Not"Nursey" RN

Not"Nursey" has 35 years experience as a RN and specializes in Intensive Care, ER, PACU, Endo., Med/Surg., Ortho..

Latest Activity

1. 

   Normal Pressure Hydrocephalus

   Not"Nursey" replied to Not"Nursey"'s topic in General Nursing

   Thank you! This is precisely why I wanted to reach out to my fellow nurses and see if anyone else out there is doing the less invasive lumbar drain 1st before actually inserted a final VP shunt. Good luck to you and your husband!
2. 

   Normal Pressure Hydrocephalus

   Not"Nursey" replied to Not"Nursey"'s topic in General Nursing

   True, grammatically incorrect - have the flu and hopped up on NyQuil. Lol Nothing “illicit” in our research. Thanks!
3. 

   Normal Pressure Hydrocephalus

   Not"Nursey" replied to Not"Nursey"'s topic in General Nursing

   None of the patients we chose to trial are acute. This would, of course, not be appropriate treatment for that patient population.
4. 

   Normal Pressure Hydrocephalus

   Not"Nursey" replied to Not"Nursey"'s topic in General Nursing

   I do understand what you both are saying and yes, ultimately, we would place a VP shunt if patient exhibited s/s of improvement. However, CSF is an intricate & connected fluid system thus, we can temporarily illicit VP shunt results from reducing...
5. 

   Normal Pressure Hydrocephalus

   Not"Nursey" replied to Not"Nursey"'s topic in General Nursing

   We use the lumbar drain during an inpatient trial to systematically withdraw 3cc of CSF every 2 hrs. If gait or mentation improve, we have conclusive proof inserting a permanent VP shunt will be beneficial to the patients.
6. 

   Normal Pressure Hydrocephalus

   Not"Nursey" posted a topic in General Nursing

   I work as the RN Coordinator for a team of hospital based Neurosurgeons. Recently, we've implemented performing a trial of slow, system CSF removal via Lumbar Drain to assess for gait/mentation improvement BEFORE inserting a final Ventriuloperitoneal...