littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. the best ETT securing methods and devices

    littleneoRN replied to ligucis21's topic in NICU, Neonatal

    Do you find a need to replace your tapes more often than every 7 days? Just curious. I don't feel like we retape very often--I definitely wouldn't guess every 7 days. There is definitely a concern...

  2. the best ETT securing methods and devices

    littleneoRN replied to ligucis21's topic in NICU, Neonatal

    I'm a newbie too, but I guess I don't understand the big push to use a new device. We mainly use tape, which is inexpensive and more secure than our other options. We have relatively infrequent...

  3. Babies discharged on caffeine

    littleneoRN replied to nicunana's topic in NICU, Neonatal

    We often discharge home on caffeine and a monitor with parent CPR and monitor training. We generally try to have several days without apnea requiring intervention prior to discharge even with a...

  4. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Wow Jan! I have been busy working and other such things and have been away from the thread for some days, but I just read to catch up. Thanks for sharing your

  5. Test Your Neonatal Critical Care Knowledge

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

    Well, I was thinking pyloric stenosis. Because often these kids aren't vomiting until a couple to several weeks of life, when they start with the projectile vomiting. (not usually bilious?) So...it...

  6. Does where you work offer insurance policies?

    littleneoRN replied to DirtyBlackSocks's topic in General Nursing

    My employer offers insurance to anyone working an FTE. (In other words, not per diem or casual). The minimum FTE you can work here is 0.4. So if you can commit to 16 hours a week, you have...

  7. Methadone and NAS- from a mom's perspective

    littleneoRN replied to MamaAndDoula's topic in NICU, Neonatal

    Thanks for your perspectives. I agree with much of what you have said. We get moms who are on methadone both for history of illicit drug use and history of long term legal narcotic use for chronic...

  8. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Hemophagocytic

  9. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I would think we might get an abdominal ultrasound or CT to evaluate the liver and spleen. And given the pancytopenia, perhaps a bone marrow biopsy? I would think we would want some liver labs, BUN,...

  10. Test Your Neonatal Critical Care Knowledge

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

  11. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    It's not cheating EK! The UAC--if you're shooting for a high-lying--should have the tip between T6 and T9. The UVC just needs to be above the diaphraghm. (This helps you confirm that you're not in...

  12. Test Your Neonatal Critical Care Knowledge

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

    Steve will rock his boards for sure! I'm hoping to be there someday too, so I'll soak up any little tidbits he's got to

  13. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I think I'll still hang around here a bit too as I like learning some new things. I'm not very good on the spot, but a great question or scenario for this might just pop into my head someday. Feel...

  14. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Ok, I wasn't sure if they were more common in other PICUs than ours. I think when our heart kids go down for their repairs, they get new lines and the umbilical ones come out. We can see what...

  15. Test Your Neonatal Critical Care Knowledge

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

    SGA is purely based on the infant's size related to gestation, typically considered below the 10th percentile. IUGR is a more specific category for infants who have not reached their growth potential...

  16. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Oh my! I consider myself a newbie and a guest on this forum, so I don't know what to ask! Sorry to you true PICU folk, but I don't think I can stray things back toward the peds world. :) I'll have...

  17. Test Your Neonatal Critical Care Knowledge

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

    I believe that neonates who experienced absent end diastolic flow actually tend to have enhanced lung maturity. I would think this is because these fetuses have experienced chronic in utero stress....

  18. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Well, let's hope. But I'm never assuming. :) Just covering my

  19. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    What about a coarctation? I feel like with TGA with VSD, we'd be more likely to see increased vascularity on the chest x-ray due to increased pulmonary blood flow, which the poster didn't mention....

  20. PICC TKO Rate

    littleneoRN replied to NicuCourtney's topic in NICU, Neonatal

    Clear fluids with 1 unit heparin/1 mL. Running at 1 ml/hour from a bag via a pump without buretrol. We mainly use 1.9 fr single lumen. Typically, we only keep the PICC in for about 24 hours after...

  21. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Trauma! Even more foreign to an NICU nurse. I love it! :) I don't think that a hemoglobin of 11.3 is all that low. I think that it would be lower with a splenic laceration or rupture. And wouldn't...

  22. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    True, true. But this child is two. Are you suggesting that we have a wrong diagnosis or just adding a tidbit of info? Most of our docs have been around for a long time (and our nurses too for that...

  23. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I think you might see a low CO2/respiratory alkalosis earlier in an acute asthma event due to tachypnea, but in this case, the asthma has progressed to a more severe/prolonged situation, in which I...

  24. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I'd expect the K+ to be a little bit lower. The continuous albuterol nebs are going to drive down your serum potassium,

  25. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Propafenone, procainamide, or esmolol? Would you use digoxin here? Hypothermia? I'm out of my knowledge base here, but a girl can