Pheebz777

Pheebz777 BSN, RN

ICU, CVICU, E.R.

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All Content by Pheebz777

  1. Too Old to Enter Critical Care Nursing?

    Pheebz777 replied to Fiddlesticks27's topic in Critical Care

    35 is only a number. Only you can answer that question. Are you open minded? Are you willing to study hard? Are you willing to accept new failures and learning experiences? You can be 20 years old...

  2. Adensonie

    Pheebz777 replied to FirstLadyRN's topic in MICU, SICU

    Yes, as Emergent RN stated above, the patient should always be connected to the "defibrillator". But instead of having 2 nurses push the adenosine, you can just hook up a 3 way stop cock, place the...

  3. RT focus on pao2?

    Pheebz777 replied to hotcoffee's topic in MICU, SICU

    You can't keep the patient O2 dependent forever so trying to wean off as much as possible is a logical intervention. AS long as the saturations are above 92% I wouldn't worry about the PO2. Unless...

  4. Feeling overwhelmed

    Pheebz777 replied to CardiacDork's topic in Critical Care

    That ACLS website I posted has a bunch of megacode scenarios which both multiple choice and videos which will really get you familiar with all the ACLS meds, prioritizing, interventions for the...

  5. ICU Patient Ratios

    Pheebz777 replied to Misnim's topic in Critical Care

    Normally our ratio is 1:2 down here in McAllen Texas. 2 vents at max per nurse. Although we go 1:3 sometimes depending on acuity of the patients, however we do have those days when we have multiple...

  6. PEEP and blood pressure/other hemodynamics

    Pheebz777 replied to sunnybabe's topic in Critical Care

    There you go! You hit the nail on the head! Sunnybabe don't think of CVP only as preload. CVP measures pressure in the right ventricle on end diastole. So any condition that affects the pressures in...

  7. Why 1/2 normal saline?

    Pheebz777 replied to tsm007's topic in General Nursing

    What's the Serum Osmolarity of your patient? Check that and we can have a better understanding of the fluids

  8. Feeling overwhelmed

    Pheebz777 replied to CardiacDork's topic in Critical Care

    Knowledge and education is power! This power will give you the confidence and skill set to overcome your fear in the ICU. This website on ACLS algorithms will help you master the basic foundation...

  9. PEEP and blood pressure/other hemodynamics

    Pheebz777 replied to sunnybabe's topic in Critical Care

    PEEP not only increases intrathoracic pressures, but it also increases the venous pressure in the pulmonary vasculature. The increase in pulmonary vascular resistance increases the pressures in the...

  10. PEEP and blood pressure/other hemodynamics

    Pheebz777 replied to sunnybabe's topic in Critical Care

    Peak Inspiratory pressure is the total amount of pressure given during the inspiratory phase of the ventilator. PIP is the total inspiratory pressure + PEEP. PEEP helps the driving force of oxygen...

  11. where else do ER nurses go?

    Pheebz777 replied to rearviewmirror's topic in Emergency

    What about being a PICC line

  12. Abset/Flat T-wave

    Pheebz777 replied to Jlucasrn92's topic in CCU, Coronary, Cardiac

    Once you understand vectors, you'll have a more clear cut understanding on reading 12-lead EKGs. For BBB, V1 and V6 are the 2 only leads you should be looking at. They are the only 2 leads that will...

  13. Any sedation/intubation specialist here?

    Pheebz777 replied to rearviewmirror's topic in Critical Care

    Here's a detailed summary of the common sedation induction agents used for RSI Sedation or induction agents for rapid sequence intubation in

  14. Any sedation/intubation specialist here?

    Pheebz777 replied to rearviewmirror's topic in Critical Care

    You can read all you want about the different sedatives and paralytics, however the decision of what to use boils down to the doctors' preference and what he/she is most comfortable with. I would...

  15. Adenosine administration

    Pheebz777 replied to sreynolds's topic in Emergency

    That's why I don't know why some nurses still use the "running IV line and use the next port up" method. Once you flush the adenosine, there will be some "running upward" of the medication from the...

  16. What is the difference between ICU and Urgent Care and ER?

    Pheebz777 replied to xmilkncookiesx's topic in Critical Care

    I work all areas. I have more ICU / CVICU experience than E.R. experience though. To answer your top 3 questions: What is the difference? ICU is more thorough. You take every aspect of the patient...

  17. Sodium bicarbonate push

    Pheebz777 replied to lvcrn's topic in Critical Care

    Sodium Bicarb (that I know of) comes in the pre-filled 50ml syringe or comes in the 50ml vial. I've never heard of having to dilute the bicarb any further prior to administration. Did yours come in...

  18. The return of the sign on bonus

    Pheebz777 replied to NurseEmmy's topic in General Nursing

    I took a $25,000 sign on bonus for a 3 year contract and paid travel expenses up to $2,500. 10 years later I'm still here! lol! Another hospital a few miles from where I work was offering $50,000 for...

  19. Nursing speciality for someone that hates people

    Pheebz777 replied to Gogol's topic in Patient, Colleague Relations

    There are many fields of nursing stated above that has limited interaction with people. But in my honest opinion, you cannot be your best in your field of nursing without having first hand experience...

  20. How many days do you work in a row?

    Pheebz777 replied to Jaellys's topic in General Nursing

    I work 2 full time jobs. 12hr shifts. 13nights in 2 weeks. 1 day off every pay period. CVICU at one job, Urgent care E.R. At the other job. No burnout

  21. Explain: Preload vs Afterload

    Pheebz777 replied to outside_child's topic in Cardiac

    You tube has a low of wonderful animated videos that explain this. Once you watch one, you'll never forget

  22. Pacer spikes not showing up monitor

    Pheebz777 replied to Lev's topic in CCU, Coronary, Cardiac

    What is the reason for the pacemaker? If the patient's inherent beat is normal, rate WNL then the pacemaker could just be doing its job and not pacing when it does not need

  23. Aortic stenosis

    Pheebz777 replied to glitterglamRN's topic in Critical Care

    To the OP. To simplify things, cardiac output (CO) is dependent basically on 3 key elements. Pre-load, AFterload and Contractility. The better the CO, the better coronary perfusion you achieve. Now,...

  24. What nurse life-hacks do you have to offer?

    Pheebz777 replied to Purple_roses's topic in Nurses Rock

    I've discovered over the years of nursing practice that the best time to give Lactulose is just right before shift

  25. Drugs for acute heart failure

    Pheebz777 replied to zzyzx's topic in CCU, Coronary, Cardiac

    Those are pretty vague patient profiles you provided so it is almost impossible to give you a straight answer. But what you need to keep in mind is how to prevent ventricular remodeling, preventing...