jellybeanmead

Yes, we give it. You check NA every 4 hours. It seems to work well, but, it always depends on the patient and the brain!!

250 is a good bit of fluids. Maybe they should have him on NS with 20meQ KCL and give him scheduled doses of KCL through the NG or dobhoff. As a neuro patient there is still the risk of spasms, as stated, but you don't want to overload. They sometimes write for TIVF + PO= XYZ (TIVF- Total Intravenous Fluids). He has a flap now so he has room to swell, but thats not what we want. Yes, we use 3% on a continual rate (like 30-50ml/ hour) w/wo maintenance . (must check sodium levels every 4 or 6 hours). We use 23% if needed or prn ICPs (mostly the NP or MD has ordered us to give it). However, it all depends on the unit and MDs. Hope your guys stays well. Stay on top of his neuro checks, lytes, and scans! :)

I work Neuro ICU and we most def. give it undiluted. Haven't had any issues with it before. However, as stated, every patient is different. Good advice guys. :)

oh yeah, by the way. i have heard that cedars is not a great place to work. i am not sure why, but everyone i talk to seems to really dislike it. i am not sure if they take first time travelers. however, a lot of places say they dont, but dont count yourself out. if they need the help, then they need the help!!!

I am a first time traveler and I am finishinig my contract at UCLA next week ( I have been here for 6 months- since June). They do take first-time travelers. It was not bad at all. I was on the Neuro ICU/Trauma floor. The people were very nice. The best assignment ever. I actually think i am spoiled now. However, now I will look into USC or something and keep it moving. But look into it. I think they need travelers on the CTU- Cardiothoracic floor at UCLA. I dont know much about that floor, but I know they need people badly. Well, I hope it works out!!

:typingHi! I am looking for a travel nursing job in the Los Angeles California area. I am an ICU nurse and I work dayshift. I was trying to go with an agency that offered a rental car, but now I am kind of open with my criteria. However, it seems like a number of the agencies I have talked to only have night shift positions. Is it really this hard to find a day-shift ICU position in LA? Thanks for all of your help!!