sarahrain

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. However, the underlying cause should be pinned. I would...

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

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 common practice are - sub-clavian cvl and radial art-li...

It was at 3 am that the patient, a young gentleman man with cardiac monitoring, was sent to us. Sitting in high fowler, breathing via nasal prong and on infusion amiodarone running through the peripheral vein, he seemed to be alert and conscious. "On...

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 NIBP

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 ventilated and had his medical condition corrected. After e...

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 platelet only 29, the prisma was run without hepar...

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. Thanks!

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

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 you. There is a trick to make you feel better - try...

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 or traveling, it is ok for me.

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

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 it.

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 prefer to have quality of life rather than work and ...

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

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. The surgical site is at the anterior Rt thigh. It sh...

Stress response mainly if he or she is not diabetes.

There is one new staff nurse followed a physician's round. He asked the staff to hold his TIE for him as he is bending down to auscultate the patient's lungs. Instead the staff nurse held his THIGH.

After found out the patient was having fever 37.6c, the first-month nursing student approached the great physician who were doing his round and asked: Doctor, that patient is having fever, what you are going to do? Staff nurse beside the doctor - spe...

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 sedation first. One lumen for the vasopressin and epi. T...

This is very inspiring.. Thanks for your sharing

This is very inspiring.. Thanks for your sharing

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 that you have to be in this environment. Sometimes ...

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 it the next day. And everyone treats me better aft...

Why antibiotics for 24 hours? not 72?