sue, you still have time if you want to start this year ( 2004 ). There are still few schools that have deadlines around Feb and March. TCU, TWU, LSU and the one is St. Louis MO. im waiting for my...
Just my 2 cents .... There are few things we need to know about chest tube collection bottles. They have chambers and each chambers have functions.... 1. There is the suction chamber. This chamber...
oh ok i thought i saw my name ... heehehehehe we use Xigris imediately when patient is septic. we use it at an early stage. and it works all the time!!!! bleeding is of course the bad complications....
Nipride started at 8mcg/kg/min is very high. It is recommended to start this infusing at 0.5mcg/kg/min and titrate to a desired BP. Anything higher than a 2.5 to 3.0 mcg/kg/min for 2-3 days should be...
31 hours of non capture! Wow, its a very long time. It seems to me that your patient was stable enough to have lived that long without the aid of the pacer. Here are some tips for TCP. 1. To get a...
hi, i am taking the certification this march. no, you dont have to be a BSN to take the exam. an ADN is acceptable. the only difference is your credentials. for ADN it is RN,C for BSN its RN,BC i...
just an fyi. i just took the exam last friday (dec 5 ) and passed it with flying colors. my advice: ( this is what my exam covers ) read the core curriculum. some answers were taken from that book...
I think that your supervisor should make a thorouh assesment on who charges and if he is able to. Like on said here, some are good at it and some are not. Thre are times when I feel that I did not do...
XIGRIS replied to nicoleinphilly's topic in Cardiac
Hi, I like it when RNnTraining said " organized confusion " and it is. Have you ever seen a telemetry floor thats not chaotic and busy? LOL. I don't work in a Telemetry unit however, in the hospital...
Hi, In my hospital, all telemetry patients undergoing any procedures outside the unit has to have an RN accompanying the patients and a portable monitor ( I encouraged my nurses to use the crash cart...
I forgot to add this yesterday. When two pacer wires come out of the patient, it does not matter which is (-) or (+). Just hooked them in your generator. If only one pacer wire, the wire that comes...
Here are some tricks or should I say some footnotes on epicardial pacers. Pacemakers are sometimes hard to understand but I tried to make it a little bit simple for my students. Here it goes. I would...
Hi, Please don't be intimidated by PA caths. I would rather have one than none at all. Consider it as a friend. If you are in Texas you could attend my class. A few of my students who are still in...
Hi there, Here's my take on this topic: Different institutions have different protocols on how an Epi is mixed. Be it 4mg or 8mg, it doesn't really matter. What is more important is that you know what...
Hi, Most MD's still wants to know more about systolic pressure than daistolic because it tells them target organ perfusion. I am not sure in your practice but have you noticed most of the docs still...
Here I am again. Peace to all. Ok, we have discussed PRELOAD which is one of the DETERMINANTS OF STROKE VOLUME that eventually will affect cardiac output. To all clinicians, evaluating cardiac output...
Ok guys I just got in. Have read the forum today. I will tyr to do a "little " lecture on hemodynamics. Let me just say that I am not computer savvy so I'll try ok. In order to learn and understand...
On titrating drips: I agree that you have to know the drug's half-life and interactions. It also takes practice and experience to be able to be "competent" in titraing these agents. Sometimes, it make...
Yes, we still use it. It works all the time. I think thats why its called the wonder drug. It is very very expensive for a 96 hour drug therapy. You must work in ICU? Very few know about this drug....
Fluid challenge is a termed coined by most surgeons to indicate fluid bolus to maintain hemostasis. Some facilities call it fluid bolusesand sone refer to it as fluid chase. It varies. It is what...
XIGRIS replied to Amy O. Darone's topic in Cardiac
I started in CVICU right after graduation. Tha was 14 years ago and I am glad I did. There are some things I learned from that experience. You must be eager to learn new and challenging stuffs. Do not...
Hi, You do a lot of fluid challenge when you work in an open heart unit. Like mentioned earlier in the forum, post-op cardiovascular and thoracic surgical patients require fluid challenges when their...