hypocaffeinemia

hypocaffeinemia BSN, RN

Critical Care

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All Content by hypocaffeinemia

  1. HESI How accurate is it really?

    hypocaffeinemia replied to merrywhiterose's topic in General Students

    How accurate is it? 0% of those who never pass the HESI at my school pass the NCLEX. You could say it has a high negative predictive

  2. ABG help

    hypocaffeinemia replied to tigerlilyrnstudent's topic in General Nursing

    The values or how to interpret the values? You pretty much just have to memorize the numbers. 7.35-7.45 is normal pH. CO2 is easy because it's 35-45 so it matches the pH as far as memorization goes....

  3. IV Valium and precipitates...

    hypocaffeinemia replied to WSU_Ally_RN's topic in Patient Medications

    Micromedex lists "variable" on valium's compatibility with most solutions, with some manufacturers listing NS as physically compatible and some listing immediate precipitation. Here's one study: "A...

  4. Somagyi vs. Dawn

    hypocaffeinemia replied to Feels Like JD's topic in Nursing Student Assistance

    Dawn's: increased insulin resistance in AM hours. Affects everybody to some extent. Somogyi effect: rebound hyperglycemia due to release of glucagon and cortisol to chase nighttime hypoglycemia. Seen...

  5. ABG question.

    hypocaffeinemia replied to sicushells's topic in MICU, SICU

    Seems to me the negative base excess is because he's compensating for the alkalosis. Negative excess = producing acid, which is nothing short of "well, duh!" given the alkalosis. Not sure what the...

  6. HESI Exit Exam

    hypocaffeinemia replied to JeseBJeans's topic in NCLEX Exam, Programs

    Suzanne said there's no NCLEX blueprint. What you're referring to is something produced in your package with evolve/Elsevier after taking the HESI, where they break down how you did across not only...

  7. FURIOUS! Ambulance Refused to Transport Patient

    hypocaffeinemia replied to tencat's topic in General Nursing

    In Texas, there's a separate "out of hospital" DNR a patient must have (and most do). We don't honor in-hospital DNRs or generic living wills, though I'm not sure if this was my particular unit's...

  8. How does your unit handle mandatory cancellations?

    hypocaffeinemia replied to ms. ann's topic in General Nursing

    If they say you're canceled, you should be canceled and not "on-call". If you are on-call you are limited in what and where you can go that day and should be given on-call pay appropriately. As to...

  9. FURIOUS! Ambulance Refused to Transport Patient

    hypocaffeinemia replied to tencat's topic in General Nursing

    Medic09, while I agree with you, I'm confused as to why a non-emergent transfer service was called nistead of 911. This part of the story doesn't make sense to me- he can't be falling and too...

  10. hypertonic solution, retain fluid or expell fluid

    hypocaffeinemia replied to kikoricco's topic in General Students

    Interesting study, somewhat related:

  11. Activity Intoleranc- Priority Diagnosis?

    hypocaffeinemia replied to blabberbrain's topic in Nursing Student Assistance

    While your patient meets one of the related factors for Impaired Gas Exchange (reduced O2 carry capacity of blood), does he might any of it's defining characteristics? If he doesn't have one or more...

  12. Which advice to follow, Kaplan or Saunders SICKLE CELL

    hypocaffeinemia replied to Lorodz's topic in NCLEX Exam, Programs

    Pub med has other articles on the topic: Why meperidine should not make a comeback in treating patients with sickle cell disease. Ann Emerg Med. 2008 Feb;51(2):202-3 Here's a nursing journal...

  13. Which advice to follow, Kaplan or Saunders SICKLE CELL

    hypocaffeinemia replied to Lorodz's topic in NCLEX Exam, Programs

    While it is no doubt true that demerol treats mild to severe pain, and I can see how it would have been the correct answer in the past, it is no longer best practice to use demerol. Here is an...

  14. EMT becoming a nurse

    hypocaffeinemia replied to emtj's topic in Pre-Nursing Students

    I'm an EMT and I am 4.5 months from completing my RN program. There are advantages and disadvatanges. You will have a leg up when it comes to clinical skills for at least the first semester. You are...

  15. FURIOUS! Ambulance Refused to Transport Patient

    hypocaffeinemia replied to tencat's topic in General Nursing

    My post was in reply to a post about the ethical nature of watching people make poor decisions when we have the capacity to treat, not the scenario presented in the OP. I wasn't there to say whether...

  16. FURIOUS! Ambulance Refused to Transport Patient

    hypocaffeinemia replied to tencat's topic in General Nursing

    It's not this way in Texas. We just chart the refusal, sometimes without even getting ID-- back when I was active EMS we'd show up at MVCs where everyone was superficially fine and everyone rejected...

  17. FURIOUS! Ambulance Refused to Transport Patient

    hypocaffeinemia replied to tencat's topic in General Nursing

    People have the right, that is to say, the autonomy, to make stupid decisions. This is unfortunate job security for all of us in health care. I think the ethical track is to educate the patient as...

  18. FURIOUS! Ambulance Refused to Transport Patient

    hypocaffeinemia replied to tencat's topic in General Nursing

    You said you phoned for a non-emergent transfer. If the paramedic's ambulance didn't have MICU capabilities it's no wonder he refused. Emergent transfer via whomever contracts with 911 for the area...

  19. Which advice to follow, Kaplan or Saunders SICKLE CELL

    hypocaffeinemia replied to Lorodz's topic in NCLEX Exam, Programs

    It's true that morphine is a vasodilator, but so is dilaudid and other opiates. I would imagine they'd both be acceptable

  20. Which advice to follow, Kaplan or Saunders SICKLE CELL

    hypocaffeinemia replied to Lorodz's topic in NCLEX Exam, Programs

    Not knowing what NCLEX would choose, I'd lean toward the evidence-based choice: Saunders. You'll note that many hospitals are removing demerol as a pain medication and automatically replacing demerol...

  21. The Looks of A Future Nurse!

    hypocaffeinemia replied to Newbie11's topic in Men in Nursing

    If you start to go bald, shave your head. Works for countless men including

  22. Can you give blood and antibiotics both at the same time through a triple lumen cath?

    hypocaffeinemia replied to mommy2anangel's topic in Patient Safety Issues

    This is more of a theoretical problem than a practical one outside of trauma. You can use rapid volume infusers with upwards of 250 ml/min on regular central lines, which is more than enough...

  23. Can you give blood and antibiotics both at the same time through a triple lumen cath?

    hypocaffeinemia replied to mommy2anangel's topic in Patient Safety Issues

    A CVC's lumen isn't any smaller than a peripheral IV and is often more expansive. For instance, the distal ports are 16 gauge at my hospital, and it is long, but nothing is contraindicating using a...

  24. IV help for medic student... tamponading the angiocath?

    hypocaffeinemia replied to btowndown's topic in First Year After Licensure

    Before I remove the needle I put a folded 2x2 under the hub and then hold firm pressure above the hub and quickly put on a syringe or extension tubing. A little bit of blood always bleeds out for me,...

  25. Largest ED in the US

    hypocaffeinemia replied to TeresaEDRN06's topic in Emergency

    I wonder what the record is for highest bed-to-patient load ratio is. We're only a 12-bed main ER, 10-bed fast track yet we see 60,000+ annually. Granted, we don't handle trauma so our acuity is...