anurseuk

anurseuk

Paediatric Cardic critical care

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All Content by anurseuk

  1. How To Determine ET Tube Placement

    anurseuk replied to Kwest70's topic in CCU, Coronary, Cardiac

    Straight after intubation? We would immediatly to auscultation for equal air entry etc and then confirm with CXR. Then we'd record length at which the ETT is tied and then we know if it's slipped etc...

  2. Cvicu,cvrr, Cicu, Ccu

    anurseuk replied to CCURN87's topic in CCU, Coronary, Cardiac

    I work in cardiothoracic critical care. It's mainly for recovery post cardiac or thoracic surgery and all being well they can step down to the high dependancy unit on the ward the next morning post...

  3. V-fib after Asystole

    anurseuk replied to Shell5's topic in CCU, Coronary, Cardiac

    Yes definatly. Was this an actual situation you had? What did you

  4. Death?

    anurseuk replied to Annieee's topic in General Nursing

    My first death after I'd qualified was quite sad; my patient must have had some sort of bowl obstruction, was peri arrest then faecal vomit erupted from her and she was gone after working on her for...

  5. Cvicu

    anurseuk replied to Special31's topic in CCU, Coronary, Cardiac

    With any new environment it'll take a while to fit in; I felt comfortable in ICU almost straight away... you need to try and relax and enjoy the new challenge, try not to be too freaked out by all the...

  6. easy way to remember drips...

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

    The use of a renal dose is quite controversal, research actually shows that it doesn't improve urine output; it does increase CO and pressures etc which would perfuse the kidneys which is why the...

  7. The eternal K+ debate

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

    In my unit we give mainly IV kcl, we give 20mmol over half and hour, or 40mmol over an hour. We aim for k of 4.5-5.0 but it's a cardiothoracic critical care. Most our pt's are intubated and dont have...

  8. easy way to remember drips...

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

    As a rule you would always wean your inotropes down and never just stop. I find that Dopamine isn't that great with hypotensive patients and noradreanaline is much more effective... and we use it as a...

  9. CCU nurse needs pearls of wisdom

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

    My unit is very mentally tiring, lots and lots of critical thinking! And when I've worked in general ICU there has been lots also; but I hadn't noticed one place to be more physically stressful. Is it...

  10. Pericardiocentesis/Pericardial window-whats the diff?

    anurseuk replied to Atrial Kick's topic in CCU, Coronary, Cardiac

    I'm in the UK in CT we have pericardial windows fairly often in out unit. http://www.ctsnet.org/sections/clinicalresources/thoracic/expert_tech-32.html Quite a good website for CT

  11. The things you never forget...

    anurseuk replied to nerdtonurse?'s topic in General Nursing

    Watching a heart transplant and after the pt's own heart had been removed looking into the open empty chest... very sereal. Looking after an older lady whilst a student, came in loss of contiousness...

  12. Why do I feel like an idiot?

    anurseuk replied to 2togo4rn's topic in General Nursing

    When I qualified that was when the real learning started... you will never know everything. But there are always things to learn, which is one of the things I love about

  13. chest tube drainage

    anurseuk replied to pxgs's topic in General Nursing

    I think you need to be a bit more specific also; I deal with chest drains on a daily basis so lots of things I could say.... bit more info and i'd be glad to

  14. Any advice on how to handle........

    anurseuk replied to LadyJRN1's topic in General Nursing

    Rise above it, go in, do your job, enjoy it and go home and let them go to theres and there miserable little

  15. Why do people go into nursing? Is it just the money?

    anurseuk replied to zoo*moon's topic in General Nursing

    It's definatly not for the

  16. Are you an introvert or extrovert?

    anurseuk replied to jessi1106's topic in Patient, Colleague Relations

    I would say I'm both... depends on the situation but I vary on both

  17. My question is: Why are nurses so mean to each other?

    anurseuk replied to LadyJRN1's topic in Patient, Colleague Relations

    Sorry to hear about your experience, I would say that any field in which you work you will come accross these sort of people. I believe that some people are just not team players and in any...

  18. Safety glasses

    anurseuk replied to frellyou's topic in General Nursing

    I wear glasses when doing endotracheal suctioning, extubating, stripping the haemo machines, removing chest drains... thats about it. Although I got a face full of transfusion blood the other day when...

  19. Some questions about being a nurse

    anurseuk replied to sam3992's topic in General Nursing

    Well like others have said... there is a lot more to it but I'll start by describing my day at work on a normal shift... as long as no emergencies come up. I work in cardiothoracic critical care,...

  20. Want to be a nurse but have a weak stomach!

    anurseuk replied to 987!'s topic in General Nursing

    Maybe it would be an idea to volunteer somewhere and get a bit or gross experience??? I find it a bit difficult to relate as have never been screamish... I bet though if you do become a student nurse...

  21. Dating at work

    anurseuk replied to galenanurse2b's topic in General Nursing

    Yes I would say be very careful with the doctors; once you've been with one and if it doesn't work out no matter how dignified you are etc you will get a bad name for yourself. And watch out for the...

  22. What else is out there?

    anurseuk replied to indiawhitaker's topic in General Nursing

    Is there 'more' than being a

  23. When the IV med is finished running

    anurseuk replied to *ac*'s topic in General Nursing

    I work in ICU so administer most drugs via central line so we can give things in higher concenrations. Most of our abx are bolus's and i would always flush the line with 5ml of normal saline after,...

  24. Hopeless? Hopeful? You be the judge...please

    anurseuk replied to Beary-nice's topic in General Nursing

    I think you should start looking at other hospitals for ICU's; I work in ICU and could not imagine working anywhere else. You have loads of experience and if thats what you want you should def just go...

  25. suprapubic caths

    anurseuk replied to Revolox's topic in General Nursing

    Regular bladder wash outs to reduce amount of sediment in catheter