Mommy_of_3_in_AL..RN

Mommy_of_3_in_AL..RN

MICU, SICU, CRRT,

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All Content by Mommy_of_3_in_AL..RN

  1. Multiple BP meds & dialysis- to give or not to give.......

    Noone knows everything. Even the most seasoned nurses have to refer to some sort of reference now and then. With some meds, especially those that lower BP and HR and RR, docs often dont write an order...
  2. Multiple BP meds & dialysis- to give or not to give.......

    I would not give for SBP of 100..The ultimate goal is to lower the pressure, and you dont want to lower that..unless you want to give pressors and/or fluid bolus..and depending on the patient, that...
  3. Multiple BP meds & dialysis- to give or not to give.......

    We usually hold all meds DURING dialysis, then when dialysis is finished, we draw labs, and give the meds. If the pressure is WNL, 120 systolic or above i would give them all, and watch the patient....
  4. No such thing as a stupid nurse

    i was in a critical care conference today, and one of the speakers said something that realy touched me, so i thought i would share it with you all. she said "I believe there is no such thing as a...
  5. hanging IV antibiotics

    generally that is true. Scheduled meds, like antibiotics that are scheduled every 8 hours, should be given on time if at all possible. Although, sometimes, especially in a unit or with an unstable...
  6. Who is Responsible for Discussing End-of-Life Treatment Options?

    First of all, i never give the patient a diagnosis that the physician hasnt discussed with them. If i know that cancer has mets..i do not tell them that, and if directly asked i simply say that we...
  7. No such thing as a stupid nurse

    OK let me rephrase a little. I think that the general meaning behind that was that the nurse was able to A) get through school and pass boards, so they had to have some intelligence, at least at some...
  8. Need some solid answers

    Does your unit have access to micromedex? it is an online tool for drug therapy, and it has a great section in which you can enter all the meds your patient receives IV,and then prints out a nice...
  9. hanging IV antibiotics

    In reality you should try to give them all on time, but usually the vanco and levaquin get given first by me, then merrem, flagyl, clindamycin, etc. Try looking at what all you have to do, and plave...
  10. Your favorite nursing gadget?

    Laser leveler. And Sharpie pens...although we cant use them on carbon copy stuff (like blood transfusion records)...and CRRT machines...yeah i am wierd...i like doing CRRT...and my palm...
  11. Metal Penis??

    I have no idea why he wasnt brought back to the unit..things there are so twisted..i think they didnt want to bring him back, only to have to turn around and go right back, since they didnt know how...
  12. Where, Oh Where, Are All the Jobs????

    depends on where you are wanting to work. Some places are in desperate need of nurses, where as others are just over the brim full of applicants. Dont give up..i was determined that i would work in...
  13. Hyponatremia causes

    Had the blood been drawn from the old line, then i would have thought that as well. However, the blood was drawn from a newly inserted central line, by the MD on insertion. No fluids had yet been run...
  14. Hyponatremia causes

    Had a patient admitted to me today, 80 yof..history of SIADH. Sodium in the AM was 114, and was 118 on admission when i drew it. We were ordered to have a CVL placed, which we did, and start 3% saline...
  15. Hyponatremia causes

    I agree...and when i went in yesterday, i went back over the night labs, and we wre right. The 127 was a lab error obviously..all the other night labs were 114-116 consistantly, eve after8 hours of 3%...
  16. you know you are in for trouble when.....

    Oh goodness..in only my 8 weeks as a nurse in MICU i can list a hundred of these...here are a couple: *If i ever get a nurse calling report from the EAU (express admit unit), i go into automatic panic...
  17. What's the difference between REAL LIFE and MEDICAL TV-shows?

    7. On TV they shock people in perfectly good rhythms that we would be glad to see in a unit!! (and they always pan the camera to show you the monitor, so u see that) 8. Nurses and docs dont usually...
  18. Quality of life: How far would you go to save your life.

    I think this is one of my favorite topics of discussion..but i will agree that there are no clear cut answers. Technically, the way i have things set, it all depends on the physician. Basically, in...
  19. I agree on the dancing part...If you can do it, it pays the bills, and you are satisfied with it, go for it. I agree with the PP that it may make others mad, but you know what...others arent you. Only...
  20. Anyone starting prerequisites at CACC fall 2009?

    I am not really sure about the Bio classes now...the teacher i had, who was great, is no longer there. I also retook some classes, because i had to bring the 1.7 GPA i had up to get it (i went to...
  21. A&P ll at central Alabama community college

    I didnt take AP with her, but i did take bio 103, and i loved her. She was a great instructor, and her tests were easy, as long as you halfay listened in class. I dont know how she will be in AP, but...
  22. Anyone starting prerequisites at CACC fall 2009?

    not taking prereqs now..igraduated there in December. My best advice on what to take now, before admission, is to take everything you can...the worst thing i think you can do is to try to juggle...
  23. Ignorant Stupid Patients

    a little off the original subject i guess, but in my facility i get most annoyed with the "VIP" patients (yes they are listed as such)...the patients who are in healthcare, have family that work in...
  24. What kind of ICU standing orders/protocols do you have?

    We have some protocols, things like line inssertion, sedation vacation, foley placement/removal, and things like that, but most of our physicians have their own standing orders for individual disease...
  25. I am an ICU Nurse!!!

    Congrats! I know how elated you are!! I was also accepted into ICU as a new grad..today was my last day on orientation, although i have been basically on my own since my second week. I came off...