ADDnurse

Latest Activity

1. why do people get contractures, and what to do about it?

   ADDnurse replied to ADDnurse's topic in General Nursing

   to completely unknown:yes it is a serious question; I don't see anything to joke about.

2. why do people get contractures, and what to do about it?

   ADDnurse posted a topic in General Nursing

   :heartbeatWhat causes people's bodies to ball up and get contractured; I know I curl up myself when I sleep. What can be done to prevent or reverse this process? I work in a vent/ltc unit and I'm so sick of seeing people all bound up like that;isn't ...

3. Newbie

   ADDnurse posted a topic in CCU

   Hi! I'm addnurse,I've been a RN for 13 years,but always scared of working where I always wanted to;the CCU.Can anyone give me some direction;there's a local hospital William Beaumont in Royal Oak,MI that is offering internships in January.I am 52 yea...

4. Please Advise..need help

   ADDnurse replied to edynjoy's topic in Neuro

   You have chosen one of the toughest areas to work in and should pat yourself one the back for giving it a try. However, as others have pointed out, we all have areas that we are more suited to and gravitate towards. I have worked with some excellent ...

5. I Passed!!! I Passed!!!

   ADDnurse replied to smiley12face16's topic in Student Assist

   Congratulations, and try to remember in 10 years how it was to be a student. Tony

6. Overstimulation in comatose patients

   ADDnurse replied to derelys9's topic in Neuro

   If you read the post the ICP had stabilized when the drain was pulled and as far as using hypothermia in a Hunt-Hess grade 5, whats the point? The real danger is from cerebral vasospasm, and cooling the patient will not effect that to any significant...

7. Overstimulation in comatose patients

   ADDnurse replied to derelys9's topic in Neuro

   sorry tnn but as derelys9 stated, this was after a month and the patient was moved to rehab shortly after. i think we all agree with your comments in the early stages when cerebral perfusion is a serious concern, but not one month out in a patient wh...

8. Adult nurses wanting to work in the USA..

   ADDnurse replied to TinaK's topic in Immigration

   I had a similar problem when I move from NY to CA. CA is extremely strict, when it comes to documentation. I was however able to get my CA licence after working and passing the NY state boards. You might want to try another state first that has a rec...

9. Adult nurses wanting to work in the USA..

   ADDnurse replied to TinaK's topic in Immigration

   Don't they want clinical experience as well? Before I could sit the CGFNS I had to complete an extra 8 weeks of OB. Tony

10. Question about Cushing's

    ADDnurse replied to Lorus's topic in Neuro

    A cerebral SVO2 monitor (we used pediatric SVO2 swan ganz caths) is placed in the external jugular vein at the jugular bulb and you simply use it to monitor the mixed venous oxygen saturation as it leaves the cerebral circulation thereby giving you a...

11. Neuro question

    ADDnurse replied to elthia's topic in General Nursing

    Fungirl you are right in your treatment when trying to prevent a supratentorial herniation but with a posterior fossa tumor the problem you face is subtentorial herniation, and the HOB should be flat. If you raise the head of the bed you can cause sh...

12. Groped on the job...

    ADDnurse replied to Tony35NYC's topic in Men

    Tony, you're to be commended for the mature and professional way that you dealt with this problem. Violence is, I agree, never the answer "in a professional setting". Just a few insights from my own experience: in 25+ years in nursing (including 10 y...

13. Question about Cushing's

    ADDnurse replied to Lorus's topic in Neuro

    No you didn't confuse me, but thanks for asking. I am however glad that we seem to agree that a decrease in diastolic blood pressure is not a component of cushings triad, but occurs after someone has herniated, be it supra, intra, or subtentorial. I ...

14. Question about Cushing's

    ADDnurse replied to Lorus's topic in Neuro

    Cushings triad consists of Hypertension, Bradycardia, and hyperventilation in the presence of increased intracranial pressure. The widening pulse pressure that accompanies the hypertension is as a result of the increasing systolic pressure in an atte...