chani

chani

Critical Care Nursing

Member

  • Content

    53

  • Visitors

    2,539

  • Followers

    0

  • Likes

    0

All Content by chani

  1. Disposable curtains in ICU

    chani replied to chani's topic in MICU, SICU

    Agreed there are many potential fomites in ICU and curtains are down the list. However if you observe behaviour HCW often touch curtains without then completing hand hygiene and changing between...

  2. ABG question.

    chani replied to sicushells's topic in MICU, SICU

    there is a saying where in australia when you make a clanger (mistake) , its "folks are dumb where I come from":imbar you shouldnt answer emails when you haven't had much sleep. humbled

  3. ABG question.

    chani replied to sicushells's topic in MICU, SICU

    continuing on from previous email primary metabolic alkalosis are rare in general ICU. Many are due to loss of hydrogen ions OR drug problems. However as I am not familiar with post cardiac surgery I...

  4. Can you give blood and antibiotics both at the same time through a triple lumen cath?

    chani replied to mommy2anangel's topic in Patient Safety Issues

    Sorry to say it is more than theoretical it is practical. In the context of a highly ill patient with multiple infusions and meds, there are always times when a triple lumen and or even a quad lumen...

  5. Can you give blood and antibiotics both at the same time through a triple lumen cath?

    chani replied to mommy2anangel's topic in Patient Safety Issues

    You are correct that a CVC can deliver blood and that most lumens are wide. However, they are also a whole lot longer than a peripheral IV, and if you want to give the blood quickly, then it will be...

  6. Can you give blood and antibiotics both at the same time through a triple lumen cath?

    chani replied to mommy2anangel's topic in Patient Safety Issues

    You can give blood and AB through different lumens of the central line at the same time. However, a CVC is not the most appropriate way of delivering blood because it's long and skinny. I am not sure...

  7. Sepsis case

    chani replied to poppy07's topic in MICU, SICU

    Definately had SIRS but is there something else going on that is causing the hypotenson and high fluid requirments. My Docs tend to echo most patients these days and would definately echoed this one...

  8. How high have you titrated levophed?

    chani replied to racing-mom4's topic in MICU, SICU

    Sometimes it isn't 'can we' but rather 'should we'. Oh boy now there is the killer question AND it terrifies me because I have experienced this ethical nightmare time and time again. AND the answer...

  9. To suction the ETT, or not?

    chani replied to CactusFlower's topic in MICU, SICU

    with respect I do think I may have been misunderstood. I never said don't suction, I said suction when it is needed. If you are referring to the need to ensure the ETT is patent by passing the suction...

  10. Do they have nurse practitioner in Australia

    chani replied to Eeeva's topic in International Nursing

    Not sure you would qualify in Australia as NP are in their infancy. I think it is much easier to get a position in specific areas especially ED or outback. I suggest you contact the Nursing and...

  11. Hello Australian Nurses!!

    chani replied to barkles3579's topic in International Nursing

    Currently the only state with mandated nurse patient ratios is western australia but I don't know what they are In ICU in australia we the larger units (tertiary referral) are closed units run by...

  12. chlorhexidine vs. providone iodine

    chani replied to K os's topic in General Nursing

    I would concur with iluvit. See this meta analysis ] Chaiyakunapruk, N., D. L. Veenstra, et al. (2002). "Chlorhexidine Compared with Povidone-Iodine Solution for Vascular Catheter–Site Care: A...

  13. To suction the ETT, or not?

    chani replied to CactusFlower's topic in MICU, SICU

    you are correct in asking to look at this research for yourself. Indeed the levels of evidence are not high and there were signficant biases in the research methods. Therefore to make changes to...

  14. How high have you titrated levophed?

    chani replied to racing-mom4's topic in MICU, SICU

    highest inotrope rate for was in a 16yr old with meningococcal sepsis (before Xygris) was quad strength noradrenaline [aussie for levophed] (24mg in 100mls) at 80mls per hour PLUS the same in...

  15. To suction the ETT, or not?

    chani replied to CactusFlower's topic in MICU, SICU

    taa much cactusflower I hope my comments wasn't misconstrued but I definately didnot mean that patients shouldn't be suctioned at all. As for most, if not all, patient procedures, the patient should...

  16. To suction the ETT, or not?

    chani replied to CactusFlower's topic in MICU, SICU

    having recently developed a guideline on this we recommended you should only suction when it is required BUT the research is limited on how easy it is to ID when this is appropriate I used a closed...