sarahrain replied to poppy07's topic in MICU, SICU
As we can see the albumin is only 1.5, the reduction of oncotic pressure may further dry the patient intravascularly. The doctor should consider giving albumin to temporary bring up the level....
sarahrain replied to poppy07's topic in MICU, SICU
i don't understand about how the mistake can take place.. about wrongly assumed that the art-line is cvl... the cvl and art-line normally is inserted in different part of the body. example the...
sarahrain replied to sarahrain's topic in MICU, SICU
That patient was so sepsis that he had to put back on CVVHDF again. Despite on various antibiotics namely cravit, fortum, cloxa, superazone.. His TWDC was still very high.. As the INR is 4.25 and the...
I was told that the best effect to transfuse DIVC set is to start with cryoprecipitate, followed by platelet then FFP. I couldn't find the reason behind it. Please advice.
It is only two hours late? It's indeed very scary but I tell you it happens anywhere to any new nurses around the world. You are not alone.. Trust me. There are people who makes bigger mistake than...
We do have foreign nurses as well. I pity them cos they have to be by their own.. More stressful than the local staff nurses. For me I wouldn't want to go to be an immigrant nurse. but as a volunteer...
sarahrain replied to sarahrain's topic in MICU, SICU
Ok, we don't equip any heating device in every bed, probably because Malaysia is hot and humid and the ICU is always regulated in room temperature. Thanks MNC_RN for your info. I just knew about
I got to work 15 hours once or twice in a week depends on the census. It does make me feel tired especially in the evening. And my night offs sometimes were substituted with overtime. Generally, I...
sarahrain replied to sarahrain's topic in MICU, SICU
No warmer circuit. It is the conventional prisma dialysis machine. We are pretty sure that the hypothermia was due to the dialysis. His temperature picked up to above 36 deg after the completion....
I was taking care of patient who is under CVVHDF. I am new at it and want to share to improve. Thanks. The 57 year old man was initially admitted for DKA, sepsis, chronic renal failure. Was...