Leah8183

Leah8183 has 10 years experience and specializes in Critical care.

Latest Activity

1. Peripheral pressors

   Leah8183 posted a topic in MICU

   I was taught to mix levophed as such: 4mg/250ml D5w and to use 8mg/250ml in central lines. The rationale was that 8mg was more of a vesicant and if extravasation occurs, it causes even more damage...tell me where I'm wrong/right.

2. Trauma Program Manager

   Leah8183 posted a topic in Emergency

   I'm just looking for advice, tips, and guidance; just some insight. I have 8+ years of critical care experience in various ICU's. I got my TNCC, as our facility was just becoming certified as a trauma center. That being said, I observed the proces...

3. Guidance needed

   Leah8183 posted a topic in Management

   I am interested in getting into nurse management/leadership. What advice would you give and what route of college education would you recommend? I tend to favor a master's degree in nurse leadership, but I wonder if I need to focus more on a master...

4. Bolus 25mL/hr

   Leah8183 replied to Leah8183's topic in General Nursing

   Perfect explanation!

5. Bolus 25mL/hr

   Leah8183 replied to Leah8183's topic in General Nursing

   I really hesitate to hook up anything that is going fast with something that is going at a prescribed rate because I don’t want to take the risk of punching something in fast, inadvertently. In my head, everything being mixed at the Y-site would be ...

6. Bolus 25mL/hr

   Leah8183 replied to Leah8183's topic in General Nursing

   Right. The pump is controlling the rate. The flow of one line is 999, while the flow of the other is 200. Once the 200 line gets into the 999 line, everything in the 999 line is, then, being pushed in at 999, from the Y site on. CalicoKitty expla...

7. Bolus 25mL/hr

   Leah8183 replied to Leah8183's topic in General Nursing

   Thank you so much for y’all’s explanations! It has helped a lot! You’re right. The “secondary” or “add on” wouldn’t run out at a faster rate. I do believe that once it enters into that primary line, it’s shoved into the vein with the IVF, much lik...

8. Bolus 25mL/hr

   Leah8183 posted a topic in General Nursing

   So, my title was to grab attention. ? I did encounter a nurse that thought we run a bolus at 25cc/hr, though, so it’s not a complete lie. LOL! I get mixed answers about Y-siting into a fluid bolus. Some people think it’s OK to Y site an anti...