sundowners2

sundowners2

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All Content by sundowners2

  1. PhD REQUIRED for CRNA's?

    sundowners2 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Hello all, quick (and possibly dumb), question.. At work last night, I overheard some nurses talking (which is ALWAYS the best source of info :wink2:) about anesthesia school, and one mentioned that...

  2. My Lament Over the Decline of Nursing

    sundowners2 posted a topic in Critical Care

    ]...it's not the decline of nursing only. It's healthcare in general. Maybe it's that we only view the past through rose-colored lenses, but it seems to me that it hasn't always been this way. In only...

  3. Statins and side effects

    sundowners2 replied to granzanz's topic in General Nursing

    Agree w/all above posts. Also, other medications (amiodarone, for example) can drastically increase the risk of statin-assoc.

  4. Severe Hypoglycemia before Death?

    sundowners2 posted a topic in General Nursing

    Not too long ago I took care of a dying patient (DNR). He was severely hypotensive even with norepinephrine and vasopressin (both maxed out) and dobutamine (5mcg/kg/min, set rate). The interesting...

  5. Severe Hypoglycemia before Death?

    sundowners2 replied to sundowners2's topic in General Nursing

    What would you have done with these things? Would you have stopped the pressors (which would have almost certainly killed the pt)? Would you have stopped the TF? What part of DNR= no tube feeding?...

  6. Severe Hypoglycemia before Death?

    sundowners2 replied to sundowners2's topic in General Nursing

    Thanks, Blondy, for being the only one who addressed the question at hand rather than criticizing the care we provided for my pt. Can any of you other posters think of a situation in which a full DNR...

  7. CRNA and family life:

    sundowners2 replied to RunninDad's topic in Student Registered Nurse Anesthetist

    Can't speak to the question about family life and CRNA. But I can suggest that you take the cardiovascular ICU for critical care experience rather than trauma ICU. CVICU RN's work closely with alot...

  8. ICU Help!

    sundowners2 replied to NewTexasRN's topic in General Nursing

    I would definitely recommend starting out in the ICU if you are the type of person that is cut out for critical care. Every new grad struggles with time management, but we all find our way. I know...

  9. Hypochondriac Patient? How to deal with the unknown?

    sundowners2 replied to CanuckStudent's topic in General Nursing

    She may be addicted to the ATTENTION she gets when you bring her a Tylenol. A sugar pill would probably have the same therapeutic effect. Or hey, she may truly be in pain. Often times chronic pain has...

  10. ?'s about Med Rec

    sundowners2 posted a topic in General Nursing

    Hello all, I have some quick questions about med rec: I haven't been a RN for long, but I've admitted enough ICU pt.'s who came in through the ER to notice that medication reconciliation is a process...

  11. Hep C Diagnosis --- Now What???!!!

    sundowners2 replied to CNA_MISSY's topic in General Nursing

    Even if the HCV result was positive AND it was not a false positive, about 1/3 of those who acquire HCV are able to clear the virus from their systems without medical tx. It sounds like you have the...

  12. Hep C Diagnosis --- Now What???!!!

    sundowners2 replied to CNA_MISSY's topic in General Nursing

    If I were you, I'd wait for someone to explain the results to me. I did the EXACT same thing once. I had an exposure at work and had to have a Hepatitis profile done. Same situation with me: I was...

  13. For a hypochondriac RN

    sundowners2 posted a topic in General Nursing

    I know that it is not uncommon for health care professionals to have hypochondriac tendencies, but I'm beginning to think that I am taking it to the extreme. Self-diagnosed ailments to date: abdominal...

  14. care plans

    sundowners2 replied to church123's topic in General Nursing

    Yea, get a Nsg care-plan text book that lists NANDA approved nsg diagnoses. First you need to come up with a nsg diagnosis statement. Match your pt's problems to one of the nsg dx's listed (e.g.,...

  15. The difference between Med-Surg nurses and ICU nurses

    sundowners2 replied to uscstu4lfe's topic in General Nursing

    My experience has been that ICU RN's tend to encounter alarming situations on a daily, even hourly basis. If my pt. had a low sbp on the floor when I was an intern, my first thought might have been...

  16. Night shift nursing

    sundowners2 replied to namaste_71's topic in General Nursing

    Night shift in the ICU can be very exciting.. especially when there's a full moon

  17. Should I call the mgr?

    sundowners2 posted a topic in General Nursing

    Quick question: I got a call from a nurse recruiter about a position in CVICU that sounds like it could be the perfect job for me. I was really excited when I heard about it, but I haven't heard back...

  18. New to CVICU

    sundowners2 posted a topic in CCU, Coronary, Cardiac

    Hello all, I'm in need of some nsg wisdom. I may be interviewing for a day position in a nearby CV ICU. I have Also, whether I take the job or not, I need to know some good CV ICU books and...

  19. which shift do you prefer and why?

    sundowners2 replied to nrsman1's topic in General Nursing

    Also, in my experience, giving/getting report on just 2 ICU pt.'s can be a lengthy process (lasting 30-45 min. sometimes!). More shift changes= more time in report and less time at the

  20. Help w/ time mgmt.

    sundowners2 posted a topic in General Nursing

    hello all, i'm a new nurse working in the icu. like many new grads, i struggle in the area of time management. for the first two months, i always felt like i was behind no matter how hard i worked...

  21. MICU/SICU - why open heart patients have high blood sugar?

    sundowners2 replied to telefloornurse's topic in MICU, SICU

    This is how I teach my pt.'s: different types of stress have different effects of BG. With good stress (e.g., exercise), we metabolize circulating glucose and BG goes down. With bad stress (e.g.,...

  22. Early recognition of the deteriorating patient

    sundowners2 replied to CO2emission's topic in General Nursing

  23. Nurses Smoking

    sundowners2 replied to JENNLEE's topic in General Nursing

    I don't look down on nurses (or people in general) that smoke. I'm lucky that I don't struggle with that particular area but I have known good and godly (that is, NOT hypocritical!) people that did...

  24. care plan

    sundowners2 replied to busy-bee's topic in General Nursing

    ... Are you doing this for work or school? Sounds like you're doing it at work now that I re-read your post. The same general Nsg careplan concepts should apply

  25. care plan

    sundowners2 replied to busy-bee's topic in General Nursing

    Here's my take on it. And BTW care plans can be very program-specific (or even instructor-specific), so, whether my way is right or not, you need to learn what your instructor wants so you can pass!...