hypocaffeinemia

hypocaffeinemia BSN, RN

Critical Care

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All Content by hypocaffeinemia

  1. Blanching arterial line???

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

    This. I've never had an art line go non-patent on me yet provided adequate flushing with saline

  2. Hypo/Hyperglycemia,in relation to BP

    hypocaffeinemia replied to Jjearkwein's topic in Nursing Student Assistance

    Stress -> increased cortisol -> enhanced gluconeogenesis, lipolysis, and and amino acid metabolism -> increased serum

  3. Question about giving O2

    hypocaffeinemia replied to xiongmao's topic in Nursing Student Assistance

    I am aware of what the question was asking. Nursing, however, doesn't exist in multiple choice. The student should be proactive in assessing what interventions might be needed for the patient....

  4. Question about giving O2

    hypocaffeinemia replied to xiongmao's topic in Nursing Student Assistance

    The patient in the scenario was very clearly severely hypoxic-- see the altered mental status with tachypnea and tachycardia. The chronic lung disease is relatively irrelevant in this acute situation....

  5. Hypo/Hyperglycemia,in relation to BP

    hypocaffeinemia replied to Jjearkwein's topic in Nursing Student Assistance

    There's an osmotic relation-- very high serum glucose levels will lead to increased diuresis which can develop into dehydration/hypovolemia with associated tachycardia and hypotension. You see this in...

  6. Epinephrine Dosage - is this too much?

    hypocaffeinemia replied to NurseHotFlash's topic in Nursing Student Assistance

    If the patient was on neosynephrine too, are you sure you weren't looking at the NORepinephrine (levophed) drip? 20 mcg/min is a typical dose for norepinephrine. 20 mcg/min of epinephrine is a "we've...

  7. Question about giving O2

    hypocaffeinemia replied to xiongmao's topic in Nursing Student Assistance

    Technically, most MD's prefer their patients kept alive. Only

  8. Hygiene More specific facial hair

    hypocaffeinemia replied to benr98's topic in General Nursing

    Both my school and now my hospital were okay with my facial hair so long as it was well-groomed and I passed the N95 fit

  9. Question about giving O2

    hypocaffeinemia replied to xiongmao's topic in Nursing Student Assistance

    This is the picture of someone that needs to be intubated pronto. Forget the nasal cannula-- this is the point where you reach for the non-rebreather and make sure you have an ambu bag at the head of...

  10. America's best hospitals... let's hear nurses opinons

    hypocaffeinemia replied to zuzi's topic in General Nursing

    As do

  11. Wasted premium dollars.....1.4 million a day on lobbying

    hypocaffeinemia replied to HM2VikingRN's topic in Activism, Healthcare

    The leaky

  12. Type of calculator needed for pharmacology class

    hypocaffeinemia replied to Truth14's topic in General Students

    You need a calculator that can multiply, add, subtract, and divide. A decimal point helps,

  13. Why Do Nurses Write: "no new orders received"?

    hypocaffeinemia replied to Anxious Patient's topic in General Nursing

    That last line is true. Of course, it's a dilly of a pickle we're in-- practice medicine without a license or let the patient code before giving the same damn drug under ACLS protocol! Luckily we have...

  14. No Prior Existing Conditions but Dead Anyway

    hypocaffeinemia replied to indigo girl's topic in Disaster Preparation

    Just lovely. Patient last week was type A influenza positive (wasn't differentiated at that point, but c'mon--it's July!). Don't particularly feel like dying a rapid death from swine flu this year....

  15. Blanching arterial line???

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

    Of course, even if the patient failed the initial Allen test (if it was actually done) it might be argued that one-time cannualization of the artery would be less traumatic and therefore less of a...

  16. How To Determine ET Tube Placement

    hypocaffeinemia replied to Kwest70's topic in CCU, Coronary, Cardiac

    It's not like it's some mutually exclusive competition between the methods. We listen x2 people for bilateral symmetrical air movement at the same time respiratory therapy is verifying via end-tidal...

  17. Is this common at your facility?

    hypocaffeinemia replied to missnurse01's topic in CCU, Coronary, Cardiac

    Sounds like the nurse is working essentially as an ACNP-- I wonder if that is their

  18. Blanching arterial line???

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

    Sounds like your patient failed the Allen test. Essentially while you were flushing you were preventing blood flow via the radial art route and it appears the ulnar artery was quite

  19. Drug incompatibility in ICU

    hypocaffeinemia replied to myra r.n's topic in Critical Care

    Bicarb might be a dedicated line but it's great to hang all the electrolyte riders. Others requiring dedicated lines: Xigris Propofol (technically, there are compatibilities here, but it requires...

  20. blood transfusion protocol

    hypocaffeinemia replied to PaKuRN's topic in Critical Care

    Most IV Pump manufacturers have special tubing for their devices that is compatible with blood, therefore allowing for it to go on to a pump. We have pump-compatible tubing here but almost never use...

  21. Why Do Nurses Write: "no new orders received"?

    hypocaffeinemia replied to Anxious Patient's topic in General Nursing

    Our MD Notification note in our EMR forces us to choose yes or no to "New Orders Given?" on every notification. Of course, here in the ICU very rarely do we not get the patient's needs addressed. A...

  22. I guess I'm too HOT to be a nurse.

    hypocaffeinemia replied to KY RN's topic in General Nursing

    I can't evaluate whether or not the interviewer's claims are true without photographic

  23. How much hard science is actually in Nursing School?

    hypocaffeinemia replied to SnoopysAunt's topic in General Students

    Not

  24. NP discusses MJ on national TV ????

    hypocaffeinemia replied to Misslady113's topic in General Nursing

    Anybody else see her credentials? Energy medicine practitioner? I'm sure this will reflect on NPs positively...

  25. So what's next? Techs telling us to call the docs?

    hypocaffeinemia replied to Tait's topic in General Nursing

    I was a monitor tech for many years before becoming an RN and I have a plethora of horror stories involving me informing nurses of dysrrhythmias where I can hear their deer in headlight glaze over the...