CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

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All Content by CritterLover

  1. CritterLover

    Highest PEEP you've seen?

    cm h2o? isn't that what peep is usually measured in? i never said it was helpful ... in fact, i think it directly contributed to her (immediate) death. she would have died anyway, though. but, she...
  2. CritterLover

    Is it okay to give an IM through clothing?

    i wonder about the characteristics of that population. it takes a certain amount of responsibility to participate in most research studies like this (where the patient is at home, and has to do...
  3. CritterLover

    is it ok to call a dr even if not your patient

    it sounds like there is more than one issue here. always follow the chain of command. if you are not the nurse's supervisor, then i wouldn't initially call the doctor. first, i'd talk to the charge...
  4. CritterLover

    Cafeteria for Night Shift

    medium-sized hospital (aprox 300 beds) cafeteria is supposed to be open until 11pm on weeknights, and 9pm on sat, and 8pm on sun. however, it often closes early after an overhead hospital...
  5. CritterLover

    Well, it finally happened after 2.5 years...

    imo, she should be ashamed of herself , to treat a peer that way. nurses are professionals, and she wasn't treating you as such. i'm pretty confident in saying that if a family member had treated her...
  6. CritterLover

    my pt was burned in the OR

    i agree with scribbler. i've worked a little bit of pacu (cross-training was required when i worked in a certain sicu), and i can't see where you would need to fret about this. i'm sure you charted...
  7. CritterLover

    Would you hire me back if you were them?

    wow, you really seem to be concerned about this! i guess i would be, too, if it were my opportunity for a job. but i think you need to take the above advice an try to relax. the phone call can only...
  8. CritterLover

    can someone explain this behavior

    not commenting so much on how you were treated (since i wasn't there and all ...) however, if the whole "no drinking with these meds" instructions is bothering you, i'd just let it go. people lie all...
  9. CritterLover

    Doing Floor assessment in ED before admission

    though the op is calling it the "floor assessment"; i think what she is talking about is the admission assessment stuff -- which (as you probably know) is far beyond the typical shift...
  10. CritterLover

    Now I'm scared the my school is a joke

    first, i wouldn't worry too much about hearing these kinds of things -- it is rumor/gossip. if you are concerned, then you can do some research now -- what is your school's nclex pass rate? that will...
  11. CritterLover

    Need Help With Electrolytes!

    i learned 1gm of mag will increase the mag level 0.1 --> so if the mag is 1.8, and you want it to be 2.0, give 2grams. there was a "formula" for phos, too -- i think something like 15mmol of phos...
  12. CritterLover

    Am I wrong?

    was your gi doc either consulted or the admitting doc? i can't really tell from your post. i see that the er doc had difficulty getting a hold of him ... but once you were admitted, was he involved...
  13. CritterLover

    Low CO2 what to do?

    As I stated in my post, I'm talking about co2 in the chem panel, not the blood gas. Co2 in the chem panel correlates with hco3 on the blood gas. Low co2 in the chem panel is indicative of metabolic...
  14. CritterLover

    Low CO2 what to do?

    It would depend on the patient. Low co2 on a chemistry panel is a sign of metabolic acidosis (I'm assuming this is the chem panel and not the abg). It tends to correlate with the bicarb level on the...
  15. CritterLover

    Heparin drips

    don't forget to keep an eye on platelet count, too. heparin-induced thrombocytopenia (hit) is becoming more and more common. generally, platelets should be checked at least q3 days while on heparin...
  16. CritterLover

    wonder what the opinion is on the "new" ACLS guidelines

    actually, i would say it has fewer side effects than labetalol. the potential side effects (as defined by a drug book) may be more, but in practice, cardene is very well tolerated. it has minimal...
  17. CritterLover

    Nurses: Is your hairstyle a luxury or a necessity?

    :) i've been coloring my hair for several years now, because i prefer dark red to dirty blonde. lately, however, i've noticed some gray hairs in my eyebrows .... i guess i've now gone from luxury to...
  18. i have to agree with mlos here. i do plenty to my patients that if anyone ever has the nerve to do to me ... i swear i'll come back and haunt you. and it won't be a pleasant haunt -- no friendly...
  19. CritterLover

    wonder what the opinion is on the "new" ACLS guidelines

    i first started using it on neurotrauma patients, about six years ago. neurosurgery likes it quite a bit. over the last few years, i've been seeing it replace nipride some in post-surgical vascular...
  20. CritterLover

    wonder what the opinion is on the "new" ACLS guidelines

    wow, i really seem to have hit a nerve with you. i don't think i've ever been quoted so much in a single thread. i certainly didn't mean to offend. again, when i wrote that i thought someone might...
  21. CritterLover

    wonder what the opinion is on the "new" ACLS guidelines

    i'm not sure what you are getting at here. of course someone can define "successful code" however they want to. my post was an attempt to clarify what she meas when she writes "successful code."...
  22. CritterLover

    Phone advice? Do you give it?

    no -- no advice, ever! it isn't as much an issue of taking a class to learn "how" to answer their questions -- it is a documentation issue. you have no way of iding the caller, no way of...
  23. CritterLover

    Almost made 1st med error. Who's at fault?

    i would say that pharmacy is at fault for sending the wrong drug, and your nursing skills enabled you to catch a potential error. if i'm reading this right, you are assuming that you got "lucky" that...
  24. CritterLover

    wonder what the opinion is on the "new" ACLS guidelines

    another thought, massed. i'm wondering what you are considering to be a "successful code." i'm defining a "successful code" (in this instance) to be one where the patient is able to be resuscitated to...
  25. CritterLover

    wonder what the opinion is on the "new" ACLS guidelines

    no, it was an anti-hypertensive of some sort. i think it was cardene, but it may have been labatelol. yep, of course guidelines are modified based on research. again, not trying to be a smart---;...