CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

Member
  • Content

    929
  • Visitors

    13,414
  • Followers

    0
  • Likes

    212

All Content by CritterLover

  1. CritterLover

    Freaky IV Question

    it doesn't. the secondary (higher) line will run until it is empty. if you want to keep the line primed, then you need to purge the air out of the secondary when you spike/prime it. it is pretty easy...
  2. CritterLover

    No Respect for LTC nurses?

    i encounter this attitude quite a bit, and i'm not a ltc nurse. i work prn in a sm/md er. there are two not-so-good near-by ltc faciliites that tend to send their patients to our facility when needed....
  3. CritterLover

    Nursing Student HATES Nursing Assistant Job

    you actually mentioned everything i hated about being a pct. i just hated how it seemed to be so "assembly line." vs on 32 patients. trays to 32 patients. bath to 16 patients. ambulate 10 patients....
  4. CritterLover

    how to manage the waiting room?

    we don't do a full re-triage, but we are supposed to recheck vs on wr patients q2hr. at that time, they are asked if anything has changed. however, it seems silly to recheck vs on patients who have...
  5. CritterLover

    picc in subclavin...o.k for some chemo drugs?

    i don't leave piccs in the subclavian vein (or the brachiocephalic veins). in that location, they are considered to be "midclavicular" lines, not piccs, and ins does not consider midclavicular lines...
  6. CritterLover

    Can U Explain the difference? pleeease??

    your facility should have a policy on this if you are ever allowed to use the hd cath (some facilities won't allow it even with an md order). usually, i think they want you to aspirate 2x the volume...
  7. CritterLover

    Can U Explain the difference? pleeease??

    hmmm....i'm not really sure what you are asking. here is the part of the national kidney foundation's website that deals with dialysis access, it explains the options well (much better than i could)....
  8. CritterLover

    Can U Explain the difference? pleeease??

    quinton makes a type of hd catheter, but so do other companies. i think they make permcaths, which is a type of long-term hemodialysis catheter. vas cath is a name of common temporary hd catheter....
  9. CritterLover

    Can U Explain the difference? pleeease??

    medications can't be given into an arterial line because they (meds) can cause the artery to spasm. major tissue damage can occur. (this is especially true of the pulmonary artery. never give meds...
  10. CritterLover

    Can U Explain the difference? pleeease??

    didn't see the second question. a cordis is a brand of sheath introducer -- used to introduce something else into the venous system -- such as a temporary transvenous pacemaker, or a pulmonary artery...
  11. CritterLover

    Can U Explain the difference? pleeease??

    piccs end in the superior vena cava (svc). midlines end in the axillary vein (just at or the shoulde or just short of the shoulder). they can be the same catheter, but the internal length of a midlie...
  12. CritterLover

    Arterial Line Tubing

    you are talking about vamp tubing. [color=#483d8b]for the life of me, i can't remember what the initials stand for (v/a are venous/arterial, but i can't remember the m/p). i tried to look it up, but...
  13. CritterLover

    fluid restriction

    yes, it counts. i was always taught to count 50% of the volume. so, 30cc ice chips would be 15cc of fluid intake. (ice melts to a lower
  14. CritterLover

    what happened to nursing care?

    so horrible. [color=#483d8b] [color=#483d8b]this is what ends up happening when they increase the patient load, the charting, and all of the "extra" duties. [color=#483d8b] [color=#483d8b]as a...
  15. CritterLover

    Healthcare myths in the US

    i definatly agree with him about what a mess the "pay for performance" policy is going to become. it is really scary. how are they ever going to find doctors to take care of the high-risk and/or...
  16. CritterLover

    Amiodarone IV: needs an inline filter??

    the more concentrated a drip is, the more likely it is to crystalize (in general; think about chemistry, reaction rates, and concentrations. the more concentrated the solution is, the more likely...
  17. CritterLover

    Diagnosis for increased BUN

    why does the patient have a dx of esrd if he isn't on dialysis, has adeq uop, and fairly normal electrolytes? that sounds more like chronic renal insufficiency. or maybe chronic renal failure that...
  18. CritterLover

    I Quit Without Giving Notice

    i have to agree with this. while i do agree with your facility in that you should be prepared to work in any of the units (as a float) when you come to work (unless you have a no-float clause in you...
  19. CritterLover

    Charting systems question (fighting with management)

    i don't know about a breach of ethics or policy, but it shows really, really, really por management skills. it is the equivalent of saying "how dare you complain! well, i'll show you. i'll make it...
  20. CritterLover

    PCA Pump Settings

    pcas generally give such low doses of pain medication, that a low continuous dose is really helpful for when people are sleeping. when they are sleeping, they arn't pushing the button (and family...
  21. CritterLover

    Please help...How can I handle my professor?

    i didn't really read her post this way. she wrote: to me, that is asking "do i need to/have to take another patient?" more like asking if it was required, rather than asking if it was ok. however,...
  22. CritterLover

    Difference between CNA & MA?

    if your cousin really wants to be an ma, there may be a local cc program that is priced reasonably. they arn't offered everywhere, but when they are, they are usually very comprehensive, relativly...
  23. CritterLover

    Amiodarone IV: needs an inline filter??

    dilantin requires a filter. it has a tendency to crystalize once mixed, and infusing it without a filter is a big no-no. however, i have worked in facilities where it wasn't sent from pharmacy with a...
  24. i'm going to agree with medhead. i wouldn't give them away, but i'd let her copy them. why not? maybe it is just me, but copying someone else's notes, even if they are really good notes, in no way...
  25. CritterLover

    The most common form of SHOCK

    :yeahthat: i actually think that anaphylactic shock is one of the less common forms of shock. i see way more hypovolemic shock, and more septic shock,