SBURNSTEVEN

SBURNSTEVEN

CT ICU

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About SBURNSTEVEN

SBURNSTEVEN has 3 years experience and specializes in CT ICU.


Latest Activity

  1. Cricoid Pressure

    My preceptor held cricoid pressure while I intubated a patient considered a full stomach with RSI. After I intubated and inflated the cuff, my preceptor kept holding cricoid pressure and asked "Should I let go?" The answer was no but I didn't know wh...
  2. Ileus

    I had a patient that came in with Pancreatitis. By day 2, Lipase and Amylase were trending down, and the patient didn't complain of pain. They went into respiratory distress and had a distended abdomen. (large abdomen made it difficult to breath). Ab...
  3. Hypercapnia

    How does a patient with COPD and therefore chronically Hypercapnia not have a respiratory acidosis (acute decompensation due to respiratory infection can cause respiratory acidosis)....but why not normally? I'm assuming because of their kidneys compe...
  4. oxygen concentration fluctuation

    Can someone pleas help me understand this....I came across this in a CCRN book I'm using as a study guide... For a low-flow oxygen delivery system (assuming nasal cannula); FiO2 is dependent on rate and depth of ventilation and fit of device. If minu...
  5. CABG --why is IV albumin given?

    Thanks, I've been working on a med-surg floor for a year and a half and I'm orientating in CT ICU now.
  6. CABG --why is IV albumin given?

    Let's just focus on CVP.....normal is about 1-8 (depending on source). Since the patient is Post CABG is the normal CVP inadequate because we know the patient lost blood? Should we aim for a CVP around 10 as we tut rate down Levophed? This seems to b...
  7. Transvascular Aortic Valve Implantation

    Thanks
  8. Transvascular Aortic Valve Implantation

    I'm an RN. I know it must be due to an abnormality in the conduction system, but where?
  9. Transvascular Aortic Valve Implantation

    Why are Minimally invasive Aortic valve replacement patients at higher risk for asystole postoperatively? They have their pacing wires intact up to 72 hours post op which is longer than other cardiac surgical procedures.
  10. CABG --why is IV albumin given?

    Post op day 0. H/h was 9.1/27.7 Albumin was given. Please explain why? Wouldn't the Albumin dilute the h/h further? Blood wasn't given, the reasoning was because blood products have a higher incidence of causing lung injury in intubated patients.
  11. CABG --why is IV albumin given?

    When a patient has open heart surgery, they loose an "unobtainable" amount of blood in the OR as per the post op note. The nurse receives this patient right after their procedure and their blood pressure is labile. Why is their blood pressure like th...