tryingtohaveitall

tryingtohaveitall

PICU

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All Content by tryingtohaveitall

  1. low diastolic BP after giving PRBC

    I would definitely say the Lasix and Morphine could have something to do w/ the low DBP. I work peds, so I'm not sure how adults react, but kids will often drop their DBP when they're septic, overly...
  2. Public or Private for New Grad?

    #1 sounds like you'd get a terrific education before you start seeing the patients. Often a setup like that will also have better staffing ratios. Is there a way of talking to nurses from both places?...
  3. Pediatric IV's?

    Unless it's a trauma or surgery patient, in general I'd only put in a 22g on most kids, a 24 g on a
  4. Quick questions about ear drops for infants

    Let me know when you find out. Never heard of such a
  5. Flu shot in arm for 8 month old?

    I think it also depends on what the parents would prefer. I am fine with my kids receiving the simultaneous shot approach, get it done and over with. I don't personally care which way I do it (on the...
  6. Quick questions about ear drops for infants

    I'm not aware that you can't give ear drops to an infant. Is there a specific ear drop to which you're referring? here's one example that specifically discusses usage in an infant....
  7. I'm like JanRN, working in a PICU with a tragic situation like that, we tend to let anyone and everyone in to say good-bye and spend their last hours together. I sympathize with you, I can imagine how...
  8. trouble getting RN license

    I'm sorry to hear about all of your troubles. I agree that based on what you've said, the punishment has been excessive. Frankly, is there really one person who works night shift who hasn't fallen...
  9. Co Worker and snide comments

    I agree with all the PP comments that this needs to be address and quickly. I would also like to add my 2 cents that you need to absolutely keep your self as above board as possible so there's nothing...
  10. seizure questions...help!

    Long ago I heard someone give a ballpark guesstimate that for every 10 min of seizure, they'll be postictal for an hour. We will occasionally get kids who have seized for an hour or two and it's not...
  11. Wow. 6 Hours down the toilet...

    This is slightly OT, but too funny not to share. Yesterday I got a call to go pick up a kid from an outlying hospital with an infection. On the sheet from our comm center, the woman wrote that the...
  12. 1st pediatric code

    I'm so sorry you had to go through that and I hope the child defies expectations and proves them wrong. I have seen miracles too many times to not believe in them. I also strongly believe what the...
  13. Backing out of vein?

    My apologies if this is a dumb question, but I've asked around at my children's hospital and haven't found anyone who can answer this. What is the pathophysiology when you're trying to place an IV, no...
  14. Backing out of vein?

    Mary, Thanks so much for your helpful post! I'm sure you're right, that a lot of times we've nicked the vessel but just don't have enough blood return until we're backing up. Unfortunately, we aren't...
  15. Running multiple IV antibiotics at one time

    I know Virgo addressed the fact that different lumens means there is no mixing, thanks for clarifying! I just wanted to say again that the pharmacology book isn't going to clarify if they're...
  16. Thinking about working in NICU or PICU

    I went to a peds stepdown unit for a year and then to PICU. Originally, I didn't know I'd enjoy peds critical care but got a taste of the higher acuity and liked the adrenaline. :>) If that's what...
  17. Interested in pediatric nursing..

    I agree with the PP, find a children's hospital, try to get a job as a nurses's assistant/HUC/UAP while you're in school and you'll gain valuable experience and have a terrific in when it comes time...
  18. Strange things people present to the ER with....

    This is the funniest thing I have read on here
  19. juggling motherhood and nursing

    Kudos to you for wanting to be home with your son as much as you can. Like a PP, I have 5 kids, I work part-time in a PICU, I'm working on my PNP and I homeschool my middle 3 kids. (the youngest is 3)...
  20. Funny Names

    Welcome, and thanks for sharing. That's hilarious, I
  21. New PICU Transport Nurse - any advice???

    Congratulations! It's great to see your enthusiasm and your respect for the responsibility. I guess my 2C would be to be prepared for the worst at all times. That's where I get frustrated with some of...
  22. hyperglycemia algorithm

    Here are a few links I found. HTH! http://care.diabetesjournals.org/cgi/content/full/29/8/1963 http://dave.md/resources/507-ADA-EASD%20Slides.pps#5...
  23. hyperglycemia algorithm

    An algorithm is usually a diagram, if yes, do this, if no, do that. I'm not sure what you're looking for with a hyperglycemia algorithm
  24. *Weird* Patient Allergies

    Sorry, but the mom in me can't help but remind you that if you have an anaphylactic allergy to Toradol, you shouldn't be taking oral NSAIDs either. Same for aspirin and be very cautious with...
  25. Quick survey question

    41/female/2