   hey how's it going. 1. I have 4 years experience...will have 5 when I start school. 2.GPA 3.84 3. waived for GPA 4. well i know you said you didn't like the city but the city will most likely have higher acuity pts and therefore a better learning op...

8. Sepsis case

   slcpicu replied to poppy07's topic in MICU

   Interesting case....I agree with the other posters that this is a Septic shock state as evidenced by the hypotension the pt had. The latic acid was within normal because the pt was actually managed well and that prevented the anerobic metabolism fro...

9. Calcium drip

   slcpicu replied to richard1980's topic in MICU

   Although I have only seen it a few times in the adult ICU population, we use calicum gtts all the time in post op cardiac patients in the peds world. If we are having bp issues and the pt responds to the calcium bolus, it is not uncommon to start a ...

10. ICU interview--what do they really ask?

    slcpicu replied to 2bnurse_it's topic in MICU

    I was a new grad and I answered: "I would like to be the small fish in a big pond because I would have lots of room to grow." Kinda cheesy but after talking with others I think it might have been a good answer. Anyway I did get the job then so who ...

11. ICU interview--what do they really ask?

    slcpicu replied to 2bnurse_it's topic in MICU

    I would be prepared to answer some of the following: Why do you want to work in the acute care setting? What are your strengths and weaknesses? Name a time you failed and what you did about it? What makes you the stronger canidate? What experience do...

12. Understanding ABG's

    slcpicu replied to charlieroe's topic in MICU

    movinup The pao2 is 40 which is very low. It is highly likely that there is some anaerobic metabolism going on because there is decreased 02 leading to the decrease in HCO3 although it wasn't given to us. No O's to the toes which will lead to the met...

13. any guess about low pCO2?

    slcpicu replied to registeredin06's topic in MICU

    Thanks Registered. Wow I ended up being kinda right to begin with. LOL sometimes it's better to be lucky than good. This is a very interesting case. Any updates on outcome? Dinith 88 did you have a question?

14. Organ donation process? My Mom was the donor.

    slcpicu replied to DaisyChains's topic in General Nursing

    Daisy, I am very sorry for your loss. I will attempt to answer some of your questions. I have seen many organ donations and taken care of many before becoming donors. I just want to say thanks for making that very difficult decision. As for the l...

15. More Interview stories

    slcpicu replied to gluck's topic in SRNA

    Since there has been 103 ppl look and no one reply, I will be the first. IF you search alittle on here you will probably find some of the answers to your questions that have been posted already. But anyway I will answer. I really over prepared to say...