meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Need feedback

    meandragonbrett replied to KQ777's topic in CCU, Coronary, Cardiac

    I like it too! Yeah, the bedside surgery that we do (on a regular basis it seems) is cool and hard-core at first....but it gets old after a while because it just screws up your your entire night as...

  2. Need feedback

    meandragonbrett replied to KQ777's topic in CCU, Coronary, Cardiac

    When you get up to dosing that is approaching 100mcg/minute, it's really not going to make much difference whether you're at 90 or 100mcg/minute. They become so catecholamine engorged, that a good...

  3. Need feedback

    meandragonbrett replied to KQ777's topic in CCU, Coronary, Cardiac

    Yes, I have run levo wide open.....when doing surgery at the bedside and in the middle of a code. Why do you ask? Why would a resident say anything about this situation you have

  4. Question about Phenergan and tachycardia SE...

    meandragonbrett replied to zamboni's topic in Emergency

    We give phenergan in PIVs all the time. As long as you dilute it appropriately and push it slowly (in a patent PIV) you shouldn't be having a problem. I typically mix 12.5mg in 10-15ml of

  5. Subscription to "Critical Care Nurse"

    meandragonbrett replied to sarah_bellum's topic in MICU, SICU

    Critical Care Nurse and American Journal of Critical Care are both publications of the AACN. All AACN members get the two journals. They're a great resource. Good

  6. NGTs

    meandragonbrett posted a topic in General Nursing

    Does anybody have any literature regarding the use of low continuous vs LIS on a NGT/OGT? One of our physician's is insisting that the literature shows that LCS is more effective and safe than LIS...

  7. help needed for calculating drip rates

    meandragonbrett replied to anfe's topic in CCU, Coronary, Cardiac

    Concentrations are NOT standardized across the country. Our amio runs at 18ml/hour and 9ml per

  8. Neuro ICU - Withdrawl of life support...is this so wrong?

    meandragonbrett replied to Nacki's topic in Neuro Intensive Care, ICU

    I think the key word is that propofol CAN cause respiratory arrest but it's not 100% going to cause it running at a few mcgs. Vecuronium will ALWAYS cause resp. arrest 100% of the

  9. Neuro ICU - Withdrawl of life support...is this so wrong?

    meandragonbrett replied to Nacki's topic in Neuro Intensive Care, ICU

    D/C the diprivan and start Morphine or fentanyl gtt and a versed gtt at 3-4mg is what I would have pushed for. Just my personal

  10. zofran question

    meandragonbrett replied to Nurse Lulu's topic in Patient Medications

    If it said "Zofran gtt" it would be likely talking about a zofran drip rather than zofran drops. A zofran drip would be totally worthless in my opinion (unless if the MAR reflects that it's given...

  11. Supervising, Managing & Delegating Client Care

    meandragonbrett replied to adeaguero's topic in General Nursing

    Remember that when you delegate that you give the appropriate task to the appropriate person. The best thing for you to do would be to get a hold of your state's scope of practice for CNA, LPN, and...

  12. Drips

    meandragonbrett replied to Nursekat64's topic in General Nursing

    I always put everything on it's own seperate pump for infusion. Depending on what type of access I have, I will ususally y-site things like Fentanyl/versed/MIVF/propofol. TPN takes up it's own...

  13. Doctor won't back up his telephone orders!

    meandragonbrett replied to In_Chantress's topic in General Nursing

    I would file an incident report every single time. I would aslo ensure that another RN is given the order over the phone so that there are two RN signatures on the verbal

  14. Why do hospitals still have day/night rotations?

    meandragonbrett replied to edogs334's topic in General Nursing

    Typically people who do D/N rotations do it because they still want to work days also, but they don't have enough senority to work straight

  15. List of critical care internships..

    meandragonbrett replied to zram44's topic in MICU, SICU

    You'll have to contact individual nurse recruiters from hospitals you might be interest in. Pretty much all major hospitals have some sort of formal orientation program for new graduates in critical...

  16. Drug Screen

    meandragonbrett replied to megananne7's topic in General Nursing

    umm, benadryl is an OTC drug. You likely have nothing to worry

  17. Peripheral IV lab draws

    meandragonbrett replied to kimmie518's topic in General Nursing

    I've never heard of such a thing. What is their rationale for not draw labs from a

  18. admission assessments...

    meandragonbrett replied to trmr's topic in General Nursing

    Our admits aren't too bad in my unit. We can have a SICK admit done in about 20-25 minutes and one that's not sick in 10-15. Everybody on the hall generally comes and helps you: hook up to monitor,...

  19. Peripheral IV lab draws

    meandragonbrett replied to kimmie518's topic in General Nursing

    I routinely draw off a PIV if it's a good patent line and they don't have central access. Often times people lose their lines by using too much force when aspirating. Take your time and aspirate...

  20. No Pharmacology class!!!!

    meandragonbrett replied to nursekrys's topic in General Students

    Most schools who don't have a specific pharmacology course incorporate pharm into their fundamentals and med-surg courses. Are you in an Associates or BSN? Most AS/AD programs integrate their pharm...

  21. Which Strips Are MOST Dangerous?

    meandragonbrett replied to pagandeva2000's topic in General Nursing

    3rd degree AV, Torsades, PSVT, Afib, Aflutter, Junctional rhythms, etc. Good

  22. ICU Nurses: How many of your patients actually get better?

    meandragonbrett replied to AZO49008's topic in General Nursing

    So true,

  23. ICU Nurses: How many of your patients actually get better?

    meandragonbrett replied to AZO49008's topic in General Nursing

    I think you're just used to seeing the patients at their worst....they're swanned, vent, a-line, CRRT/CVVH, multiple pressors, septic, etc. Lots of folks do well and recover to either 100% or some...

  24. does anyone use swans anymore?

    meandragonbrett replied to squirlkeeperCCRN's topic in MICU, SICU

    Here is a link to an abstract discussing PAWP and PADP relationships. Anybody have any other literature?

  25. Doctoral degree to become an NP???

    meandragonbrett replied to VickyRN's topic in Doctoral Nursing Degrees

    markdanurse.....a DNSc IS a research doctorate and it DOES require a