Matthew89

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1. Stable Vtach

   Matthew89 replied to Matthew89's topic in General Nursing

   Thank you for everyone's reply. Appreciate all the input and shared knowledge. For that patient all electrolytes were normal k, mag, phos. 2L bolus and bicarb was being given assuming it was acedemia....

2. Stable Vtach

   Matthew89 replied to Matthew89's topic in General Nursing

   Sorry, Hx of afib newly diagnosed, DM, EF 50%, I forgot most of the HX. Admitted for DKA. Ph 7.1 and lactic 9. Normal WBC. No open wounds. Nothing on XR. Provider only gave half of amio. Pt a and o...

3. Stable Vtach

   Matthew89 posted a topic in General Nursing

   Hello, Here for learning. I have a question can we shock stable Vtach with a HR 140s to 160s? SBP 113/60s, alert and oriented, no chest pain. Asymptomatic. Amio bolus was not even finished was only...

4. Jp drain

   Matthew89 posted a topic in General Nursing

   Hello! Has anyone ever seen a dark brown JP drain output? It was serousanguinous for a couple days and not its dark brown. My patient has two. One one became dark brown like chocolate syrup and then...

5. Increasing D-dimer

   Matthew89 posted a topic in General Nursing

   Hello! So working in a hospital outside the US. Practices are different but I would assume medical treatment would kind of be the same? Have a patient with increasing D-dimer. Asked doctor what needs...

6. Does peritonitis have to be drained?

   Matthew89 replied to Matthew89's topic in General Nursing

   I appreciate your response. Thank you also for the literature and the imparted knowledge. I'm new to this and want to learn. I was just worried because the ascites was there for a year and they are...

7. Does peritonitis have to be drained?

   Matthew89 replied to Matthew89's topic in General Nursing

   Wow you're are very smart. I tried researching for a rationale but it always leads me to liver cirrhosis. So if ascites is present and they suspect peritonitis, they don't have to drain it? I was just...

8. Does peritonitis have to be drained?

   Matthew89 replied to Matthew89's topic in General Nursing

   Thank you for all the responses. So all ascites needs to be drained? I don't understand the doctor. Why they won't drain especially if they think there is peritonitis. I'm not sure if this is...

9. Does peritonitis have to be drained?

   Matthew89 replied to Matthew89's topic in General Nursing

   Have you ever heard this? The doctor doesn't want to drain massive ascites with possible peritonitis. Because they are afraid of recurring drainage and risk for infection. It was ascites from...

10. Does peritonitis have to be drained?

    Matthew89 posted a topic in General Nursing

    Hello! Just wanted to ask anyone who is familiar with ascitis? The patient has massive ascites per CT scan. But the doc doesn't want to drain because she said once you tap you have to continuously tap...

11. Elevated Ammonia level

    Matthew89 replied to Matthew89's topic in First Year After Licensure

    Thank you for the reply! ? It confused me if I was wrong. The patients PCO2 was trending down from 110 to 90s. But the patients mental status was not improving but further deteriorating. I asked the...

12. Elevated Ammonia level

    Matthew89 posted a topic in First Year After Licensure

    Hello everyone! New nurse here. I had a question and wanted to know your opinions. Working in ICU. Had a patient that was a rapid. Ammonia level was 293, lethargic, PCO2 101. Came in to our unit...

13. ICU trachelostomy of 600lbs

    Matthew89 posted a topic in MICU, SICU

    I have a patient who weighs 600lbs actually even more who just got a fresh tracheostomy. The senior nurse wanted to fully turn him to bathe and said it was OK if it dislodged as long as we have an...

14. Post code drips

    Matthew89 posted a topic in Patient Medications

    Sorry new to ICU. So I have a patient post code and they already have levo and epi running and they patient continues to be hypotensive. Can we just run vasopressin? Are levo and epi almost the same?...