hypocaffeinemia

hypocaffeinemia BSN, RN

Critical Care

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All Content by hypocaffeinemia

  1. IABP blood pressure question

    hypocaffeinemia replied to NeuroNP's topic in CCU, Coronary, Cardiac

    Not familiar with other IABPs besides the Datascope C100/300s but it on occasion will do two unaugment beats to check timings and will allow you to view accurate unaugmented pressures. It's...

  2. Do you identify yourself as a nurse when you or your family are a patient?

    hypocaffeinemia replied to Brian's topic in General Nursing

    Maybe, but most of the time it's necessary. Case in point: My grandfather was admitted to the hospital yesterday. I visited prior to going to work (and changing into scrubs). I was told by his nurse...

  3. Why does Sonography pay more than nursing?

    hypocaffeinemia replied to PopeJane3rd's topic in General Nursing

    I seriously doubt their hourly is any more than an RN's with comparable experience and education, however, I do know they are hard to come by and our demand for inpatient ultrasound diagnostics alone...

  4. A&O x... How many?

    hypocaffeinemia replied to Music in My Heart's topic in General Nursing

    The only ones I care about are name and situation (ie, why the hell are you in the hospital?). I don't ask "who is the president" anymore because I live in Texas and the answer I am likely to get...

  5. Methodist Houston New Grad Residency Question

    hypocaffeinemia replied to redraider1977's topic in Texas Nursing

    Methodist will accept ADNs if you get your foot in the door in some capacity prior to graduating, but they are encouraging heavily getting your BSN

  6. Don't check residuals?

    hypocaffeinemia replied to TangoLima's topic in MICU, SICU

    Our Pulm/CCM docs are citing new research stating not to bother holding TF for residuals less than 500 mL. Yes, 500. Naturally, we nurses kindly disagree. I'm looking forward to reviewing the cited...

  7. How long have you seen codes last?

    hypocaffeinemia replied to MA Nurse's topic in General Nursing

    ICU here. We routinely have patients that are essentially in a "coding" state the entire shift. So sick we already have all the pressors maxed and will often pop in for a minute or two at a time to do...

  8. Code tonight.

    hypocaffeinemia replied to josh1974's topic in General Nursing

    If this was indeed the case, why weren't any vent alarms going off; or heard; or responded to (depending on what the case may be)? That is a glaringly huge gap in liability for an institution. If you...

  9. Are swans going "out of style?"

    hypocaffeinemia replied to TemperStripe's topic in MICU, SICU

    We barely swan or do any CO monitoring at all. An occasional sepsis patient, less than 1 a month. Of course, we're starting to do CV in the next few months and will have to quickly become more...

  10. Auto blood pressures?

    hypocaffeinemia replied to Jay2daq's topic in General Nursing

    Actual studies support NIBP's higher accuracy than manual in most

  11. Can ER Nurses work an 8 hour shift?

    hypocaffeinemia replied to Salterham79's topic in Nursing Career

    ER nurses can work any shift their employer will allow. I know at my facility there's one nurse that picks up a 4 hour 1900-2300 shift twice a week. They call this shift the "princess

  12. Vaccination Discussion: Free-for-all....

    hypocaffeinemia replied to Laidback Al's topic in Disaster Preparation

    It's not an insult. It's the plain truth. If there were still plenty of people who had doubts about heliocentricism, labeling them ignorant and/or misinformed would be just as

  13. bolus of fluid

    hypocaffeinemia replied to shrimpchips's topic in General Students

    I think the 999 is a hard limit with the Alaris pumps. In other words, they aren't capable of pumping faster in any circumstances. That's what gravity with/without pressure is

  14. A Link To Some Facts on the H1N1 Vaccine Controversy

    hypocaffeinemia replied to Scrub Monkey's topic in Disaster Preparation

    Oh

  15. bolus of fluid

    hypocaffeinemia replied to shrimpchips's topic in General Students

    Both the plum pumps we had/have and the new Alaris ones we're getting this week unfortunately have a max infusion rate of 999mL/hr. That's not very fast in the scheme of bolusing a patient so we will...

  16. bolus of fluid

    hypocaffeinemia replied to shrimpchips's topic in General Students

    Why does it sound dangerous to you? It's the rate, not the total volume

  17. bolus of fluid

    hypocaffeinemia replied to shrimpchips's topic in General Students

    4000 mL an hour is merely a liter every 15 minutes. If a patient is volume-deprived, that's nothing. I mean, think of the level 1 infusers we can use in ER/ICU for trauma or severely hypovolemic...

  18. ABG's

    hypocaffeinemia replied to apromm's topic in Nursing Student Assistance

    That's what I expected based on the pO2. In this case, it isn't compensated respiratory alkalosis. More like induced respiratory alkalosis. I often see a mild alkalosis in vented patients. The...

  19. Complete Heart Block Interventions

    hypocaffeinemia replied to filthy's topic in Nursing Student Assistance

    well actually, it's an ekg interpretation and separately a medical diagnosis. more importantly, however, it's a condition that may be in need of acls. cardiac arrest is technically a medical...

  20. ABG's

    hypocaffeinemia replied to apromm's topic in Nursing Student Assistance

    Anything more about the patient? Are they on a

  21. Complete Heart Block Interventions

    hypocaffeinemia replied to filthy's topic in Nursing Student Assistance

    Nursing interventions? Grab the zoll, slap defib/pace patches on the patient, and call the doctor. If symptomatic (and of decreased loc), start the pacing while someone else calls the doctor. Make...

  22. Would you have given the meds??

    hypocaffeinemia replied to **LaurelRN's topic in General Nursing

    There's a ton of literature available about tight glycemic management in the ICU (my area). Short of placing everybody on an insulin drip protocol with Q1h checks, there are so many variables...

  23. Would you have given the meds??

    hypocaffeinemia replied to **LaurelRN's topic in General Nursing

    i think that the md in question is being a bit irrational by wanting to hold all hyperglycemics and insulin. hypoglycemia is easily fixed, but severe hyperglycemia is a catch-up game and with the...

  24. A Link To Some Facts on the H1N1 Vaccine Controversy

    hypocaffeinemia replied to Scrub Monkey's topic in Disaster Preparation

    I love how every single quote provided is either: a) out of context to the currently discussed vaccinations; b) from an author with a known (and often listed!) preexisting bias against vaccinations...

  25. Would You Accept Swine Flu Vaccine?

    hypocaffeinemia replied to pagandeva2000's topic in Disaster Preparation

    The guy's banner at the top of the site says: "CLICK HERE TO FIND OUT MORE ABOUT MY BRAIN REPAIR FORMULA". His credentials are a laundry list of naturalistic fallacy advocacy mixed with a strong dose...