nscalern

Latest Activity

1. What liability coverage do you carry?

   nscalern replied to nursecass's topic in CCU

   Same as above

2. Facilitating intubations

   nscalern replied to poppy07's topic in MICU

   A couple of liter bags of NS with pressure bags and I ask the MD what vasopressor(s) to have in the room. Usually dopamine first and phenylephrine or norepi 2nd.

3. Post Anesthesia for SICU or Shock/Trauma

   nscalern replied to Hopecascade's topic in MICU

   Open heart, liver transplant, and intubated pts come direct from OR, all others via PACU.

4. Whats the lowest cardiac index you have seen?

   nscalern replied to Trauma1RN's topic in General Nursing

   I recently took over an AVR/CABG with a CI of 0.9, SVR of 2700, CVP 5, and on 2mcg/kg/min phenylephrine. Fixed him with 1000ml crystalloid and dobutamine at 5mcg/kg/min. Was able to wean the neo to off. It looks to me your pt was intravascularly dry ...

5. Epidural management in RN scope of practice?

   nscalern replied to Selke's topic in Ob/Gyn

   I work in combined SICU/MICU at a VA medical center in Oregon. We frequently have epidurals for post-op (AAA, lung surgery, various abdominal procedures) pain management. Our anesthesiologists usually have them all set up and infusing, but the ICU RN...

6. What is NS NOT compatible with?

   nscalern replied to 2blessed2Bstressed's topic in General Nursing

   Mycophenolate (MMF)