sarahrain

sarahrain

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All Content by sarahrain

  1. clinical case

    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....

  2. Do you prefer 12 hour or 8 hour shifts?

    sarahrain replied to Scrubz's topic in MICU, SICU

    8 hours. I prefer to have the balanced time distribution for everything in

  3. Arterial line caps

    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...

  4. BP cuff or A line

    sarahrain replied to labman's topic in Neuro Intensive Care, ICU

    A-line for major op patient, critical ill pt those who on inotrops (so that we can titrate).. if patients' BP is known to be stable, we would follow

  5. About Prisma Dialysis

    sarahrain posted a topic in MICU, SICU

    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...

  6. About Prisma Dialysis

    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...

  7. How to transfuse DIVC regime?

    sarahrain posted a topic in MICU, SICU

    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.

  8. Syringe Reuse: Patient Safety Threat - Factsheet Feb. 2008

    sarahrain replied to NRSKarenRN's topic in Patient Safety Issues

    We should use new syringes/needle for each time. And not supposed to be kept. That's infection control rules for

  9. confuse and scare.

    sarahrain replied to prEciously001's topic in First Year After Licensure

    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...

  10. Nurses Being brought in from another country

    sarahrain replied to KTYRN's topic in General Nursing

    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...

  11. High Alert Medications

    sarahrain replied to JAMDMAY08's topic in Neuro Intensive Care, ICU

    Anything that caused GCS down.. Dextrose (increase cerebral edema), all drugs with sedative

  12. About Prisma Dialysis

    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

  13. Are 12 hour shifts safe?

    sarahrain replied to psychnurse1998's topic in Patient Safety Issues

    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...

  14. About Prisma Dialysis

    sarahrain replied to sarahrain's topic in MICU, SICU

    We used the bair hugger. Light? what light? you mean the

  15. About Prisma Dialysis

    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....

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

    sarahrain replied to telefloornurse's topic in MICU, SICU

    Stress response mainly if he or she is not

  17. GSW..Severe IVC injury

    sarahrain replied to ddoosier's topic in MICU, SICU

    Normally, such a critically ill patient, we would keep a Rt CVL so that we won't have to rush to insert one when the patient is coded. If it is so urgent, why not you temporarily disconnect the...

  18. 4 hour code blue

    sarahrain replied to Morettia2's topic in General Nursing

    This is very inspiring.. Thanks for your

  19. 4 hour code blue

    sarahrain replied to Morettia2's topic in CCU, Coronary, Cardiac

    This is very inspiring.. Thanks for your

  20. Mean nurses and High Turnover

    sarahrain replied to poppy07's topic in MICU, SICU

    It happens to certain hospitals no doubt. I had been to one hospital that the senior staff nurses' attitude is exactly like yours! It is universal problem. Not only ICU but elsewhere too. I am sorry...

  21. Should I just hang in there?

    sarahrain replied to BGmedsestra's topic in MICU, SICU

    When I was new in there. Some scolded me for particular everything. I felt stressful not to be able to defend myself. And one day, I cried and I couldn't really make myself stop. Everyone knows about...

  22. Reusing IV tubing - An infection control issue?

    sarahrain replied to navalnurse's topic in MICU, SICU

    Why antibiotics for 24 hours? not

  23. New Graduates In The Icu?

    sarahrain replied to Aaron Catmull's topic in MICU, SICU

    It has been 8 months I had been working in ICU with nil surgical and medical experience. I find that from ICU, I learnt how to detect subtle changes and be able to save the patient from deteriorating....

  24. New Graduates In The Icu?

    sarahrain replied to Aaron Catmull's topic in General Nursing

    It has been 8 months I had been working in ICU with nil surgical and medical experience. I find that from ICU, I learnt how to detect subtle changes and be able to save the patient from deteriorating....

  25. Nurses pulling chest tubes?

    sarahrain replied to lizzieB05's topic in Cardiac

    We practise in our setting too by the nurses. Yes, it is in our scope of