joeyzstj

joeyzstj LPN

CVICU, ICU, RRT, CVPACU

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All Content by joeyzstj

  1. coding a vented patient

    joeyzstj replied to poppy07's topic in MICU, SICU

    RESQPOD information:

  2. ARDS criteria formula

    joeyzstj replied to RoyalNurse's topic in CCU, Coronary, Cardiac

    loveicu gave a very good explanation. basically, the p/f ratio is an oxygenation index. we dont really use it that often honestly, at least for the places i have been. there are books full of...

  3. INTRA AROTIC BALLOON PUMP RATIO/RN/PT

    joeyzstj replied to mror44's topic in CCU, Coronary, Cardiac

    In my facility it is a policy that the IABP be one on one while the pump is on 1:1, which really makes no sense to me becasue the charting on 1:2 or 1:3 is exactly the same and the procedure is...

  4. Kfactor help,...

    joeyzstj replied to momthenRN's topic in MICU, SICU

    mcg/kg/min...........take the total amount of the drug in the bag in mgs, so lets say Neosynepherine is 10mg in 250cc's. Take 10mg x 1000 (to convert to mcg). Take that answer (10,000) divided by...

  5. How frequent BP's on vasoactive meds?

    joeyzstj replied to nursecass's topic in CCU, Coronary, Cardiac

    Same here. Your patient should have an a-line, but if they dont run them every 15 minutes. If they are unstable, run them more often until

  6. Milking chest tubes

    joeyzstj replied to CleioRN's topic in CCU, Coronary, Cardiac

    First of all, Milking and Stripping a chest tube are really two totally different things. At my hospital we are allowed to do it, however I try to keep it to a minimum. You DO NOT want to milk or...

  7. What are your ICU visitation hours???

    joeyzstj replied to Nacki's topic in MICU, SICU

    CVICU/CVPACU 9:00-930 1:00-130 5:00-530 9:00-930 Absolutely no visitors between 7-9 am and pm. We are in a locked unit and have very strick visiting hours. We get a lot of surgeries, recoveries and...

  8. How much does a CRNA really make?

    joeyzstj replied to Imrnlil's topic in Certified Registered Nurse Anesthetist, CRNA

    The CRNA's I work with start at $ for a new grad 150,000. In my area I have never heard of anyone making less than 140,000. There are many positions about an hour away from where I live that are in...

  9. coding a vented patient

    joeyzstj replied to poppy07's topic in MICU, SICU

    One of the primary reasons that you shouldnt code someone on a ventilator is that with pressure and alarm limits being set on the vent it will discontinue delivering a breath once a pre-set pressure...

  10. How To Determine ET Tube Placement

    joeyzstj replied to Kwest70's topic in CCU, Coronary, Cardiac

    I agree with the above, and inspection with an intubation scope isnt that wild of an idea. We have a self contained brochoscope just for this reason. Another idea would be to use a glide scope where...

  11. V-fib after Asystole

    joeyzstj replied to Shell5's topic in CCU, Coronary, Cardiac

    What would you do if you saw V-tach with no pulse, which commonly happens? V-fib is a shockable rhythm even with no pulse. The patient is dead, and without intervention he or she is going to remain...

  12. O2 is 81, what shoud you do?

    joeyzstj replied to victorsunshine's topic in Neuro Intensive Care, ICU

    You yourself just mentioned in the above post that you keeps sats 75-90%. If you "keep" something in that range that says to me its sustained. I am asked to do things everyday by...

  13. O2 is 81, what shoud you do?

    joeyzstj replied to victorsunshine's topic in Neuro Intensive Care, ICU

    I would be very interested in reading any literature or studies that you have that suggest a sustained Sp02 of 80% for a neonate is an acceptable

  14. Cvicu

    joeyzstj replied to Special31's topic in CCU, Coronary, Cardiac

    Buy "Perioperative care in cardiac surgery" by Robert Bojar. It tells you everything you need to know. Its by far the best book Ive ever

  15. Need Help with a Situation/ST depression

    joeyzstj replied to Babs0512's topic in CCU, Coronary, Cardiac

    Another thing to consider is lead placement. A strip off of a monitor can show significant changes from a 12-Lead (Learned this one the hard way), however you stated that you got a post-op 12-Lead....

  16. O2 is 81, what shoud you do?

    joeyzstj replied to victorsunshine's topic in Neuro Intensive Care, ICU

    Just becasue someone doest jump at a problem doesnt make the problem not exist. 81% sustained for anyone is too low. I personally am very interested to hear your rationale behind why an Sp02 of 81@...

  17. Cvicu

    joeyzstj replied to Special31's topic in CCU, Coronary, Cardiac

    The first thing I would do is purchase "Perioperative care in cardiac surgery" by Robert Bojar. It will tell you EVERYTHING you need to know and is extremely easy to read. One of the Surgeons I work...

  18. Which unit is more relaxed?

    joeyzstj replied to username2008's topic in CCU, Coronary, Cardiac

    frankly it bothers me anyways that you are concerned about which unit you can slack the most

  19. What has been your sickest patient

    joeyzstj replied to richard1980's topic in MICU, SICU

    My sickest was very similar to this. 2:1 with IABP, LVAD, VENT, Every drip know to man. We have older LVADs, so anytime they are set up its a big production. We have big rooms so they turn the room...

  20. CCRN discouragement?

    joeyzstj replied to nursecass's topic in CCU, Coronary, Cardiac

    Let me ask you this.............are you taking the CCRN for your coworkers or for your own personal knowledge and personal satisfaction? I cant believe anyone would actually discourage you from...

  21. Facilitating intubations

    joeyzstj replied to poppy07's topic in MICU, SICU

    Most of the time in an OR situation they would use, say 100 mcg of NEO in addition to the propofol and the versed. If you take a 10 mg vial and mix in in 100 cc's it will give you 100 mcg's per ml....

  22. What would you do for this patient?

    joeyzstj replied to UM Review RN's topic in CCU, Coronary, Cardiac

    This is an excellent point. It drives me crazy when someone says that despite the pt having a Hb of 6........"There sats are 100"%. A low Hb 100% saturated with oxygen doesnt mean that the PO2 or...

  23. Primacor drip

    joeyzstj replied to Genista's topic in CCU, Coronary, Cardiac

    I agree. The majority of the patients I deal with are not chronic and therefore the response to primacor is often

  24. Maybe I shouldn't be an ICU nurse - long

    joeyzstj replied to bethem's topic in MICU, SICU

    Im sorry, but I actually found some humor in this. Im sure that you did nothing wrong and if this is the worst you can find you criticize youself with then pat yourself on the back. I worked as a...

  25. Primacor drip

    joeyzstj replied to Genista's topic in CCU, Coronary, Cardiac

    In my opinion, Primacor is really something that needs to be monitored in a unit with an arterial line. We commonly use this drug in addition to IABP's. The problem is, you often need a pressor with...