fiveofpeep

fiveofpeep

critical care, PACU

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All Content by fiveofpeep

  1. SVR too low!!

    fiveofpeep replied to HeartRN80's topic in CCU, Coronary, Cardiac

    why would increasing volume increase your systemic vascular resistance? I can see increased volume increasing preload and thus increasing CO and BP but not SVR. Very interesting about the...

  2. Question regarding lack of bed bath in ICU

    fiveofpeep replied to aem31's topic in General Nursing

    I do think bed baths get missed. They shouldnt though because it really only takes 20 minutes but the thought of doing it seems so much more overwhelming. A lot of times I think it's just that we...

  3. How did you get into the ICU?

    fiveofpeep replied to missbutton's topic in MICU, SICU

    I was very lucky to go straight into ICU but I just wanted to let you know that we have several nurses who just crossed over to ICU from medsurg and tele. There is hope for you yet. They didnt do...

  4. Report from OR: What do you want to know?

    fiveofpeep replied to BridgetJones's topic in MICU, SICU

    at the hospital I did PACU in we got EBL all the time at this hospital in SI we dont ever get EBL in

  5. Report from OR: What do you want to know?

    fiveofpeep replied to BridgetJones's topic in MICU, SICU

    estimated blood loss please

  6. bolus and GI bleed

    fiveofpeep replied to fiveofpeep's topic in MICU, SICU

    the md prescribed the lasix only after my halfhearted report to the primary that the patient had crackles. I only called to report the crackles because the charge nurse was having a coniption about...

  7. bolus and GI bleed

    fiveofpeep posted a topic in MICU, SICU

    The other day I had a situation that really frustrated me. Patient was in our unit overnight until endoscopy the next day with massive amounts of frank blood in stool with a whole lot of clots too. We...

  8. Things that should be banned in acute care.

    fiveofpeep replied to november17's topic in General Nursing

    Sarcasm aside, I really do have a personal ban for caffeine. I work nights and there's no way Im giving my already loony toons neuro patients some extra caffeine in the

  9. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    fiveofpeep replied to simvee's topic in MICU, SICU

    I have cerner too. Why cant they put in a PRN sliding scale for the drug like for insulin for example and have it q15 or however. Then you can select the med under PRN and then input the amount...

  10. bolus and GI bleed

    fiveofpeep replied to fiveofpeep's topic in MICU, SICU

    The reason I know the patient was hypovolemic was because she had been bleeding for more than 12 hours before she had her first unit of blood and it is a constant flow of blood. The patient got 4U of...

  11. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    fiveofpeep replied to simvee's topic in MICU, SICU

    Im with brett. If you have to bolus more than once during your shift that is an indicator to me that the patient is not being adequately sedated. PS, I know that bolusing of propofol causes...

  12. Urine output: When do you let the MD know?

    fiveofpeep replied to SiempreBella's topic in MICU, SICU

    some mds are happy with any double digits

  13. communicating w/ pts on ventilators

    fiveofpeep replied to turnforthenurse's topic in MICU, SICU

    who about

  14. how to deal with this intensivist

    fiveofpeep replied to fiveofpeep's topic in MICU, SICU

    haha this is so true! I am covering myself whenever others mess up from now on. It's not about blaming others but making sure you dont get blamed for their

  15. how to deal with this intensivist

    fiveofpeep replied to fiveofpeep's topic in MICU, SICU

    thanks everyone for the support and advice well I lucked out and he was gone for a week and I finally talked to him recently for a patient and he was back to his usual self. I havent seen him but he...

  16. Daydreams of a perfect job

    fiveofpeep replied to Lola77's topic in General Nursing

    neuromuscular blockade w/ vecuronium, propofol gtt for sedation, morphine gtt for pain relief, and a vasopressor to keep my pressures up and some cool physiological problems to fix this is my ideal...

  17. Does Dobutamine fall into a category of Diuretics somehow?

    fiveofpeep replied to chitchat's topic in CCU, Coronary, Cardiac

    ala micromedix: "Dobutamine has no direct dopaminergic effect on the renal vasculature. It enhances renal profusion by increasing cardiac output. One study demonstrated that during the preinfusion...

  18. Brain surgery last week, then coming to ED for pain. Wait 4 hours to be seen.

    fiveofpeep replied to happy2learn's topic in General Nursing

    a 4 hour wait actually sounds pretty good to

  19. New to ICU? What have you learn so far?

    fiveofpeep replied to RN28MD's topic in MICU, SICU

    if your patient is on a PCA, make sure that the nurse before you connected a flush or the main to it so that your slow slow PCA rate will actually reach the patient. I trusted the nurse preceding me...

  20. how to deal with this intensivist

    fiveofpeep replied to fiveofpeep's topic in MICU, SICU

    oh rest assured, I most certainly would have called someone higher up the chain if I had stayed later, but this all happened right before I was handing my patient off to another nurse for the rest of...

  21. Too Short for ICU Nursing?

    fiveofpeep replied to sixthwannabe's topic in CCU, Coronary, Cardiac

    yeah, in all honesty, I am very petite myself and we all help each other. one of our nurses is itty bitty...smaller than you even and she gets by just

  22. ICU Psychosis ?????

    fiveofpeep replied to loricatus's topic in MICU, SICU

    Ive had patients and relatives taking reglan get wierd on me I work mostly neuro ICU so the story of my life is delirium screaming, punching, pulling lines, kicking that table connected to the bed,...

  23. communicating w/ pts on ventilators

    fiveofpeep replied to turnforthenurse's topic in MICU, SICU

    I absolutely love these communication boards: http://www.ahutton.com/v/images/VidatakBoard_Front_r2-800.JPG you can print it out and use one for each individual patient and they point to what they are...

  24. how to deal with this intensivist

    fiveofpeep replied to fiveofpeep's topic in MICU, SICU

    yeah and I would have liked to go up the chain of command further, but I handed my patient off before that was possible. I really impressed upon the nurse how worried I was about the pt's pain so I...

  25. how to deal with this intensivist

    fiveofpeep replied to fiveofpeep's topic in MICU, SICU

    I did write an incident report I didnt feel right calling the surgeon because the intensivist made the narc drip nontitratable so we could start weaning off the vent and I didnt want to supersede him....