Binz

Binz has 6 years experience and specializes in Med/Surg.

Latest Activity

1. ED to OR..might've make a mistake?

   Binz posted a topic in Career Support

   I recently switched specialties from ED to OR and I've only had one clinical day (doing a residency) but so far, it feels like the only reason an RN is in the room is because it's state mandated. For the most part, I grab things for the scrub tech an...

2. Code Blue: Just Trying Figure Out What Happened?

   Binz replied to Binz's topic in General Nursing

   *UPDATE* I went back and looked at the labs from the day this happened. Her WBC was 8 and lactate was 2.5. ANC was also not elevated. Creatinine was over 6. She eventually had to be started on CRRT and is still on an epi drip in the ICU.

3. Code Blue: Just Trying Figure Out What Happened?

   Binz replied to Binz's topic in General Nursing

   I wish I had more info. I didn't get a chance to read the triage and we didn't admit her but the pt presented with fever, respiratory retractions, hypotension and tachycardia. She had gone out of the country shortly before, so the MD suspected GI inf...

4. Code Blue: Just Trying Figure Out What Happened?

   Binz replied to Binz's topic in General Nursing

   We had achieved a MAP greater than 65 but should we still have held the Lasix? Would it have brought her BP down? She also had a fever. I'm sorry, I keep leaving details out. Initially when she started sweating, we thought it was either due to her f...

5. Code Blue: Just Trying Figure Out What Happened?

   Binz replied to Binz's topic in General Nursing

   She was on 4 L NC, with O2 sat fluctuating between 90 and 95%. Based on the CXR, the MD may have suspected PNA but maybe also pulmonary edema?? When we started getting concerned, we asked the MD to look at her and she said it was definitely PNA.

6. Code Blue: Just Trying Figure Out What Happened?

   Binz replied to Binz's topic in General Nursing

   Is there anything I could have done to prevent her from going into cardiac arrest? I remember knowing her WBC was elevated and I think her lactic was 2.5.

7. Code Blue: Just Trying Figure Out What Happened?

   Binz replied to Binz's topic in General Nursing

   This website is super helpful! Thank you. I think, initially, the MD thought it was a GI infection. The pt had just got back from an international trip but Munro made a point that it may not have been infection at all, but cardiac.

8. Code Blue: Just Trying Figure Out What Happened?

   Binz replied to Binz's topic in General Nursing

   I remember knowing her WBC and lactic were elevated. I think the lactic was 2.5. No, my preceptor didn't have any insight about it and I guess I'm trying to understand the patho behind it.

9. Code Blue: Just Trying Figure Out What Happened?

   Binz replied to Binz's topic in General Nursing

   Not accusatory at all! I really appreciate your response! My preceptor didn't have any insight and I want to be more knowledgeable if I run into this again. This is really helpful.

10. Code Blue: Just Trying Figure Out What Happened?

    Binz replied to Binz's topic in General Nursing

    I believe it was cardiac. She had a history of Afib, and HF with an EF 20%, and was in afib during the code. I think based on the CXR, the MD determined it was pnuemonia and we had given her lasix 20mg and antibiotics about 30 minutes before. Not on ...

11. Code Blue: Just Trying Figure Out What Happened?

    Binz posted a topic in General Nursing

    I recently started in the ED. I had a patient who came in with Pnuemonia and sepsis. Was on a norepinephrine drip to maintain a MAP>65. Her BP went up, MAP was 80ish. We had to get a stool sample, so me and my preceptor sat her up at the bedside. ...