rjrule

rjrule specializes in Emergency/Paediatric.

Latest Activity

1. intravenous diazepam

   rjrule posted a topic in Emergency

   Recent articles have documented that intravenous diazepam should not be given diluted. However, we recently had a very aggressive psychiatric pt and the senior ER m.o instructed me to draw the 10mg ampoule to 10ml normal saline then give the medicati...

2. Links/Guidance of Great Nurses here willing to teach new grads a few of their tricks?

   rjrule replied to Christy1019's topic in Emergency

   Hi, I always get the patients hand hanging over the bed whilst I prepare my IV stuff, this often brings the veins up nicely. If not remember patience is a virtue!!! Also if no veins are felt on the distal areas of the arm just go for the cubital and ...

3. Handover in ED

   rjrule replied to darius000's topic in Emergency

   Hi, I am Ozzie also, we tend to give handover to the nurse who will be taking over your beds. This is done at the nurses station hence confidentiality maintained. We used to all get handover for the whole unit which took forever and by the time we fi...

4. IV cannula size/ overtesting

   rjrule posted a topic in CCU

   In our ED (NSW, Australia), we are encouraged to always insert 18 gauge intravenous cannulas. I have read that this could increase the chance of infection and irritation to the vein. I usually pop a 18 gauge in, however of course this is not always p...

5. Did he get too much morphine?

   rjrule replied to Deb123j's topic in General Nursing

   I work in ED in southern NSW Australia, we tend to give Morphine for moderate to severe pain and only in 2.5 increments IV until the pt is out of pain. By the sounds of the pain that your brother was experiencing, he may have been OK with some oral m...

6. asthma - cardiovascular effects

   rjrule replied to rjrule's topic in CCU

   Thankyou for responding. My answer so far is: Lung hyperinflation increases afterload of r)ventricle by increasing the length of the pulmonary vessels and by effects of alveolar cap. compression. Increasing intrathoracic pressure during forced exp. d...

7. Mom to a 2 year old and looking for better schedule.

   rjrule replied to lizzieB05's topic in CCU

   Hi, I raised three boys and found nursing night shift 10 or 12 hr was a good option. The boys did not even realise I went to work half the time as I was there to kiss them goodnight and there when they woke up. Or I agree with the last reply that wee...

8. asthma - cardiovascular effects

   rjrule posted a topic in CCU

   I wonder if anyone can help me. I am doing an essay and the patient is having a severe asthma attack. Can anyone predict what his preload, afterload, stroke volume , contractility would be like? His pulse is 150, bp 140/88, sats 90% with o2, he is 44...