poppy07

poppy07

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All Content by poppy07

  1. ICU interview--what do they really ask?

    poppy07 replied to 2bnurse_it's topic in MICU, SICU

    look at the info on here! it's a great

  2. Sepsis case

    poppy07 posted a topic in MICU, SICU

    Pt arrived to unit in respiratory distress, was intubated and put on CMV 80% FiO2. B/P low on arrival in 70's-80's and pt got 500ml NS bolus. B/P remained low in 70's after bolus (boluses were...

  3. Sepsis case

    poppy07 replied to poppy07's topic in MICU, SICU

    Thanks dude. Hey, with a heart rate in the 140's, I feel better not contributing to the heart rate increase. In fact, I have seen patients maxed out on Levo with SVT, and consequently we stopped the...

  4. Sepsis case

    poppy07 replied to poppy07's topic in MICU, SICU

    Thanks for your comment, but Levophed's mechanism of action is stimulation ofalpha- and beta1-adrenergic receptors. http://128.240.24.212/cgi-bin/omd?receptors,+adrenergic,+beta-1...

  5. Sepsis case

    poppy07 replied to poppy07's topic in MICU, SICU

    at the end of the day, vaso and neo were stopped concurrently while dobutamine was started. the only problem was his cvp still had not climbed up much; it was about 7-8 at the end of the

  6. Sepsis case

    poppy07 replied to poppy07's topic in MICU, SICU

    hal no! this guy just dot a triple lumen as soon as i got there, thank God! and, THAT was asking a bit! it's a good thing he got the line when he did, since the pressors were started only an hour...

  7. Vent: CV pt that should have gone back to OR (long)

    poppy07 replied to jbp0529's topic in MICU, SICU

    wow! that's a lot of blood products! sounds like the gastric varices patient i had who bled liters the other day. we had them on the rapid infuser. did you also use the Level 1 rapid infuser for...

  8. ICU interview--what do they really ask?

    poppy07 replied to 2bnurse_it's topic in MICU, SICU

    situational questions were a big one for my first ICU interview. that was one of the toughest, as they bombarded me with questions. (however, having this one after 3 others the same day-i had my...

  9. Sepsis case

    poppy07 replied to poppy07's topic in MICU, SICU

    as posted in other parts of this topic, this pt had CHF- so we weren't trying to flood his lungs all at once- he got a few 500ml boluses, each over an hour, then ordered to continue giving 250 bolus/...

  10. Sepsis case

    poppy07 replied to poppy07's topic in MICU, SICU

    I stabilized the patient, went and saw him 2 days later, he's still on Dobutamine with good B/p and good urine output. He looked

  11. Sepsis case

    poppy07 replied to poppy07's topic in MICU, SICU

    what i mean is, maybe the patient was not hypoxic long enough because intubated quickly upon s/sx onset, and the pressor with fluid resuscitation was started early enough to forego seeing the lactate...

  12. Sepsis case

    poppy07 replied to poppy07's topic in MICU, SICU

    forgot to mention CVP was 5-7 the whole day despite continuous fluid resuscitation, an no

  13. Sepsis case

    poppy07 replied to poppy07's topic in MICU, SICU

    the literature, though, defines them as follows: Systemic Inflammatory Response Syndrome (SIRS)- at least 2: >>> Body temp > or = 38 C or >>> Heart rate >90/min >>>...

  14. Interviews for Michigan CRNA programs....

    poppy07 replied to luluwags's topic in Student Registered Nurse Anesthetist

    Will those who were accepted state their profiles? Where accepted? Tell us where you've worked and for how long. CCRN? GRE scores? College GPA? Certifications? Thanks a

  15. A/C vs. SIMV

    poppy07 posted a topic in MICU, SICU

    I'd like to hear your thoughts on ventilator modes. Which is best A/C vs. SIMV and in what cases. Trauma/Surg employs SIMV more often; MICU uses A/C almost always! I asked the fellow, and he said...

  16. St. John Hospital & Medical Center ICU

    poppy07 posted a topic in Michigan Nursing

    Hi, Looking for honest feedback about working conditions at St. John Hospital and Medical Center. Please tell me any info pertaining to the ICU's. pay? good staffing? nurse-pt ratios get called...

  17. Organic/Biochemistry at OCC

    poppy07 replied to JazzyOneRN's topic in Michigan Nursing

    I would also like to know the same info as this class is required for master's program that I'm applying to.

  18. St. John Hospital & Medical Center ICU

    poppy07 replied to poppy07's topic in Michigan Nursing

    know anything of the SICU/TICU

  19. coding a vented patient

    poppy07 posted a topic in MICU, SICU

    How does one proceed with CPR on a vented patient? Do you let the ventilator do the work still? Does it depend on what mode and settings? Do you crank up the Fi02? Just do compressions? need some...

  20. Hyperkalemia AND Sine Waves

    poppy07 posted a topic in MICU, SICU

    When coding a patient with hyperkalemia, pt is without a pulse and the rhythm looks like wide QRS complexes, hard to say if its VTACH or Sine Waves... would you shock? Any suggestions to...

  21. Hyperkalemia AND Sine Waves

    poppy07 replied to poppy07's topic in MICU, SICU

    The change from sine waves to idioventricular to asystole. how about that! pt had a GI bleed so kayexalate was not among options that the docs were ordering. crrt only ran about 5 minutes or less,...

  22. Hyperkalemia AND Sine Waves

    poppy07 replied to poppy07's topic in MICU, SICU

    6+ to 7 or

  23. Hyperkalemia AND Sine Waves

    poppy07 replied to poppy07's topic in MICU, SICU

    so, consider this: pt was coded multiple times through the day, revived, and then made a DNR-so at this point, calcium chloride was given, but no shocking. By the way, this patient had continuous...

  24. First Patient Death..How do I deal?

    poppy07 replied to RNXU's topic in MICU, SICU

    You can always look at it this way, when everything you can imagine has gone wrong in a code, most codes after that will seem so much better, and you will know what to do and not to do. PRACTICE...

  25. new grad vs 1 yr exp. orientation to ICU

    poppy07 replied to NurseNature's topic in MICU, SICU

    Once you are done with orientation, "you are on your own" as they say... This means, you are an independent nurse with those around you as resources. At this point in the ICU, there is no excuse to...