On my unit we use mannitol for increased ICP's, not to prevent swelling. If a CT shows cerebral edema we hang a hypertonic saline like 3%, and in extreme cases I have seen 24% used. If a bone flap...
If I were your friend I would take the extra learning opportunity and make the best of it. As long as she works hard her competence will show itself on its own. I doubt she will have to explain...
Typically before someone herniates their brainstem their HR with go through the roof along with their blood pressure. Your first instinct is to grab some labetalol, but if you push it you will be...
Trauma1RN replied to vastudent09's topic in MICU, SICU
What is the respiratory rate? Are they over loaded? Do they need lasix? Do they have COPD? If they have COPD you could knock out their respiratory drive with a NRB. Being a new grad in the ICU...
Trauma1RN replied to TulsaTime's topic in MICU, SICU
I work at a 1,100 bed teaching hospital and I am good friends with a RRT nurse. We have 2-3 RRT RN's on at any given time. They go to codes, get rapid response calls, and a variety of other things....
I will have a year this week in the SICU at Royal Oak. I am happy with my unit and job. I see a lot, and the pay is competitive. My manager holds people accountable, is fair, and leaves you alone....
My unit is a 20 bed Level 1 Neuro/Trauma unit. We use invasive monitoring such as swans, a-lines, bolts, caminos, continuous bladder pressures, CVP's etc. Our neuro patients seem to come in waves,...
It honestly surprises me how many people are losing respect for M.D's these days. Nurses especially, if you are going to act like you know everything a M.D does then go to medical school and stop...
Hey guys and gals. I am a Macomb from 07'. My tip would be to get a N-CLEX review book and study the specific sections before your test i.e the Cardiac chapters for the Cardiac exams... duuh.:nuke:...
I guess the way that I look at it is... you aren't going to solve their problem by not sending them home with a PICC line, and you most likely won't be able to find access when they need the abx if...
Trauma1RN replied to nursingisforme's topic in General Nursing
I totally agree with the above poster. I started as a new grad in a neuro/trauma SICU in January as a GN. I did have two years prior experience on a med surg floor as a aide and then a tech. Seems...