ktliz

ktliz

critical care

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All Content by ktliz

  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. 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...

  4. 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,...

  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. What's your nursing kryptonite?

    ktliz posted a topic in General Nursing

    It goes without saying that to be a nurse, you need to have (or quickly develop) a strong stomach. But even with a stomach of steel, nursing kryptonite can leave you nauseated and gagging, even if...

  10. 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

  11. 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...

  12. 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...

  13. 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

  14. 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...

  15. 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...

  16. 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...

  17. How is your ICU staffing done?

    ktliz replied to cmp424's topic in MICU, SICU

    If a patient is in the ICU, it's because they require close monitoring. Hourly vitals, Is&Os, q2 or q4 assessments. Constantly watching that cardiac monitor, spO2, etc. That is why they are 1:2....

  18. What happens when they leave the ICU?

    ktliz replied to Tifftazia's topic in MICU, SICU

    I completely agree with Nalon1 that it is best not to get too attached. Luckily, I have always been the type of person who can feel extremely connected to someone in the moment, yet be able to say...

  19. Ativan

    ktliz replied to Mborn2185's topic in MICU, SICU

    You're right... I think chillceb's reply could be considered "hijacking" a post which leads to confusion. Chillceb, not sure if you realize it but this post is in the MICU/SICU

  20. Ativan

    ktliz replied to Mborn2185's topic in MICU, SICU

    You might get a better response in the hospice forum. In the ICU, our patients have IV access, so we use it. Hospice nurses will have more experience with PO or SL administration. Although, I probably...

  21. Interventions without MD orders

    ktliz replied to Novo's topic in General Nursing

    Almost nothing is autonomous in nursing. Just about everything is collaborative. Personally, I love my role. I will advocate for my patient all day and question doctors orders if necessary. But when...

  22. New grad position Neuro ICU or CVICU

    ktliz replied to Liz33's topic in Critical Care

    Have you been offered both of these jobs? What sort of feedback did you get from the hiring managers about the

  23. CRNA Hopeful: Should I stay in the Neuro ICU or move to the SICU?

    ktliz replied to froyoaddict's topic in Student Registered Nurse Anesthetist

    You said yourself that you are happy there and the unit has offered you great opportunities. That, combined with the fact that your co-workers are getting accepted, makes me think you should stay. It...

  24. Continuous CVP and infusions

    ktliz replied to RN RN RN's topic in MICU, SICU

    I'm not sure what you mean by having the stopcocks open to both the CVP and the infusions. If you are getting a CVP reading, the stopcock should be turned "off" toward the infusion. If you are...

  25. Pressure ulcer stage 2..what would you use?

    ktliz replied to seks's topic in General Nursing

    It is the thick white kind. We are only supposed to remove it with daily baths using soap & water. There are some nurses who want to remove it with every clean- up but we are working on...