liluiass

I didn't even think that my frequent assessments would cause that kind of suffering... Thank you.. That's smart

Thaaaaaank you for your kind reply the main diagnosis are : STEMI, high risk non stmi when there is place; cardiogenic shock; sometimes like any other unit we have an stmi patient with other problems like a digestive hemorrhage or a severe infection so sometimes we do care for septic shock patients .. as for the medication used generally furesimide, dobutamine, noradrenaline, amiodarone iv and orale, lidocaine iv, anticoagulants,rarlely Iv nitroglycerin ... as for tpa we only use streptokinase and monitor for regression of chest pain/ st elevation what I want to know is how globally you take care of the cardiac patient what are the arterial pression aims that are acceptable for the resting patient ? the doctors here don't care for any signs of shock unless the patient turns cold arterial pressure of 7/4 is acceptable for them...is it elsewhere too?? what are the glycemic aims that you want on your patients ? education is very important but as charged the work is I almost always leave that to the young trainee :$ my only remarks generally is a NO salt, don't drink lot of water and no sugar for the diabetics is it worth it to give them more time for that ? also there is this big big problem of agitation of patients how do you deal with someone screaming, hallucinating and wanting to go home in the middle of the night? why does that happen a lot ? is it because they're elderly ? how to prevent that from happening ? what do you do for them? generally we do some inhuman practice of tying the patient down just so I can keep up with the other 9 who need me as I can't afford the time to monitor the agitated scared patient closely but I always feel bad about it ... I talked a lot I'd be happy for any kind of reply

Hello I'm a nurse in a third world country intensive cardiac care unit... I want to know how things work in different hospitals and compare what the role of the nurse there is... The main diag]nosis is coronary syndroms and the ratio is one nurse to 10 patients and so I forget what as a nurse I can do for my patients when there are only 6 of them who are cooperant as generally my job only consist of blindly obeying the doctor prescription of medication Becausewell there is no time for anything else so even the prescribed medication rarely are dilievred at right time etc.. What I want to know is how practicing nurses on the floor in the same unit as I do??? I do other things when I havr the time to but I want to know everything there is to know so I can improve and offer better care.. There are no hospital guidelines or whatever for things and there is literally noone to ask as I'm only asked to give the medications and inform the doctor when someone is dying which is nooooot the only things a nurse can do!

I had a good laugh with the cute comic and yes yes I will try to add the remark in the middle of the work :3 in light way thank youuu

But how to approach the new girl about this I don't want to sound mean and interfer in an authoritative way..

We have one with a large sofa that cab work as a bed and a table I use it it have lunch and to fix my bra hahaha in all seriousness sometimes I don't even sit there but others when I finish up my work I lay down to rest my feet. So it depends some shifts I don't even go there others I spend like 3 hours from my whole shft there but those are the rare times when I have only one patient or something

Just a little question A CNA told me that another one we work with doesn't rinse off soap from some parts of the patients to leave a nice smell... Especially the armpit and near the intimate ares I know that rinsing the soap is the whoal point of using it and getting the dirts detached but even so I wonder how bad is this? I will approach this girl about this but I want to have lots of arguments because she's new etc... Thanks 🐣

yes on antibiotics mixed with saline generally no steroids IV and subcutaneous around 160 units daily which is a lot thank you now I understand that depending on the person the doses can go higher than 50 units which I was used to..

yeah I can change the type and I did that ...she responded much better but not enough ^^ thank you all

Thank you Endocrinologist just put her back to her old regimen when she was home The old regimen where her morning blood sugar was >3g/l according to her.. I just wanted the best for her and the doctors are terrified of hypoglucemia that tgey don't want to put her on in dip... I was mostly wondering about how thing goes on otger units knowing that you can go to 30 units iv/hour is reassuring but I can't move alone and just inject insulin contrary to the doctor's order..

Thank you :3 will try a different vial and see how things will go

I generally put a little cotton ball bellow the end of the catheter so I don't get a bloody mess aaaaand I elevate the hand above the chest of the patient that is if I fail at occluding in the right place ^^

I have this patient : female, obese with an infection problem is no matter how much insulin you inject her glycemia is always almost the same 4mg/dl~ at admission the insulin was working with 30 units it goes to normal ...but not anymore.. started giving her IV insulin and still no result makes you wonder if injected it at all :/ the Doctor is not helping .. is this normal with an infection ? I haven't encountered a patient this irresponsible to insulin before I'm guessing she got around 150 units of rapid insulin in 10 hours with no change in her blood sugar and she's been like that for days ...

Just check with the lab ^^ when I first start on a new job I jut go down to the lab and ask them and they printed a paper they they already have with them with all the requirement for each test

we don't use lot of insulin pens but when we do I do it the old fashioned way : I write down the patient's chamber number and his name on a little sticker that I put on the vial and that's enough for me I've never administered the wrong type of insulin to anyone...maybe I made mistakes with the dosage but not the type of insulin...