pi.student

Can someone help me understand levo titrations? I know that levo orders will always have titrating parameter goals for example Map 65-80 and we are to titrate by 1mcg every 15-20 mins (depending on institution) I have witnessed nurses titrate by 15 mcg when map dropped by 30, where as some nurses say I would never titrate by 15 mcg is similar situations. I am having a hard time finding literature that speaks to these cases where the patients pressor requirement increases outside of the given orders. I would like to know if there is a general guideline that states something along the terms of...if your map drops by 5 mmhg go up by 3 mcg of levo, when it drops by 10 mmHg increase by 6 mcg of levo, ect.... or does any data exist that tells us the expected MAP increase with 1 mcg, 2 mcg, or 3mcg of levophed... and so on? I simply do not want to overshoot my parameters by arbitrarily titrating when provider is not present in urgent situations. Sometimes, patients cannot wait! Thank you nursing community for your continued support!

Hello Nursing community, I come here as I am certain that my situation is not unique and am curious to learn how everyone else has managed. Situation: I am not 100% certain on how I will cover my overhead costs once I start an ADN program this Fall 2019. (In four MONTHS!) Background: Non- traditional College Student (age 32). Male. Debt: I will use my retirement to clear my debt by the time I start Fall 2019. I will have virtually $0 in savings. No other source of financial support. No family to co-sign on a loan. GPA: 3.7 Science GPA: 3.5 TEAS: 77% I have the following questions for those who have been through this: How did you manage? How many hours max did you find was reasonable to work without impacting your studies? What suggestions do you have for me? Thanks for sharing.

I appreciate all of you for taking time out of your day to provide your input. All of your answers only confirms my decision. I was curious to know if there are any alternatives that I may not be aware of. It doesn't sound like there is so far. Thank you everyone!

I finally completed my prerequisites and am ready to apply to ADN and BSN programs this upcoming cycle. However, I have 30,000 dollars in personal debt and 7,000 in school loans. I do not plan to work during the program. Therefore, I will need to take out a loan for my overhead costs, 2 or 3 years worth. I plan to apply to ADN programs with a potential start date of Spring 2019. Of side note... I have a 3.7 GPA. I have 4 years of direct patient care in an outpatient setting. I am a competitive applicant. Does anyone know of any loan types that may suit my needs? Otherwise, I will have to take 1 year off to work and pay off my debt before continuing my degree. With my current income I can significantly cut my debt by at least 70% in 1 year. Please share your thoughts and experiences. I am confused and not sure how to proceed. Thank you.