TangoLima

Latest Activity

1. NaHCO3 lead to SVT?

   TangoLima posted a topic in MICU, SICU

   Hi all, Had a really rough/busy night last night, but I'll get straight to my question: One of my patients has a suspected case of necrotizing fasciitis. Her lactic acid on admission was 10.8, and had...

2. what are common times to run IV's in ?

   TangoLima replied to Amy10BSN's topic in CCU, Coronary, Cardiac

   At our hospital: K+ infused at 10 mEq/hr even in the ICU. Mg++ infused at 2 gm over 4 hrs. This is per the pharmacy's recommendations. Maybe it COULD be infused faster, but I have never done it. The...

3. ICU visiting hours.. What is reasonable?

   TangoLima replied to TigerGalLE's topic in MICU, SICU

   Our official visiting hours are 1000 - 1800 and 1930 - 2030. We do not allow visitors to stay overnight unless the patient is dying. They are welcome to stay in the waiting room, and our hospital...

4. Patients who are too unstable to turn

   TangoLima replied to TemperStripe's topic in MICU, SICU

   Our beds have a rotation function built into them. You can set how much of an angle you want to turn the patient and what time interval. I usually always set the bed to 30-degree rotation each 15...

5. Futile care

   TangoLima replied to sunnycalifRN's topic in MICU, SICU

   I don't disagree that often times, the families aren't ready to let go and we end up basically torturing their loved ones until they die. I also agree that it is completely appropriate to present the...

6. Leveling Art Line

   TangoLima posted a topic in MICU, SICU

   I'm sure this has been discussed many times on this site, but here goes...... I have been in the MS ICU for about 6 months, and don't have a lot of experience with hemo monitoring with A-lines, Swanz,...

7. Highest temp you've seen?

   TangoLima replied to General E. Speaking, RN's topic in MICU, SICU

   I can't remember precisely, but I want to say 107ish. They were suspecting some form of malignant hyperthermia, although, no recent surgery or anesthesia. If I remember correctly, they were thinking...

8. checking NG tube placement

   TangoLima replied to Lorus's topic in MICU, SICU

   What is insufflation, and how would one do

9. What do you consider a positive troponin?

   TangoLima replied to jax22's topic in CCU, Coronary, Cardiac

   I think our hospital considers anything over 0.1 as positive. However, these patients will usually go to a telemetry floor unless unstable or having an active MI. When I was on tele, we would...

10. How do you stay sexy in nursing school

    TangoLima replied to 2bnurseforce1's topic in General Students

    This was the best reply so far! Made me crack up! I take a shower before each shift, brush my teeth, and wear deodorant. I usually pull my hair back in some way, but sometimes wear it down. I wear...

11. Sugar for newborns does not relieve pain: study

    TangoLima replied to dawngloves's topic in NICU, Neonatal

    I will probably get flamed for this.... I will preface this comment by saying I'm not in NICU, so am not very familiar with what procedures would sugar alone be used as analgesia. For a simple heel...

12. Joined AACN, was it worth it?

    TangoLima replied to simvee's topic in MICU, SICU

    I just joined AACN too. I haven't received any of the publications yet, so can't speak to their usefulness. I find a lot of articles to be less than helpful. Like, I just read an article on ST...

13. Was I wrong?

    TangoLima replied to feisty_lpn's topic in Home Health

    I am considering going into HH on PRN basis for extra $$. Is doing dishes/laundry for the patients usually expected? I'm not above doing laundry/dishes, but I didn't envision going to nursing school...

14. Should CVVHD be 1:1

    TangoLima replied to kristenallene40's topic in Critical Care

    In our unit, CRRT is 1:1. I routinely have 2 vents, which in some ways I prefer over someone who is on the call bell every 30 minutes. The 1:1 vent sounds like a dream come true. Sign me

15. FFP with diprivan?

    TangoLima replied to photomom's topic in MICU, SICU

    What do you mean by "cutdown