RN-LOGIC

You should have enough time to switch your lines without worries of an air embolism. Of course, do one line at a time. Most of the time you should have blood return from your lines. The key here is that once you change your pa cath pressure tubing is...

I completely agree with you. They are trialing a new core-valve called the Evolut that has been re-sized and gives you the option to re-position the valve giving a better anchored during deployment of the valve. This decreases the chances of depressi...

This handy image makes me giggle.

How did it go? Wishing you the best.

My advice to you is not to focus only on one hemodynamic number. You have to look at the entire picture and then some. For example, a low H and H is not the only factor taken into account when deciding to transfuse blood. Is the balance of 02 deliver...

My advice for you is to simply relax, dress well, and be yourself. Be there early, 10 minutes early is considered late to my opinion. If you have any questions, post them here. However, I would not be able to answer questions that would compromise th...

I will be class of 2017 at Our Lady of Lourdes CRNA program. I am assuming that you have already interviewed for class of 2017. Best of luck to you. Please keep me updated. I have to say that I was impressed with Our Lady of Lourdes program. Out of a...

It is basic physiology not a theory.

Hey Belgian RN, I would like to correct some of things said. you said: Neo gives relatively more venous vasoconstriction thus increasing preload somewhat more than levophed does. Sometimes that can convince them to add Neo instead of pusing more lev...

I am a male RN. I highly doubt that my open chest, IABP and centrally cannulated ECMO female patient or her family have an issue with me touching such patient. I guess my definition of nursing and genders play a different role in my specialty. My adv...

Typically a map above 60 is adequate perfusion. However, when dealing with hemodynamically compromise patients a map of 80 , just to say a number may not reflect an adequate body perfusion. A map can be affected by many variants.

The usage of a WEDGE is dependable in the patient's situation and knowledge of the provider or nurse. It should not be use for every patient.

what group are you on? I have the same article.

I start the class as well. A little bit nervous.

congrats.

I highly doubt that you were fired for such incident. Be truthful to yourself.

There is really no reason why he chose Neo over levo. I learned a long time ago that there are many ways to skin a cat. Things to keep in mind: Even though levo has Beta. It's very minimal and ALPHA predominates, avoiding BETA involvement. So levoph...

It is my opinion that if you work with cardiac patients, you should need little to study. I found the test straight forward. I used the fast facts book by katty white for review.

Every lung transplant should get an epidural place before extubation. I have noticed that lung transplant patients with epidurals have a reduced length of mechanical ventilation and reduced respiratory complications. Epidural hematoma should not be a...

Dobutamine vs Milrinone Dobutamine has a faster mechanism action. It takes about 5-10 minutes. Milrinone takes about 4 to 6 hrs to take effect. Both drugs are pro-arrhythmic. However, in my experience milrinone is the most pro-arrhythmic drug known t...

the first question you should ask yourself is what causes metabolic alkalosis. it's the loss of hydrogen from gastrointestinal or urine system. right? i don't know. i mean, you are ready to push gastric contents to treat alkalosis. you should know th...

What might work for one patient might not work for somebody else's disease process or the situation. For example, I think that if you have a patient ready to be extubated on pressure support then it would be dumb to be given any kind of sedatives/nar...

Sounds like a joke to me. Giving 10 meq of kcl for a level of 3.2 its like having the appetizer without the entree. Giving 1liter of fluid within a hour for dehydration in this setting, I mean in the clinic doesn't make sense either. Only poor perfus...

wow.... you are embarrassed of your profession! well, i'm embarrassed of you making such a statement. you have all the right to be upset but none to classified our profession of embarrassing. get over it........

How can I explain this to you in simple terms? Let's see. I like to call the pa cath, ''GOD''. If you are proficient using it, it will safe a patients life due to your interventions using the numbers from the pa line. For example, a CABG patient with...