rnguy25

rnguy25

PICU

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All Content by rnguy25

  1. What is wrong with these kids? (Mystery Diagnosis)

    rnguy25 replied to Double-Helix's topic in PICU, Pediatric

    Check into primary amebic meningoencephalitis (PAM), particularly Naegleria Fowleri. Over a year ago, we had a case with similar presentation as you described and usual work up showing nothing. It...

  2. Toradol for pain control after abdominal surgery?

    rnguy25 replied to Double-Helix's topic in PICU, Pediatric

    We use Toradol post-op for several our patients, excluding those at risk as janfrn has mentioned. We typically schedule the toradol for three doses then make it prn thereafter and have opiods for...

  3. SN first day in the PICU

    rnguy25 replied to srleslie's topic in PICU, Pediatric

    I can too share your sense of being "called" to a nurse in a PICU. I felt the same way during my clinicals as an undergrad as well. Peds is what led me to becoming a nurse in the first place, but...

  4. Pediatric RSI

    rnguy25 replied to CraigB-RN's topic in PICU, Pediatric

    Our unit typically uses fentanyl, versed, and rocuronium. Atropine prior to intubation is used for the neos and infants. As others have said, it is physician pref, as etomidate and vecuronium is...

  5. EVD cultures: What do you practice in your setting? Help! Need info!

    rnguy25 replied to SBlackburn's topic in PICU, Pediatric

    We collect our EVD cultures or samples from the sample port that is proximal to the patient using sterile technique. RNs are allowed to collect CSF samples, but not allowed to infuse any meds or...

  6. Peds CVICU

    rnguy25 replied to sicushells's topic in PICU, Pediatric

    Congratulations sicushells!!! Kick butt!!! janfrn, I know this is off topic, but I have to say that I admire what you write and what you do for this forum in many ways. You give hope, inspiration,...

  7. New and Drowning

    rnguy25 replied to Sunbird21's topic in PICU, Pediatric

    Sorry to comment on an old thread.

  8. New Nurse...

    rnguy25 replied to gab.rielle's topic in PICU, Pediatric

    gab.rielle, Hi. I say go for it. I started my career and life as a nurse in the PICU and have loved every bit of it (still do too). You seem to already have a special connection with the PICU life...

  9. suctioning the intubated pt...1 nurse/RT, or 2?

    rnguy25 replied to kessadawn's topic in PICU, Pediatric

    Hi Anna, Bagging during suctioning is needed to maintain adequate arterial oxygenation levels and to maintain adequate lung volumes, especially for those patients who require a high PEEP. All of...