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hypocaffeinemia

hypocaffeinemia BSN, RN

Critical Care
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hypocaffeinemia is a BSN, RN and specializes in Critical Care.

hypocaffeinemia's Latest Activity

  1. hypocaffeinemia

    When drawing push meds, do you draw the med first?

    What I do for ativan: 1. Take a 10 cc pre-filled flush syringe. 2. Place blunt needle on it. 3. Expel 1 cc of fluid. 4. Draw up ativan so that total volume = 10 mL. 5. If I need to only give 1 mg I waste half in the sink.
  2. hypocaffeinemia

    Need help on drug dosage problem

    1000 mg dopamine in 250 mL. You're giving 13.5 mL/hour. Cross multiply this and you find that you're giving 54.16 mg an hour. 54.16 mg divided by 60 minutes in an hour divided by the patient's weight in kg yields 12 mcg/kg/min.
  3. hypocaffeinemia

    Identifying yourself as an RN when flying commercial

    Dunno. If I were placed in such a situation, I'd rather ask forgiveness than permission, though. I do know that AZ is a compact state as is TX where my license is, but I dunno if taking an order from a doc in AZ means I'm practicing in AZ as well. Doubtful, actually.
  4. hypocaffeinemia

    initial burn care in the ER

    Cover it with something sterile, get baseline labs, and start fluid resuscitation per the Parkland formula. I know ER tends to prioritize the active wound, but the burn will be nothing compared to the problems from possible rhabdomyolysis, hyperkalemia, acute kidney failure, lactic acidosis, etc. Acting ASAP helps to reduce the severity of those secondary problems that aren't often present until after transfer out of the ER.
  5. hypocaffeinemia

    Can someone please help me answer this question?

    That's just brilliant. "Excuse me, sir. May I interrupt your dying to find out your relationship status so that I can properly assess your psychosocial needs? " On top of that, it doesn't even address the question asked. Key words in bold: "...Which of the following [may] best help with determining why the client is currently having health problems?" I don't see why or how the patient's marriage status (which is quite a bit different than psychosocial wellbeing in its own right!) is relevant to current health problems. You're absolutely right to think Maslow. In this patient's case, stabilizing his physiological status takes the top priority. It's the bottom of the pyramid for a reason. Heck, if you look at the ABC's his C is in very poor condition and his B is quickly deteriorating.
  6. hypocaffeinemia

    Those that prefer to work with men

    Less passive-aggressive behavior, for one. If people upset/disappoint/anger me they know about it from me.
  7. hypocaffeinemia

    "Clinical Decision Unit"

    CDU is the politically correct term for "serial troponins until negative = discharge or positive = cath then IMU/ICU or stress" unit. Also known as "Fancy Observationland" or "Med/Surg Overflowland".
  8. hypocaffeinemia

    Can someone please help me answer this question?

    I'd go with D for excess sodium / fluid intake. And I'm only partially joking. The problem is the answer choices all avoid asking directly relevant questions merely to throw students off. If I ask if someone's been out of the country lately here in Texas, they could have been just as likely to hopped on a cruise or to have driven over the border into Mexico. It would be wrong to assume "international flight = DVT" in this case, especially when the symptoms are not those of pulmonary emboli, per say. Hx CHF plus the current symptoms scream exacerbation of CHF, so then narrow down to what would possibly exacerbate it. Being married, babysitting, and traveling don't particularly or directly exacerbate CHF. Although I suppose one could make a case for forgetting to timely take medications while traveling. Another quality question designed to trick students instead of teach them. In reality, people ask "Have you flown more than two hours recently?", "have you taken all of your prescribed medications on schedule?", and "Has your diet changed or been modified in some way recently?"
  9. hypocaffeinemia

    Alarm Fatigue?

    ICU Here. We had an incident last year that led to us only being able to silence the alarm at bedside, not at the nursing station. Makes responding very fun... As for number of monitors per monitor tech ratio, as a former monitor tech and the guy leading that committee for the design of our new building (opens next month!) we did a ton of research and we can't find any standards anywhere. We (not I) agreed to a 50-patient cap per monitor tech based on practice at other facilities. I agree it is too many, but there is literally no literature out there that looks at what should be considered safe practice for monitor techs.
  10. hypocaffeinemia

    Health Care is a right

    Lindarn, I do not want you and other people leeching our system with your lack of personal responsibility towards genetic disorders you choose to develop or medical problems derived from acts of fate you choose to participate in. As it is now, you are a burden on the system provided by the socialistic military we have. There is no right to healthcare and we shouldn't make an exception just because you served our country. The fact you pay so little for your military-provided health care is a travesty to the open market which shows that people are willing to pay many times what you pay for premiums and prescriptions. Artificial price controls like the ones in your plan stifle innovation in billing and lower profit margins. It's dangerous when insurers approve procedures with little to no complaining as that is pure loss for the insurer. How can free market insurers hope to compete with government-subsidized non-profits when the latter virtually gives its product away? That's a conflict of interest if I've ever seen one and just one way more our country is turning communist. For shame.
  11. hypocaffeinemia

    FDA Panel Votes to Eliminate Vicodin and Percocet

    No one denies the potency of placebo.
  12. hypocaffeinemia

    Health Care is a right

    You sound like a socialist. We shouldn't feed or house anyone. If they can't afford such luxuries they can afford us the dignity of at least finding a quiet corner of the world to curl up and die. Omaha, maybe?
  13. hypocaffeinemia

    FDA Panel Votes to Eliminate Vicodin and Percocet

    The reason darvocet in particular is a crappy drug is because research shows that there is no pain relief above placebo (propoxyphene-only) or above the acetaminophen in it (darvocet), yet it contains many of the typical opioid side effects and risks.
  14. hypocaffeinemia

    Labs for pneumonia and hypoxia?

    An ABG is indeed what I was hinting at. The expected interpretation is respiratory acidosis from likely hypoventilation. I'd also expect the pO2 to be somewhere south of good. Depending on just how south of good the ABG is, the patient might require intubation or at the very least, some CPAPing.
  15. hypocaffeinemia

    B-12 for weight loss, morbidly obese pt. best injection site?

    Therein lies the rub: Does vitamin B 12 actually increase energy in those without pernicious anemia or vitamin deficiency or is it the stuff of old wives' tales?
  16. hypocaffeinemia

    therapeutic interchange

    It means that to achieve the same function, you can give x of this medication instead of y of this one. Often done due to pharmacy formularly reasons. Or in the case of levalbuterol vs. albuterol, because the latter is significantly cheaper and the beta-1 agonist sparing effects of the former are debatable in practice.