Matthew89

Latest Activity

1. 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 overnight the other one became dark brown but then ...

2. 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 to be done. He said patient is already on lovenox....

3. 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 currently treating with IV abx - Zosyn. I didn't wan...

4. 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 afraid that my patient would deteriorate if they ...

5. 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 something new or if anyone has an idea about this. I'm afr...

6. 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 low albumin. Ckd patient.

7. 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 the patient which might expose them to infection....

8. Elevated Ammonia level

   Matthew89 replied to Matthew89's topic in New Nurse

   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 doc if the ammonia level could affect it. Rather th...

9. Elevated Ammonia level

   Matthew89 posted a topic in New Nurse

   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 lethargic of course A&O x1, GCS 12 at the time. Pla...

10. ICU trachelostomy of 600lbs

    Matthew89 posted a topic in MICU

    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 extra trache. He was vent dependent too as well. I di...

11. Post code drips

    Matthew89 posted a topic in 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? If levo is not working why do we still hang epi? S...