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Congestive Heart Failure
All my thoughts are going to you Monica. I hope hospice care was called because I agree with other posts, ativan or even midazolam would help here. To not feed or hydrate her is a good intervention at this point, as it would likely exacerbate her breathing problems. She's lucky to have you by her side, presence is often the most conforting thing to give. My blessings to you and your family.
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Post-mortem care
Well... the alive patient waits... That's one of the reason why it seemed to me to be a policy that doesn't really serves anyone and is based on some kind of a superstitious belief. I've seen times when a body was transferred to, say, a "closed" room (because of staff shortage, we always have closed rooms on the unit). But my thoughts were, if you can move the body to another room, then why not to the morgue? Thanks for your replies!
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Post-mortem care
Hello everyone! We have a two-hour policy about not moving a body after death (no moving to another room or to the morgue or to anywere else) and I was wondering from where does this come from. I can't find anything on it except the general acceptation that it is more respectful for the deceased... OK, but why two hours, not one or three? Is this a tradition or is it based on something more "solid"? Thanks!
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Why be concerned with DI for TBI pts?
It can also impair homestasis as it leads to hypovolemia and low BP.
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Neuro ICU - Withdrawl of life support...is this so wrong?
The use of Diprivan is seen more and more in palliative care, especially in oncology, therefore, on non-intubated patients. It's used for conscious sedation with patients who respond poorly to benzo, or as a treatment for severe nausea and vomiting. As for who can or cannot give Diprivan to a non-intubated patient, I suggest you double-check. In my facility, we can, but its not in USA. We often have a Diprivan perf for our non-intubated patients, to be titrated according to a prescribed RASS score. IMO, I think you did right !