slcpicu

To answer your first question. We calculate an oxygen index (OI) on these patients needing increased vent support and worsing abg's. If the OI is approaching 20 (most of the time more like >15) we will place them on HFOV. If the OI is >25, we ...

Good Question. I would say that 2-3 months is probably enough. BUT with that in mind. I would have to say the acuity of the patients this nurse oriented to would have to be pretty high to feel comfortable with a true critically ill pt. There are m...

This is what I would highlight. Your previous care of critically ill patients. I would highlight your critical thinking skills, vent management, knowledge of abg's, inotropes, and vasopressors. Those things are much harder to "teach". It takes time t...

ok, you made it alittle more difficult, but I am assuming that it is 500 MG/250 ml. Otherwise it would be running very very fast. 2.5*99.7*60=14,955 14955mcg/hr divided by 2000mcg/1ml =7.46 ml/hour Hope that helps!

Great Discussion! I will add my 2 cents. Like others posters have said, bicarb in a code situation will help prevent the overwhelming acidosis that comes from decreased to no cardiac output. In most cases, bicarb only fixes the numbers and not the...

Thanks LOVEICU for the update!! I, to, was not worried 6 months ago but I am now. I will be starting school in May 09 and hope the credit freeze has improved somewhat by then. My school has set the COA at a "reasonable" amount and it is doable. Bu...

hey how's it going. 1. I have 4 years experience...will have 5 when I start school. 2.GPA 3.84 3. waived for GPA 4. well i know you said you didn't like the city but the city will most likely have higher acuity pts and therefore a better learning op...

Interesting case....I agree with the other posters that this is a Septic shock state as evidenced by the hypotension the pt had. The latic acid was within normal because the pt was actually managed well and that prevented the anerobic metabolism fro...

Although I have only seen it a few times in the adult ICU population, we use calicum gtts all the time in post op cardiac patients in the peds world. If we are having bp issues and the pt responds to the calcium bolus, it is not uncommon to start a ...

I was a new grad and I answered: "I would like to be the small fish in a big pond because I would have lots of room to grow." Kinda cheesy but after talking with others I think it might have been a good answer. Anyway I did get the job then so who ...

I would be prepared to answer some of the following: Why do you want to work in the acute care setting? What are your strengths and weaknesses? Name a time you failed and what you did about it? What makes you the stronger canidate? What experience do...

movinup The pao2 is 40 which is very low. It is highly likely that there is some anaerobic metabolism going on because there is decreased 02 leading to the decrease in HCO3 although it wasn't given to us. No O's to the toes which will lead to the met...

Thanks Registered. Wow I ended up being kinda right to begin with. LOL sometimes it's better to be lucky than good. This is a very interesting case. Any updates on outcome? Dinith 88 did you have a question?

Daisy, I am very sorry for your loss. I will attempt to answer some of your questions. I have seen many organ donations and taken care of many before becoming donors. I just want to say thanks for making that very difficult decision. As for the l...

Since there has been 103 ppl look and no one reply, I will be the first. IF you search alittle on here you will probably find some of the answers to your questions that have been posted already. But anyway I will answer. I really over prepared to say...

I had alot of questions prepared on a 3x5 index card. I think it was very important because it drove alot of my interview. Otherwise, I think it would have been fairly short. I asked: what do you think are the program's strengths and weeknesses D...

I would have to say that most programs accept only adult experience. With that being said, I have mostly PICU experience in very large Level 1 trauma centers. I have my own opinions about the nicu but I would suggest for level of acuity and if you ar...

Overall, you sound like a pretty good canidate. You will be coming from a very well known program. you have showed your dedication by being proactive and doing some grad level courses. (and did well in them). Spend some time on your statement of purp...

Currently, I am in denver, co. I have worked in slc, ut and mississippi, all of which hired new grads into there ICUs and had excellent educaion programs for new grads. (peds and adult)

All of our neonates that come back from cv surg are nasally intubated.

Granted this is a metabolic problem being liver fx and increased ammonia. With the information provided, I can tell you what the bicarb is and calculating what the gas should be if there is no metabolic component it would be 7.52. So, with the infor...

So beside what others have posted. I will give you what I did. I preface this by saying I totally over studied for my interview(s) I found alot of questions by a SRNA on another site and used those templates to make my own study guide. Lots of behav...

I think your chance of getting into school depends on many factors that the committee will look at. GPA of course is one of them and they range from lows of 2.8 to 3.2 with most around 3.5 or higher. So as for your friend saying 25 to 1 chance, I m ...

In my opinion, you do have a chance. I think you would increase your chances by taking some master level courses that proves you can do the work. Also, CCRN is a great indicator to some school that you have the patho and critical care knowledge need...

As the professor that interviewed me said " the best school in the nation is the one you will graduate from" If you look, there are rankings out there that mean absolutely nothing. I think there are pros and cons in both your choices and I would spe...