zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Journals for nurses who want more

    zacarias posted a topic in General Nursing

    Hey all, I think Nursing2008 and Nursing Made Incredibly Easy are good journals for nursing but I'm looking for a journal that is a bit more medical. I'm looking for a journal that talks about the...

  2. Journals for nurses who want more

    zacarias replied to zacarias's topic in General Nursing

    Thanks for all your suggestions. I think a specialty magazine might be the way to go. I'm a tele nurse and there isn't really a cardiac care magazine just for tele nurses but there is that British...

  3. Question about Telemetry

    zacarias replied to luv2shopp85's topic in Cardiac

    so the middle lead is the V lead and not

  4. How does the Doc order the rate in IVF administration?

    zacarias replied to jamst149's topic in Patient Medications

    I like that website posted above, but it's recommendations (going from NS to D5W and back again..and the other using 0.18 NS) I never see used. I am one of those nurses who arrives on shift analyzing...

  5. Breath sounds..experienced nurse

    zacarias posted a topic in General Nursing

    Hey all, Haven't posted here in a long time. Anyway, I'm a nurse with over five years now of experience who feels good about my nursing ability but occasionally I feel unsure. There's just so many...

  6. Breath sounds..experienced nurse

    zacarias replied to zacarias's topic in General Nursing

    Thanks guys for your encouraging (understanding) comments, they made me feel normal LOL. I haven't been to allnurses.com for a long time...I miss the group!NREMT-P/RN, sounds like you have an...

  7. angiocath questions

    zacarias posted a topic in Infusion, Intravenous

    Hey, When you start an IV, is it ok to see blood run up the catheter in addition to the flash chamber? Also, if I got slight blood return, not total red, but some and it was positional, should I...

  8. worst night of my 5 year career

    zacarias posted a topic in General Nursing

    Hey all, I was called to the carpet by the day shift nurse I gave report to on a person who fell last night. She was suffering from extreme abdominal pain. The morphine wasn't helping and the...

  9. Becoming a Certified Diabetic Educator

    zacarias posted a topic in Nursing Career

    Hey all, I'm having a difficult time finding this information. I'm a RN 1.5 years out of school with med/surg and tele/stepdown experience. I've always enjoyed the pathophysiology of diabetes and...

  10. IV help

    zacarias posted a topic in Infusion, Intravenous

    Hey all, I'm at work and feel so defeated. I need real help when it comes to IVs. Lately I can't get any and am not even getting flashes most of the time. I feel horrible if I have to an IV...

  11. IV help

    zacarias replied to zacarias's topic in Infusion, Intravenous

    I am a nurse with four years experience and good in many ways. But I'm desperate for IV help!!

  12. stupid question about the brain...

    zacarias posted a topic in Neuro Intensive Care, ICU

    I'm really trying to bone up on neuro because I feel nursing school doesn't do much for it and I take care care of stroke patients sometimes. Knowning where the caudate is can help, I don't know,...

  13. Patient crashing / K+ Rider

    zacarias replied to zacarias's topic in General Nursing

    Thanks for everyone's comments. I really appreciate it. A lot of people wondered why I didn't just give the K+ PO. The reason is she was NPO and per our protocol we can give it PO or IV. I agree...

  14. Starting IVs on old sick people

    zacarias posted a topic in Infusion, Intravenous

    Hey, I've read tons of info on starting IVs and used to start them quite frequently a fews ago but now am having problems. Am working at a new job where we do our own IVs and not having good...

  15. Nurses - Leading your subordinates (Nurse Aides, Nurse Techs, Med Aides)

    zacarias replied to brotherbear's topic in Nurse Management

    This is a personal thing, and maybe it's a regional thing but I don't use the term "aide." I also don't say "my aide." I don't own them, they go home and live a life without me when the shift is...

  16. TIB/FIB wound

    zacarias posted a topic in Wound, Ostomy, Continence

    Hey all, I have a trauma patient who almost had a tib/fib amputation, but they did an ORIF and now it's an open wound. Well Plastics ordered wet-to-dry dressings (I know I know) for the wound and...

  17. Lose dose dopamine

    zacarias posted a topic in Patient Medications

    Hey, I had a pt last night admitted for a non-cardiac issue (Bell's Palsy) and he's normally HTN. For some reason he's 64/45 in the morning so of course we're freaking out. We give a bolus,...

  18. Lose dose dopamine

    zacarias replied to zacarias's topic in Patient Medications

    Glasgow, Thank you so much for you well-written post. Your sentiments are mine exactly and I was looking for "backup" if you will. Like you said, why start low-dose dopamine hoping it will help...

  19. Violating a Code Status...

    zacarias replied to Haunted's topic in General Nursing

    I find it odd the woman was resuming coumadin while she is anemic and worked up for

  20. Crazy stuff can happen

    zacarias replied to gt4everpn's topic in General Nursing

    The order read "apply cream to pannus folds BID" Nurse thought that the doctor spelled it wrong so applied cream to man's member. Were there folds?

  21. Traumatic Brain Injury pt

    zacarias replied to zacarias's topic in General Nursing

    Thanks for the all the posts and follow ups. It's interesting that posturing doesn't occur all the time. This patient had massive cerebral and brain stem bleeds, so I figured he would posture when...

  22. Traumatic Brain Injury pt

    zacarias posted a topic in General Nursing

    Hey, Last night I took care of a pt s/p CHI with tib/fib fx and humurus fracture. It's a terribly sad case but I have a question. This guy showed NO reaction to sternal or clavicle rub, but...

  23. Traumatic Brain Injury pt

    zacarias replied to zacarias's topic in General Nursing

    Jen, thanks for your response. I was wondering. Is it possible for a person's brain and/or brainstem to be so compromised that they don't even exhibit decerebrate posturing? Or will they always at...

  24. Traumatic Brain Injury pt

    zacarias replied to zacarias's topic in General Nursing

    Thanks for the replies, I took care of this same patient today and he did scrunch his face with clavicular rub and sometimes with sternal rub. He always scrunches with turning head. I still don't...

  25. notifying family

    zacarias replied to All_Smiles_RN's topic in General Nursing

    This is weird situation, I mean the code can be such a fast thing that how does one really go about calling the family and getting them to come before the docs call the code? Plus, there's usually...