meandragonbrett

meandragonbrett

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  1. Can't get stat lasix on override from accudose in telemetry unit..

    I can take out all of the fentanyl, morphine, hydromorphone, and midazolam in the world but we're not allowed to override APAP, promethazine, or odansetron. Explain that
  2. Would You Prefer a Male Nurse?

    I don't care as long as they don't kill
  3. Vasopressors- Critical Care RN's please help!

    epi is typically not a first line therapy for cardiogenic shock. while epi does increase map by increasing cardiac index, stroke volume, and heart rate, epi does not cause a decrease in svr as it...
  4. Vasopressors- Critical Care RN's please help!

    I would not have given the diltiazem. You mention that he was in A-Fib and was hypotensive....this is unstable a-fib and he should have had synchronized cardioversion. As far as what is used when:...
  5. What has been your sickest patient

    My sickest here recently involved 30 units of packed cells, 40 liters of crystalloid, 14 of FFP and 80 of platelets. vasopressin, epi, norepi, THAM, multiple electrolyte gtts, insulin gtt, and an...
  6. Facilitating intubations

    Yes, propofol is used on a routine basis by anesthesia providers for intubation. Some providers will do a RSI and some will not. There are many different drugs that can be used for intubation....
  7. Facilitating intubations

    For an intubation? Overkill I
  8. IV push

    you wouldn't flush with sterile water, but some meds are mixed with sterile water for reconstitution to be given ivp or
  9. Describe an average day at your hospital

    1830--Clock in, put my crap away, print my two strips (sometimes 3 strips unfortunately) 1900--I've hopefully finished report by now. If not, I know it's going to be along night because either...
  10. Shoes

    Nike Shox, Danskos, and
  11. arterial & venous sheath

    we always transduce our sheaths until we pull
  12. easy way to remember drips...

    Not all facilities use weight based epi and levophed. Many use
  13. Baptist Memorial Memphis?????

    I would not work on the floor at Baptist. The staffing ratios are horrible. ICU on the other hand is not too bad. Baptist has great benefits and pay but you will earn every
  14. do you chart vent settings?

    Yes, I chart my vent settings, respiratory assessment, and Vt
  15. charting"incident report filled" in nurse's notes

    I would have told the RT to write the incident report if she wanted. This was NOT an unplanned
  16. Nurse was so RUDE to me in report, what should I say next time)

    Give report, be professional, and ignore the
  17. Trauma/ Transplant Patients

    Yes. A lot of traumatic injuries result in multiple orthopedic injuries. Some people are broken in so many places you'd think they'd never sit up for 6
  18. EMT-Practitioner

    Seriously? I'll sign the petition....the one that is against this
  19. dumb conscious sedation questions

    ChicagoBSN, Run from your job and report them to the state. That is a MAC case not conscious
  20. removing tegaderm

    Just because it doesn't hurt you doesn't mean it doesn't hurt somebody else. If there's hair there, it's GOING to
  21. V-tach

    I'm pretty sure the professor has confused V-tach and supra
  22. unsafe assignment? (long - sorry)

    Another thing to remember is that you can technically refuse an assignment. The hospital might not like it and come after you for it, but that is your right. 3 patient assignments can be very...
  23. Most common medication drips in ICU

    You also might want to look up: THAM, Solumedrol, NaHCO3 gtt, esmolol, cardene, nipride, labetalol, metoprolol. I also recommend to learn the differences between dobutamine, dopamine, norepi, epi,...
  24. Which ACLS course would YOU take?

    If your hospital requires you to have ACLS, why are they not offering the class and sending you to it? You mention working as an extern. Are you talking about a position after you pass boards or...
  25. Mixing multiple iv drugs in one syringe

    You will learn that some things can be mixed and that you will do it on a routine basis to save supplies. For instance Morphine/Dilaudid/phenergan are routinely mixed and given with one syringe. If...