kevro1013

Latest Activity

1. Learning thread (ER medicine)

   kevro1013 replied to TraumaInTheSlot's topic in Emergency

   We had a pt come in in status asthmaticus tonight. After her her hour long nebs and solumedrol ivp, she wasnt much better (RR=32 sat93% on RA). The ER MD ordered Mag sulfate 2 grams iv over 30 minutes. I had never heard of that as a treatment for AE ...

2. Learning thread (ER medicine)

   kevro1013 replied to TraumaInTheSlot's topic in Emergency

3. Learning thread (ER medicine)

   kevro1013 replied to TraumaInTheSlot's topic in Emergency

   Great thread! Here is one I had last week. Pt pressents with abd pain and htn (BP 230/120). Non-contrast Ct abd and pelvis shows non-disecting AAA. MD orders nipride to titrate for BP >160/90. What type of medication does this pt need prior to ni...

4. Funniest injury you have ever seen.....

   kevro1013 replied to MrsWampthang's topic in Emergency

   I once took care of a guy who accidently shot himself in the right upper leg with a .25 pistol. He was in Babies 'R' Us buying his newborn grandson a carseat. When he reached into his pocket to get exact change at the register, he pulled the trigge...

5. What not to say / do while you are in the ER...

   kevro1013 replied to ER-RN2's topic in Emergency

   If you attempt suicide by taking 200 assorted pills in front of your parole officer and you are brought to the ed to get lavaged, the sorbitol in the charcoal might give you explosive diarrhea. If this happens and you find yourself incontinent of sto...

6. fentanyl use in the ED

   kevro1013 posted a topic in Emergency

   Anyone else use fentanyl in the ED for acute pain? We currently use it for most cons. sedations (with versed). We have a Doc that orders it a lot for acute pain with an order like: Fent. 50-100mcg iv q 20 min prn. Most pts with this type of order ar...

7. GETTING WRITTEN UP: What is the most ridiculous thing you have been written up for?

   kevro1013 replied to greeneggsnham's topic in General Nursing

   A nurse in our ER got written up by an ICU nurse because she did not weigh a pt before starting them on heparin. The pt was having an acute MI! The pt guestimated his weight @ 95kg, when they weighed him on the bed in the CCU he weighed 96.5kg. Our E...

8. What is Aorta Dissection?

   kevro1013 replied to kwagner_51's topic in CCU

   Actually, Bilateral BPs are a good idea when assessing for a AAA, greater than 20mm hg difference can be a significant finding.

9. Lingo

   kevro1013 replied to JACALA_CL's topic in Emergency

   Heard the MD tonight order Dopamine as "no hopeamine" (I guess he didnt want to "leave em dead" with levophed)

10. All of you that do epidurals, do women ever have Orgasms?

    kevro1013 replied to Roland's topic in CRNA

    WOW! Really puts a new twist on pushing someone's buttons!

11. Taking NCLEX

    kevro1013 replied to pmanrnbflo's topic in General Nursing

    You have been preparing to take the nclex since you took your first nursing exam in school (thats what instructors try to model questions after). I agree with the above posts; if you have been reviewing the material and are doing well on practice tes...

12. Personalities of an ER Nurse

    kevro1013 replied to harry Krishna's topic in Emergency

    Great post! I must be a combo tool belt/joker (striving to be a good guy) would like to add: "The grass is greener nurse"- Sometimes an agency nurse sometimes not, always has a negative comment about this facility ie: "we never have hall patients @...

13. Need ER nurse feedback

    kevro1013 replied to gomernurse's topic in Emergency

    It sounds like your facility is already ahead of the game! I must say though one of the most challenging type of pt in the ER from LTC is a chief complaint of altered mental status with no base line to compare to and also when the symptoms were notic...

14. Things Patients Have Taught Me NOT To Do

    kevro1013 replied to Trixxy's topic in Humor

    Do not take left over medications out of the sharps boxes and mix them together and shoot them up in the employee bathroom of the ER you happen to work in. SOME of those medications MIGHT contain sedatives and vasoactives that MIGHT make your heart ...

15. What's your craziest story of the ER

    kevro1013 replied to debo_lpnER's topic in Emergency

    -This would categorize as one of the sickest things I've ever seen. This IV drug user had been shooting in the dorsal vein of his penis (I'm not kidding). It had abcessed and swollen almost to the point that distal circulation was being compromise...