aCRNAhopeful

aCRNAhopeful

CVICU

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All Content by aCRNAhopeful

  1. Potassium question...

    aCRNAhopeful replied to Soflo_RN's topic in General Nursing

    He was overreacting and I would only call for something like that in rare instances like pt needs IV lasix now and no orders for K replacement or some other situation that I was afraid of the K level...

  2. How recent does my ICU experience need to be for CRNA app? I have 11yrs already.

    aCRNAhopeful replied to mumcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    I don't think quitting is a good idea. My admittance to the program I have been accepted to is contingent upon several things, one of which is that I maintain employment as a critical care RN. Have...

  3. Titrating multiple drips

    aCRNAhopeful replied to Good Morning, Gil's topic in MICU, SICU

    Learn the differences between the pressors and how strong of an effect each one has on each sympathetic receptor. There are charts that show a representation for of this for each pressor on each...

  4. Resources for new CVICU nurses...

    aCRNAhopeful posted a topic in CCU, Coronary, Cardiac

    I'm looking for some additional resources that I could do to teach myself about anything CVICU. My issue is that I did my homework before starting in this area and all the critical care classes my...

  5. Policy development: Central lines

    aCRNAhopeful posted a topic in MICU, SICU

    Sitting on a policy and procedure committee. Do you have a limit on the number of days a central line can remain in place? Care to share some evidence used to support this decision? Thanks for your...

  6. ACLS question

    aCRNAhopeful posted a topic in MICU, SICU

    Hey everyone, Take a look at the pulseless VT/VF algorithm. Your patient goes into VF so you start BLS and shock ASAP. Then, according to ACLS, you give NO drugs for the next two minutes while you...

  7. ACLS question

    aCRNAhopeful replied to aCRNAhopeful's topic in MICU, SICU

    That's how I feel. There may be a very good reason to wait to give epi or vasopressin later rather than sooner. I would surmise that in early CPR the myocardium may still be quite viable, now you give...

  8. Ob to icu?

    aCRNAhopeful replied to HeartsOpenWide's topic in MICU, SICU

    Yeah give it a try. You're still new and fresh outta training so it shouldn't be greek to you. That would give you a very unique skill

  9. Cardiac Stepdown unit 5:1 patient ratio...is this normal???

    aCRNAhopeful replied to jaznia15's topic in CCU, Coronary, Cardiac

    I think a 5:1 assignment is ridiculous and unsafe. I work at a small cvicu and occasionally I take 3:1 assignment of step down acuity pts. Just the other day I had 1 pt on heparin gtt who was...

  10. Do Neuro ICU nurses get good cardiac experience?

    aCRNAhopeful posted a topic in Neuro Intensive Care, ICU

    Hello all, I am going to be a new grad nurse this may and am applying to different critical care jobs in my area. I really wanted CVICU because I thought that area would give me the best knowledge of...

  11. Trop and CK-MB levels

    aCRNAhopeful replied to aprilleverett's topic in CCU, Coronary, Cardiac

    That is an expected result. Just as Ranier said. Look at the curves of the rise, peak, fall of the different cardiac enzymes. That's why we never check a troponin after an MI and PCI, it doesn't...

  12. can ICU nurse handle 2 pts on the levophed same time

    aCRNAhopeful replied to Snoopy54321's topic in CCU, Coronary, Cardiac

    Yeah that's very stupid to say the nurse cannot accept another pt because that would make 2 patients on levo. Maybe they meant to say the nurse cannot accept another because the other pt was too...

  13. IABP removal

    aCRNAhopeful replied to SLP12's topic in CCU, Coronary, Cardiac

    I've seen it pulled through the sheath once. Cardiologist wanted to angio-seal at the bedside because the lady had severe aortic stenosis and also had a tendancy to vagal easily. I thought this seemed...

  14. New CCRN format?

    aCRNAhopeful posted a topic in MICU, SICU

    Just wondering if anyone had any thoughts or advice about the new CCRN test. My understanding is that the content of the exam will be the same and therefore all the "old" study guides, books, dvds,...

  15. Does this follow ACLS guidelines?

    aCRNAhopeful posted a topic in CCU, Coronary, Cardiac

    Hypothetical situation: On the monitor a patient suddenly begins to brady downward --> asystole. The RN's begin CPR and bring in the crash cart. Now to choose the first drug: the RN gives atropine...

  16. IABP

    aCRNAhopeful replied to AnnieRN's topic in MICU, SICU

    I don't think it should be a mandatory 1 on 1 but it is in my unit. I have had some EASY shifts taking care of my stable 1 on 1 IABP patient waiting for a CABG the next day. Pretty sweet deal. If the...

  17. NaHCO3 lead to SVT?

    aCRNAhopeful replied to TangoLima's topic in MICU, SICU

    hmm. i hope you're only doing this in emergencies while you're trying to get someone on the phone. "seek expert consultation". while i think i know when and when it's not appropriate to start an amio...

  18. NaHCO3 lead to SVT?

    aCRNAhopeful replied to TangoLima's topic in MICU, SICU

    Sorta. My understanding is that profound acidosis renders catacholamines ineffective which can create shock that's refractory to all the

  19. sanfran hourly rate?

    aCRNAhopeful replied to matthewrn03's topic in California Nursing

    Coming from a midwest perspective... WOW. I'm not making anywhere near that amount of money. The cost of living differences must be

  20. affect of shocked or paralyzed hemidiaphragm on Swan-Ganz readings

    aCRNAhopeful replied to deluded's topic in CCU, Coronary, Cardiac

    Certainly a good thought. I would still think that the effects on pressure would be negligible since not all pulmonary vasculature is perfused at once. Even if the lung is half its normal volume I'd...

  21. Palp pressure traumatic hypotension

    aCRNAhopeful replied to dudemursestudent's topic in MICU, SICU

    I stand corrected. That seems utterly insane but i guess it works. I would be wondering if my pt was 2 seconds away from arresting or if they had a pressure of 80/60 and were doing

  22. My fall from CVICU

    aCRNAhopeful replied to lpn2crna1day's topic in CCU, Coronary, Cardiac

    I don't think it will hurt you at all. Just come back when it's a good time and be ready to explain your decisions if

  23. Palp pressure traumatic hypotension

    aCRNAhopeful replied to dudemursestudent's topic in MICU, SICU

    I'm no trauma nurse and I've never been an EMT either but I also think it's ridiculous to allow hypotension in a hypovolemic patient. The whole point is to keep the person alive not to just stop the...

  24. Help reading CVP tracing if C-wave is present

    aCRNAhopeful replied to in2ICU's topic in CCU, Coronary, Cardiac

    I have no idea if it's common. I never do either way, it's not required at my facility. I realize that it is the "gold standard" but I just dont see the point. I watch the trend on the monitor display...

  25. Help reading CVP tracing if C-wave is present

    aCRNAhopeful replied to in2ICU's topic in CCU, Coronary, Cardiac

    Couldn't you just go 1/2 way up from the baseline preceding the a-wave and the peak of the a wave? Do you actually do that every time you document a CVP? just