CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

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All Content by CritterLover

  1. CritterLover

    Complete HB, bradycardia, and hypertension

    blood pressure will often increase to compensate for low heart rate, in order to maintain adequate cardiac output. this can sometimes be seen in people on high doses of beta blockers. more that once,...
  2. CritterLover

    If there was one piece of advice...

    get the most out of your orientation. get in on all of the procedures that you can, especially if you hear that its not something that is done often. practice all of the ivs and catheters that come...
  3. CritterLover

    Should patients be allowed to refuse LPNs and CNAs?

    while i was reading this thread, the first question that came to my mind is "why did this why this woman only want an rn to care for her? did anyone ask?" but then i went back and re-read the...
  4. CritterLover

    Using MDs in triage

    while we don't have a doctor in triage, we do start our workup there. we have a list of protocols for most problems that need to be worked up, and as needed, we start iv's, draw blood, do ekgs while...
  5. CritterLover

    Use Bsn After Your Name

    while i wouldn't mind having my bsn on my nametag (they don't ask....if they did, my last name certainly wouldn't be on it!!), there is no way i'm signing the extra letters behind my signature! there...
  6. CritterLover

    Type of Syringe for Heparin Injections?

    I don't use either -- unless I'm using a highly concentrated heparin that requires precise measurement. The problem I have with using an insulin syringe is that you can't change the needle. I was...
  7. CritterLover

    Nipride drip and no MRI/MRA?

    i don't think it has anything to do with the effects of the particular medicine. you can't take an iv pump into mri. this means that any drips that must go with the patient into mri has to be done...
  8. CritterLover

    A message to new grads: NEVER....

    she is referring to how to change a hanging bag of fluid........ before you unspike it, take it down and turn it upside down before removing the spike. otherwise, all of the fluid still in the bag...
  9. CritterLover

    Hypomagnesiumia, I am a ticking time bomb!!

    curleysue, i am feeling very frustrated for you. insurance companies can be a major pain in the tail to deal with. however, i was actually referring to giving the mag to yourself at home, without...
  10. CritterLover

    Patients Who Are Prisoners

    i worked in a trauma unit for several years, and it was always amusing to see the patient with a sheriff's deputy or two sitting at bedside (on overtime), hand-cuffed to the bed frame, while on a...
  11. CritterLover

    Hypomagnesiumia, I am a ticking time bomb!!

    wow, sound like you are going through a rough time, to say the least. at the risk of pointing out the obvious, have you tried eating lots of mag-rich foods? i have a nutrition background, so this is...
  12. CritterLover

    Drug Seeker Stories

    no, there is no asa in toradol. but, like any other nsaid, people with a true allergy to asa can have a cross-reaction to
  13. CritterLover

    vancomycin in snfs

    while i agree with the logic of the those who say to wait for the trough, i don't think it is that clear-cut. yes, it is important to know what the peak and trough are for dosing and to make sure...
  14. CritterLover

    IBUPROFEN question....

    no, the otc stuff and the rx stuff are exactly the same, allowing for manufacturers differences... i'm thinking the difference in the max dose is due to the potential side effects......when taking the...
  15. CritterLover

    Math and nursing

    most of the math is in drug calculations, which ranges from fairly simple arithmatic to basic algebra. if i remember right, once i got through the pre-reqs, the only math-related questions on any of...
  16. CritterLover

    What did I do wrong here?

    well, what did you want? :) from what you have said, it sounds as though you wanted to be "checked out" due to a seizure and an apenic spell. neither of which should be taken lightly. while it...
  17. actually, i've always felt it was the opposite. we get such continuous exposer to so much that it seems like we develop a very strong immune system. i'm sick less now working er than i ever was when...
  18. CritterLover

    PICC insertion with U/S

    i actually haven't had that problem. if i can get the guidewire in, it is pretty rare that i can't get the catheter to thread for the basilic vein. now, the cephalic is a different story. i often have...
  19. CritterLover

    Family visitation in ICU

    i started my nursing career in a step-down unit, where i often had to maneuver around family members (and their significant others) sleeping on the floor when trying to assess vent settings, the...
  20. CritterLover

    Family visitation in ICU

    i started my nursing career in a step-down unit, where i often had to maneuver around family members (and their significant others) sleeping on the floor when trying to assess vent settings, the...
  21. CritterLover

    Bad reference-Help

    unfortunately, you can't leave it off your application. that would be considered dishonest. you could be terminated if they found out you had deliberately left it off. you could leave it off of a...
  22. CritterLover

    Got any funny acronyms at your ER???

    chs -- crack head
  23. CritterLover

    Let's Have Some Fun!

    so i know which doctors to avoid and which ones to call on when i have a
  24. CritterLover

    A message to new grads: NEVER....

    this goes double for bags of tube feeds!!! its much easier to clean up ns or even d5w :) i once had a patient who was on tube feeds that i had just given a great bed bath to (along with my orientee...
  25. CritterLover

    IV potassium

    i think you will find that in general, most docs don't care if you run most of your piggy-backs (abx, electrolytes) slower than ordered. maybe there are some old-school docs who want it done their...