aCRNAhopeful

aCRNAhopeful

CVICU

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All Content by aCRNAhopeful

  1. I feel your pain in this situation. I also plan to go on to crna school (hence the name) and was desperately hoping to get into an ICU right away so I could have some solid experience in by the time I...
  2. Top 10 CT-ICU drugs

  3. Top 10 CT-ICU drugs

    I'll add fenaldopam and
  4. they know when they're ready . . .

    Good to
  5. One year CRNA program?

    I'll give you
  6. One year CRNA program?

    Honestly, wow. I finally took the time to read this thread and am wishing I didn't. I couldn't even be convinced that paindoc believes his own rationale for that argument. I actually believe that he...
  7. IABP blood pressure question

    I've been trying to figure out the same thing. Which BP would you titrate gtts with and such? And if an aline isn going to be accurate with an IABP then why have one? Surely someone can shed some...
  8. Junctional Rhythms

    The reason any wave of the ECG looks the way it does is because of the way that the impulse travels. In a sinus rhythm the impulse travels through the atria and as the impulse travels toward the...
  9. they know when they're ready . . .

    What is the risk of vocal cord damage when a patient self extubates? I'd probably consider self extubating too if I were stuck on a vent any longer than necessary. I would probably try to see if I...
  10. How do you calculate your CVP's?

    If the patient is being mechanically ventilated, yes. However, I have to admit that no one in my unit actually takes the time to measure out the exact mean of the a wave at end expiration and we just...
  11. CVICU Job For A Future New Grad

    If at all possible, do an internship with the unit of your preference. And apply to many different critical care units as early as possible. CVICU and SICU are traditionally the best options but don't...
  12. Pharmacology question.

    When you say "the difference between alpha and beta receptors" the answer isn't going to make sense because, like you said, their are alpha 1 and alpha 2 receptors as well as beta 1 and beta 2. So...
  13. I think you need a couple years of experience to work as a traveling ICU nurse. If it's not required it probably should be. Work at one hospital. When they ask about long term goals just say "Well,...
  14. How can you find out about a schools clinical experience? I have a school I want to apply to and would be very convenient, but I have heard that they have had trouble in the past with changing...
  15. Pacep.org is an awesome site, definately gives you an excellent overview on hemodynamics. However, one thing I noticed is that they teach the normal hemodyamic pressures and consider any deviations of...
  16. So far during my short career as a cardiac nurse I have seen too many close calls with confused patients, whether its pump head post open heart or just plain dementia, and femoral lines. By close...
  17. As long as the state school is respectable it should be fine. The most important factor is going to be the critical care experience so getting into the most intense ICU you can find will make you the...
  18. Phantom saline in the ICU

    We have it on an order set like you
  19. Isolation Rooms and Organizing

    Everyones ideas are great so far. One thing that has helped me to better my time mgt has been to get the assessment charted ASAP. Now that may or may not make sense for you based on what demands are...
  20. Maybe the next step should be spending some time shadowing CRNAs and see what your true passion is. If you become 10x more excited about CRNA then maybe ccu/sicu would be your best bet. If you decide...
  21. Stroke volume variance

    Can't give you a firm answer but the same concept seems to occur with blood pressure. When the filling pressures are low, pressures are labile. Which makes sense with what you say, when volume is low,...
  22. Calcium Chloride vs Calcium Gluconate

    While your at it with my last question, here's another. Why is it that open hearts come back with low calciums and sometimes critical low calciums? My guess is that it is due to the amount of blood...
  23. Calcium Chloride vs Calcium Gluconate

    I wasn't even aware that calcium was given for blood pressure. I'm new to CVICU so thats no big surprise but I guess I was under the impression it was for arrythmia prevention. Please explain the...
  24. Hypothyroidism prolong weaning

    Could it be that there are many people that go undiagnosed with hypothyroidism? I seem to remember that to be the case. So if they have weaning problems, they can rule that out as the cause. Just a...
  25. I've seen this question answered before and the answer is always no, it doesnt have to haunt you. If you have all the experience and grades and everything else you need you will probably be questioned...