phiposurde

phiposurde

critical care,flight nursing

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All Content by phiposurde

  1. Dropping temp too fast...

    phiposurde replied to ElizabethJRN's topic in MICU, SICU

    *** The only thing I could see, is you could send the patient in hypothermia. Then is to determine if your patient could tolerate it. If his a post-cardiac arrest or a isolated head injury good. But...

  2. Hhnk

    phiposurde replied to haji's topic in MICU, SICU

    for your first question about the mi. any process that increase the metabolism demand increase the demand on sugar.in that case patient with diabetes since they have difficulty producing the right...

  3. Understanding ABG's

    phiposurde replied to charlieroe's topic in MICU, SICU

    ****There a technic I saw on a DVD that maybe could help you. It is very simple but don't include everything. As a comparison it would be reading only the rhythm and rate on a 12 lead without Reading...

  4. Protocols/Standing Orders

    phiposurde replied to CraigB-RN's topic in Emergency

  5. to give or not to give, that is the question??8)

    phiposurde posted a topic in Emergency

    Man in the ER. Found on the ground by landlord. Last seen normal 10 days ago.Come in with slurred speech ( resolving), R side weakness ( uper worse then lower). Sodium 165. Urine output about 50 cc/h....

  6. to give or not to give, that is the question??8)

    phiposurde replied to phiposurde's topic in Emergency

    *** Sorry, I was just covering that patient while the RN was on break. I believe no osmo was done. creatine was normal. Potassium was normal I believe. As for the dextrose comment. I was thought any...

  7. to give or not to give, that is the question?8)

    phiposurde posted a topic in Neuro Intensive Care, ICU

    Got a patient in the ER. Man found by landlord on the floor. Last seen normal 10 days ago. Come in with slurred speech( resolving), R side weakness( uper worse then lower). Sodium at 165. Ck normal...

  8. flight nursing speciality program

    phiposurde posted a topic in Flight, Surface Transport

    Poor little canadian Rn who is looking to take class on-line to get specialize in aeromedical nursing. So far I coudn't found anything in Canada, anything in the

  9. game of letters

    phiposurde posted a topic in Emergency

    With the years I have accumulate a list of interesting course. I thought I had them all listed . Lately, I discover that there is more very interesting out there. Here the list of the acronym of...

  10. interesting article

    phiposurde posted a topic in Emergency

    Accession Number 00003246-200704000-00016. AuthorNguyen, H Bryant MD, MS; Corbett, Stephen W. MD, PhD; Steele, Robert MD; Banta, Jim PhD, MPH; Clark, Robin T. BS; Hayes, Sean R.; Edwards, Jeremy; Cho,...

  11. ENPC v.s PEPP

    phiposurde replied to Belle12's topic in Flight, Surface Transport

    I was talking to an other pediatric RN and she said :"if I woudn't work all the time with kids. I would have not took anything out of that course or understand it.

  12. ENPC v.s PEPP

    phiposurde replied to Belle12's topic in Flight, Surface Transport

    I never did the PEPP( but now I want to8). When I did the ENPC, it was long, boring and very lecture oriented. It could be possible that it was the instructor but I got the feeling it was the format...

  13. where would it show?

    phiposurde posted a topic in Emergency

    I had an interesting case last week in the ER. 21 years old lady with HX of epilepsia. Last Sz 6- 1 years ago. Not a very good Hx from fiance cause" just been dating her 6 month ago.But I know for...

  14. Monitoring Plateau Pressures

    phiposurde replied to GilaRRT's topic in Flight, Surface Transport

    *** That's part of our ARDS policy. Patient with"normal" lung. I believe we do the 8-10

  15. SLAM and ABLS course

    phiposurde replied to phiposurde's topic in Emergency

    *** That was one of my concern when I read the brochure. They don't seem to spend alot of time on each

  16. Question on absence Sz

    phiposurde posted a topic in Neuro Intensive Care, ICU

    I had an interesting case last week in the ER. 21 years old lady with HX of epilepsia. Last Sz 6- 1 years ago. Not a very good Hx from fiance cause" just been dating her 6 month ago.But I know for...

  17. CO2 and hydration

    phiposurde replied to lovethechaos's topic in Emergency

    *** Very interesting, but just to keep that discussion interesting: "In most cases, metabolic alkalosis is caused by loss of hydrochloric acid (HCl) through the kidney or GI tract, especially due to...

  18. Monitoring Plateau Pressures

    phiposurde replied to GilaRRT's topic in Flight, Surface Transport

    *** I found that maybe it could answer your question:

  19. Monitoring Plateau Pressures

    phiposurde replied to GilaRRT's topic in Flight, Surface Transport

    *** Not sure if it is a trend. Like I just said, I am just discovering the use of that number. But some of our protocol are base on that level. The ICU i work for is pretty medicine base and pretty...

  20. CO2 and hydration

    phiposurde replied to lovethechaos's topic in Emergency

    "just looking at labs, i would say one lab that could help differentiate uncomplicated dehydration from a hypovolemic shock state would be the serum lactate. in addition, abg findings and serum...

  21. CO2 and hydration

    phiposurde replied to lovethechaos's topic in Emergency

    *** so in order to have a real win/win situation . When would it be more a shock and more " dehydration"? also, when in dehydration would the level co2 start changing( mild, moderate,

  22. Monitoring Plateau Pressures

    phiposurde replied to GilaRRT's topic in Flight, Surface Transport

    New concept for me too. But we use it more as well. From my understanding, you can tell a few things with that number. It can be use in esthablishing alveoli recruitment to assess and determine the...

  23. Amiodarone and Cardizem drip??

    phiposurde replied to MedicRN151's topic in Emergency

    In my opinion. CHF cardizem and metroprolol not a good combination. Amiodarone better choice. Plus, if a medication is working why continue with it?? If patient very unstable as per ACLS electricity,...

  24. CO2 and hydration

    phiposurde replied to lovethechaos's topic in Emergency

    **** Made your point. To celebrate it, next patient I have with dehydration I will look at the SMA-7 AND the

  25. CO2 and hydration

    phiposurde replied to lovethechaos's topic in Emergency

    Is infection equal sepsis??8) The question was that dehydration is related to co2 content. My point is that for that to happen alot of change have to happen to the acid/base balance to create a change...