phiposurde

phiposurde

critical care,flight nursing

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All Content by phiposurde

  1. CO2 and hydration

    phiposurde replied to lovethechaos's topic in Emergency

    *** That far out I would call that more a hypovolemic shock then dehydration. In that case, I would use base excess and anion gap more the co2. My 2

  2. Respiratory Acidosis?

    phiposurde replied to jaquelynne's topic in Emergency

    *** I can add to your first question, it is part of what we call toxidrome. In Emergency medecine we don't really treat the medication itself put more the effect they have. In that case we identifie...

  3. CO2 and hydration

    phiposurde replied to lovethechaos's topic in Emergency

    ** On an ABG the CO2 is related to ventillation. either you hypoventillate and it increase or you hyper ventillate and it decrease. I don't really see how you do a direct correlation between...

  4. Bkat

    phiposurde replied to orange-rn's topic in Emergency

    *** Never had to do such a test but it look like may test I did in the past. The trick for those questions is to ask yourself what is the first priority. The ABCD, ect. For example in the choices you...

  5. What do you love about ER nursing?

    phiposurde replied to jollyjenny's topic in Emergency

    *** That sens of doing poetry with chaos. To have a passion and a need to help come alive and make a difference in someone life. How could we complain? Making a difference in life of people in the...

  6. alveoli recruitment

    phiposurde posted a topic in MICU, SICU

    How do your recruit alveoli at your

  7. Capnography

    phiposurde replied to GilaRRT's topic in Emergency

    ** Funny, I try to implement the capnograph in our institution after going to a conference. My manager was very excited with it. Until she make the mistake to ask the RT department. They said it was...

  8. A Day in the life of a Trauma/Neuro ICU RN

    phiposurde replied to Fiesta Red's topic in Neuro Intensive Care, ICU

    I do both and I feel your pain ! Most people I saw trying the swing ER/ICU didn't like it. either they had to much ER or ICU blood in there veins!! But I am 3/4 ER and 1/4 ICU( it most be from my mom...

  9. Understanding of ECG leads

    phiposurde replied to MM2007's topic in CCU, Coronary, Cardiac

    http://library.med.utah.edu/kw/ecg/ecg_outline/lesson1/index.html here a web site that could help you a little bit. but remember where the lead are place and in some case it can help you understand...

  10. Diluting SQ Epi

    phiposurde replied to melrina75's topic in Emergency

    I quick note on S/Q vs IM during anaphylaxis: "Recent data have come to light regarding the preferred method of administering epinephrine. Simons et al performed a study in children in which they...

  11. EKGs in triage?

    phiposurde replied to etceducator's topic in Emergency

    At my hospital, we have a STEMI protocol. When EMS believe they have apossible STEMI, they send there 12 lead to our institution by fax. One of our doctor look at it. Plus we make admiting, the cath...

  12. alveoli recruitment

    phiposurde replied to phiposurde's topic in MICU, SICU

    That's our hospital protocol: " Using the Evita 4 and Savina ventilators 1. Wash hands pre and post procedure. 2. The plateau pressure can be determined in one of two ways: a) Place patient on CMV...

  13. Which pressor to use???

    phiposurde replied to cardiacRN2006's topic in MICU, SICU

  14. Which pressor to use???

    phiposurde replied to cardiacRN2006's topic in MICU, SICU

    Very interesting thread. I have more question then answer actually !! Here goes: what did the ecg shows?? I find it strange that the person in shock present with bradycardia as well. You aslo state...

  15. motivation ideas

    phiposurde replied to MarRN2's topic in Emergency

    Hard to answer without knowing what's making the staff not really interested in your past idea. I would suggest fisrt to do a little survey one on one with the staff to identifie what are there needs....

  16. Heading to the ED from ICU

    phiposurde replied to ParrotHeadRN's topic in Emergency

    I work in both so i'll try to see what i can do . First there a saying that state: icu nurse know a lot about a little bit and ER rn know a little bit about alot. You'll see that in the ER we aproach...

  17. crowded ER, solution?

    phiposurde posted a topic in Emergency

    We are living an amazing increase of acuity at my center. The population as almost double but not the hospital. The issue of flow as become to topic of the day. I was wondering how some of your...

  18. flight nursing speciality program

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

    Just for information purpose, in my quest of the Holy Grail in training ,I found that website:

  19. Abberancy and RVR?

    phiposurde replied to cardiac.cure03's topic in CCU, Coronary, Cardiac

    I found those site, in hope they will help you: http://library.med.utah.edu/kw/ecg/ecg_outline/Lesson5/ventricular.html

  20. advandced monitoring in the ER

    phiposurde posted a topic in Emergency

    I was wondering how many of your ED have advanced monitoring in there department( art line, cvp, intra abdominal monitoring, ect)? Did you find that it delay the transfert your patient to ICU...

  21. advandced monitoring in the ER

    phiposurde replied to phiposurde's topic in Emergency

  22. ABG rule of 15

    phiposurde posted a topic in Emergency

    [color=#ccff33]n i went to a conference on abg way back and the person spoke about the rule of 15 stating: [color=#ccff33]nhco3 + 15 = pco2 +/- 2 [color=#cc6600]nif it does, appropriate compensation...

  23. how to manage the waiting room?

    phiposurde replied to gonzo1's topic in Emergency

    We have 3 nurse at triage. Triage A do the main triage("the window"), triage B take care of the EMS and reasses pt in the waiting room. Our policy is CTAS 3 or less every 2 hour et CTAS 2 every 30...

  24. ABG rule of 15

    phiposurde replied to phiposurde's topic in Emergency

    Good rule but can trick you when there more then one process in

  25. anyone from Cleveland?

    phiposurde posted a topic in Emergency

    I will be in Cleveland in august for a course. I would like to take the opportunity to shadow a ER nurse from a trauma center if possible. The little french canadian want to see how you guys do stuff...