ktliz

ktliz specializes in critical care.

Latest Activity

1. Cleaning up lines

   ktliz replied to nursingjudgment's topic in Critical Care

   Managing your lines is something that will come with experience. I remember being a new nurse, and tracing my lines over and over and over to make sure I knew where everything was going. We do the 3...

2. Which unit would be good for a RN with ADHD-inattentive to work on?

   ktliz replied to Guest11/16/14's topic in Nursing Career

   A previous poster said they found the ICU over-stimulating. Personally the combination of routine and adrenaline in the ICU has been perfect for me. But, a couple years into my career, I'm starting to...

3. Most drips at once

   ktliz replied to delphine22's topic in MICU, SICU

   One of my worst days on the unit--up to 16 pumps running at once, including abx, electrolytes and blood products. Four stacks of four pumps each. Patient was on CRRT so I was doing hourly Is&Os,...

4. Nursing shift report--what's your procedure?

   ktliz posted a topic in Critical Care

   We are moving toward a paperless report in our unit, using the computer to look up information rather than referring to a written Kardex. Previously, the off-going nurse would make a copy of the...

5. nursing care for chest tube of cabg patient

   ktliz replied to Altin's topic in Critical Care

   I've been told never to strip an intrapleural chest tube, but it's ok to strip the smaller, mediastinal

6. Your PROPOFOL stories wanted

   ktliz replied to RNNCcicu98's topic in CCU, Coronary, Cardiac

   Propofol is our go-to drug, usually with 50-100 of fentanyl Q1H PRN, or sometimes a fentanyl gtt. If propofol (max of 80) doesn't keep the patient adequately sedated, then we will go to midazolam. We...

7. sedation

   ktliz replied to jacsbein's topic in MICU, SICU

   Propofol. Or sometimes fentanyl with prn ativan. We will use dex when trying to extubate a patient who wakes up WILD when you turn the propofol off. In our facility, dex absolutely cannot be used for...

8. Does this feeling go away?

   ktliz replied to MrsICURN14's topic in Critical Care

   Sounds about right. The completely wiped-out feeling does diminish with time, but will never completely go away. You just learn to work through it. I will say that the mental exhaustion seemed to get...

9. University of South Alabama FNP program

   ktliz replied to Cauliflower's topic in Student Nurse Practitioner

   Sorry, Rhia, I didn't start at USA after all, due to finances. Hoping to start my MSN this fall but at a different school (with the help of tuition

10. Highs and Lows ICU style

    ktliz replied to FarminRN's topic in Critical Care

    Just about 2 years of experience in the ICU. Highs.. -Making my patient as comfortable as possible. Whether that means a bath, getting up and sitting in a chair, allowing them a few hours of...

11. To DKA or not to DKA, that is the question...

    ktliz replied to mouseynurse's topic in MICU, SICU

    Was doing a little googling for my own information, and found this page explaining the types of ketoacidosis...

12. To DKA or not to DKA, that is the question...

    ktliz replied to mouseynurse's topic in MICU, SICU

    I think you may have missed the part where the OP states that the patient is a type I diabetic. Therefore, the patient does require insulin and the DKA protocol would be

13. when to start compressions?

    ktliz replied to NurseCollins799's topic in CCU, Coronary, Cardiac

    Great thread. Just this week I had a patient in torsades requiring compressions and defibrillation. Following the code, we started a milrinone drip with a loading dose. Apparently his heart did not...

14. Is ICUfaqs.com outdated?

    ktliz replied to hdyoung's topic in Critical Care

    There may be a few tidbits that are outdated (meds, maybe?), but as every document on the icufaqs site states, it is not intended to be the "last word" on anything. It is a general overview of things...

15. Ativan

    ktliz replied to Mborn2185's topic in MICU, SICU

    True. So far haven't had this happen though. Often, when we withdraw care and the patient is too sick to go to hospice, they already have a central line/picc/port or something. If I lost IV access on...