BellsyNurse

Latest Activity

1. Understanding different gtts for sedation: Propofol vs Precedex vs Versed vs Fentanyl, etc

   BellsyNurse replied to Catticus11's topic in Critical

   All depends on what your patient needs. Most often analgesic + sedative (fentanyl + prop or versed... sometimes all three...! Is your patient 22 with a crazy metabolism?!). Prop clears the system typically faster than versed [versed can be a nightm...

2. Do you humidify high-flow oxygen with a nonrebreather?

   BellsyNurse replied to Freedom42's topic in Pulmonary

   If the patient's needing a nrb at flush to keep sats up they need another mode of o2 therapy... Be it higher flow humidified/warmed o2, which can give a range of fio2 and up to 60lpm, bipap, or mech vent. Depends on the condition. Humidity isn't alw...

3. ER to ICU or vice versa

   BellsyNurse replied to al3x117's topic in General Nursing

   Hahaha probably true! I moved from medicine to ICU, when I had the choice of ER or ICU. Glad I did. Learned the crazy stuff in a more controlled environment-how to line, tube, run a code, mix/use the meds, with staff consistently available. Wouldn...

4. My poor hands!

   BellsyNurse replied to MelHarris's topic in General Nursing

   Hand sanitizer (often has emolients) is less harsh than soap and water. I clean my hands a thousand times a day this way (icu, no joke) and have sensitive skin, and I don't have alligator hands :)

5. Heparin injection sites

   BellsyNurse replied to Birdy2's topic in General Nursing

   Anticoags are given in the abd bc the tissue by comparison doesn't move all that much. Our typical patient on bid heparin or whatnot is getting it for dvt prophylaxis, due to illness/immobility as well. So for the average mobile person, an arm would...

6. JP/ Chest Tubes

   BellsyNurse replied to greney80's topic in General Nursing

   Stripping chest tubes isn't really best practice any more-it hasn't been shown to improve patentcy, and theoretically increases the pressure within the pleural space that you're trying to relieve (of fluid or air). Let your doc know if you're concer...