rarjn5

rarjn5

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All Content by rarjn5

  1. new to allnurse/calculating drips for ICU/CCU

    rarjn5 posted a topic in MICU, SICU

    I'm new to allnurse. I would like to post questions on calculating drips for drugs in the ICU/CCU setting. Any suggestions on how to get the best response from people. My math comprehension is lacking...

  2. st segment monitoring

    rarjn5 posted a topic in CCU, Coronary, Cardiac

    I'm having a hard time with st segment monitoring. For example if you had a pt with serial troponon levels between 79-89, mbcpk 1.8. The st monitoring shows: avr) 0.9, avl) 0.4, avf) -1.5, I) -0.3, II...

  3. Meds to know for the New Grad in ICU

    rarjn5 replied to shel_wny's topic in MICU, SICU

    Congratulations to you on your new position! There are many drugs that one uses in the Critical Care setting. Some common drips that we use are: dopamine, levophed, cardizem, nipride, insulin,...

  4. Help with inverted T-waves/reciprocol

    rarjn5 posted a topic in CCU, Coronary, Cardiac

    Can anyone help me with understanding inverted t waves in leads say V2, V3, V4 or V5. What does reciprocol changes

  5. Common Drips Used in CCU

    rarjn5 replied to DangJ's topic in CCU, Coronary, Cardiac

    I have been reading about Neo-synephrine and its pure alpha effects and that it does not effect the heart rate. In what circumstances have you seen it used? I have been asking at my ICU/CCU and nurses...

  6. CCRN advice Need

    rarjn5 replied to tammyg652's topic in MICU, SICU

    Congratulations to you! How long did the test take? How many questions? Did you use any of the official CCRN study books or CD study questions? I'm still trying to get my strategy together on how to...

  7. Help with inverted T-waves/reciprocol

    rarjn5 replied to rarjn5's topic in CCU, Coronary, Cardiac

    Thank you very much and you have helped me with the ongoing learning process of critical care nursing (or nursing in general)! And most of all just having the feedback from other nurses is a great...

  8. Help with inverted T-waves/reciprocol

    rarjn5 replied to rarjn5's topic in CCU, Coronary, Cardiac

    Thank you Papawjohn. So just to recap: inverted T waves don't mean ischemia? Secondly: inverted T waves are not considered reciprocal changes. Thirdly: Do reciprocal changes correlate with specific...

  9. CCRN advice Need

    rarjn5 replied to tammyg652's topic in MICU, SICU

    Thank you for all the help. I think I will try Laura's DVD first and go from

  10. Help with inverted T-waves/reciprocol

    rarjn5 replied to rarjn5's topic in CCU, Coronary, Cardiac

    Thanks Pricklypear! I think my question is more complex to answer then I

  11. CCRN advice Need

    rarjn5 replied to tammyg652's topic in MICU, SICU

    specifically, should I buy the Laura's DVD's and the CCRN review book, or what? And where is the best site to buy

  12. Help with inverted T-waves/reciprocol

    rarjn5 replied to rarjn5's topic in CCU, Coronary, Cardiac

    Thank you Reddy! I started to look at the link and it looks like a lot of good

  13. Help with inverted T-waves/reciprocol

    rarjn5 replied to rarjn5's topic in CCU, Coronary, Cardiac

    Thank you pricklypear for your response. I appreciate the time put into responding because I know it still takes time out of your schedule. In response to your post, are all reciprocol changes...

  14. IV push rates

    rarjn5 replied to fleasle's topic in General Nursing

    I don't know of a card system for IV push meds but I use 2006 Intravenous Medications. Authors: Betty L. Gahart and Adrienne Nazareno. Publisher: Elsevier Mosby. It is the size of a regular drug book...

  15. critical care nurse-pt ratio

    rarjn5 posted a topic in General Nursing

    Does anyone know where to find the laws for nurse-pt ratio for the critical care (ICU/CCU) areas in the state of California. I have looked but cannot find it. Is it a law or just a guideline? What...

  16. critical care nurse-pt ratio

    rarjn5 replied to rarjn5's topic in General Nursing

    Thank you Lindarn. I sent you a private e-mail. I'm new at maneuvering through allnurse, so I hope you received my private

  17. train of four

    rarjn5 posted a topic in MICU, SICU

    can anyone direct me to protocols on train of four? Or does anyone know about the parameters for train of four and guidelines on how to administer the test. And is it mainly used for a drip for a...

  18. train of four

    rarjn5 replied to rarjn5's topic in MICU, SICU

    Oh good, somebody who has heard of the adverse effects of paralytics and steroids used together. I my short time in critical care I have not seen a paralytic drip. What I have seen in my small Unit is...

  19. train of four

    rarjn5 replied to rarjn5's topic in MICU, SICU

    Thank you for the information. Does anyone know why steroids are contraindicated with paralytics? How do steroids and paralytics interact to cause a adverse reaction? I really appreciate all this...

  20. CCRN Certification

    rarjn5 replied to dukeRN's topic in MICU, SICU

    Does anyone have any advice for a new ICU nurse, almost 2 years, for studying for the CCRN test? How should I tackle the studying and what study helps should I buy? What is the test like and how long...

  21. train of four

    rarjn5 replied to rarjn5's topic in MICU, SICU

    Does anyone know of a website that has a picture of the train of four? Thank you for the reply. I really appreciate the

  22. st segment monitoring

    rarjn5 replied to rarjn5's topic in CCU, Coronary, Cardiac

    sorry I meant 0.78 to 0.89 serial troponin. Does that seem significant in light of the st segment elevations that I wrote earlier? And how would one distinguish between if someone had an MI with...

  23. interpreting labs for thyroid

    rarjn5 posted a topic in General Nursing

    Does anyone know how to read labs for thyroid. For example: If a person is DX with hypothyroidism, will the T3, T4 come back low. And the TSH come back high. My understanding is the body is sensing...

  24. new to allnurse/calculating drips for ICU/CCU

    rarjn5 replied to rarjn5's topic in MICU, SICU

    Continuation of loricatus' response. If esmolol comes in a premixed bag of 250ml, concentration of 10mg/ml, my calculation would be to set my IV pump to 150cc to deliver 250mg (25cc) of esmolol over...

  25. new to allnurse/calculating drips for ICU/CCU

    rarjn5 replied to rarjn5's topic in MICU, SICU

    Thank you for your fast reply. I have actually read everything on Mark H's website. It is great! I found it by accident and was relieved to read answers to some of my "dumb questions" and realized I'm...