anurseuk

anurseuk

Paediatric Cardic critical care

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All Content by anurseuk

  1. CCU & ICU

    anurseuk replied to nursemomof3boys's topic in CCU, Coronary, Cardiac

    I my hospital we have a general ICU and the a cardiothoracic critical care/intensive care and two coronary care units (also CCU) which can be quite confusing. In the UK we're more likely to refer to...

  2. Ventilaion post CABG

    anurseuk replied to cloggs's topic in CCU, Coronary, Cardiac

    We use volume controle SIMV, usually set volume around 500mls, although this is changed depending on the patients weight. And we also do ABG's pretty regularly to try to warm wake and wean quickly so...

  3. What should I do....

    anurseuk replied to Maco's topic in General Nursing

    Throw caution to the wind and jump in with both feet. Don't listen to gossip, try and clear your mind of that and make your own judgements about her when you get there, as I'm sure you'd want her to...

  4. AF - sympathetic response to?

    anurseuk posted a topic in CCU, Coronary, Cardiac

    Hi, My mind just will not work properly today... just a quickie... If a pt is in rapid AF do they still have a sympathetic responce to the high HR with the baroreceptors releasing adrenaline to cause...

  5. Night Shift = Second Class?

    anurseuk replied to NewNightShifter's topic in General Nursing

    We all rotate from days to nights, no permanent staff doing one or the other so I don't encounter any of these problems. Permanent nights??? Don't think I could do

  6. Internship in CICU, Need help!

    anurseuk replied to FlGaNurse's topic in Cardiac

    Just make sure you are up to date on your a & p therefore if you don't understand what something is you'll be able to understand how it works when it is explained to you. Just be keen to learn, go...

  7. Nursing student, and two deaths this week (very long, sorry...)

    anurseuk replied to LovingLearning's topic in General Nursing

    Maybe not the most comforting thing I can say but... It happens! It sounds like you coped very well at the time, and keeping a professional manner is very important. It sounds like you had already...

  8. Not taking 0xygen Saturation on patients...???

    anurseuk replied to RN2B123's topic in General Nursing

    I don't see why anyone would not do the so2... it takes seconds. Also, by doing routine obs on pt's you can pick up other underlying (sometimes life threatening problems) which had not previously been...

  9. Paranoid and just had to call work...

    anurseuk replied to penny77's topic in General Nursing

    I've texted friends at work asking how my patient is, if they've been particulaly unstable during the shift or if I've got a bit attached to them. I don't ususally call work although I'd had a...

  10. "Well, that's ONE way to do it!"

    anurseuk replied to AngelfireRN's topic in General Nursing

    I never hav but I think I could :) may find out one

  11. Acls

    anurseuk replied to WahooRN08's topic in CCU, Coronary, Cardiac

    Try the skillstat website, has got some good interactive tests on there with refernece to ACLS and rythm recognition as well as algorythms. Good

  12. I'm only 22 years old.

    anurseuk replied to oncologynurse77's topic in General Nursing

    I find this quite offensive - a very sweeping statement to

  13. I'm only 22 years old.

    anurseuk replied to oncologynurse77's topic in General Nursing

    I'm only 23, qualified when I was 20. Have seen a lot of suffering... but it's the difference you can make. And I think it has a lot to do with mindset and maturity rather than age with reguards to...

  14. SWANS - Wedging

    anurseuk replied to Kolt19's topic in CCU, Coronary, Cardiac

    On my unit our nurses wedge as long as no contraindications, and the frequency is based on the patients need for gaining a PAWP. We have quite an extensive competancy pack to complete first

  15. Trasducer leveling

    anurseuk replied to juraviel's topic in CCU, Coronary, Cardiac

    Whats wrong with lining it up by sight? I know us critical care nurses are anal

  16. post-op cabg care

    anurseuk replied to jetty's topic in CCU, Coronary, Cardiac

    We used to routinely give our post CABG pts dex saline 1ml/kg/hr, although most surgeons do not want this. Typically our patients end up being 2lts positive at end of day of surgery. Usually the...

  17. Mean Arterial Pressure

    anurseuk replied to eaetaylor's topic in CCU, Coronary, Cardiac

    In my unit it is rare that we'll titrate drugs on the SBP and nearly always it is on the MAP; therefore the SBP and DBP are accounted for in the MAP. I work in a cardiothoracic critical care and...

  18. K+ levels: fingerstick or venous. help,,,

    anurseuk replied to cured's topic in CCU, Coronary, Cardiac

    We would only take our samples either from an arterial line or venepuncture or central venous catheters... the same sample on two different ABG machines can be different (not usually by that much),...

  19. Post-Surgical Cardiovascular ICU Books???

    anurseuk replied to NsgChica's topic in CCU, Coronary, Cardiac

    I've got a book called 'cardiothoracic surgical nursing' by Carl Margerson and Jillian Riley... I think it's def worth having a read

  20. Any one use ventilators? can i ask you a question please?

    anurseuk replied to dissle's topic in General Nursing

    We use HME's for short term, then after 48hours switch to wet

  21. Catchy One-Line Phrases

    anurseuk replied to chenoaspirit's topic in General Nursing

    Sometimes I'll say to pt's when a dr is putting in an arterial line or chest drain that they can do it to him afterwards... they seem to like

  22. Milking chest tubes

    anurseuk replied to CleioRN's topic in CCU, Coronary, Cardiac

    It's really important to keep the chest drains patent after cardiac surgery, we make sure they are draining and have to milk if clots are

  23. chest tubes

    anurseuk replied to deadlydevil's topic in CCU, Coronary, Cardiac

    The only time you should clamp a chest drain is with pt's who have had a pnumonectomy; where the surgeon may request that it is unclamped for 1min every hour (or what ever their personal preference...

  24. London nurses?

    anurseuk replied to samraj08's topic in General Nursing

    Also proudly from Uk over

  25. The title of "nurse"

    anurseuk replied to HeyLush3's topic in General Nursing

    This is one of my pet hates... In my eyes I worked hard to be able to call myself a nurse! If other people want to be nurses they should do the training!!! Student nurse or CNA would be appropriate....