VAJenny

please give me some insight on this.. when a patient has a high K, and the doc orders 10 units of insulin and 1 amp of d50.... i understand that the insulin pushes the K into the cells..but are we just giving the d50 to prevent hypoglycemia?.. also.....

i would love to see some EBP on this

I am with you and the other nurses.. i dont think I have heard of anything different like that what is her rationale as to type 1 vs wenkeback

does it matter if the insulin or d50 is given first?... this pt was getting albuterol nebs too.. but i read somewhere that this can be given IV.. (crazy!..never heard of that).....

I am looking for more information and understanding on junctional rhythms. Is the p wave inverted because the source comes from the av node? the p wave preceding the qrs is understandable of course. but if the p wave is hidden in the qrs does this me...

thanks for all the info... i aways doubt myself and need to hear what others think! thanks!!

so if the p wave is inverted are you saying possibly that the av node conducts then tries to reach the sa node.. is that why it would be inverted?

I hope when I have 18 yrs expercience that I will be as smart as you I can only hope!

Does anyone know how I can get information from the infusion nurses standards journal?..the latest one??..don't they publish new mags ever year? I need to know what is the current standard on changing secondary tubing sets.. my facility has started ...

HI! I need help finding some credible websites/books...or any info pertaining to intravenous therapy in stroke patients. I need to educated nurses that you can put the iv in the affected arm of a stroke patient they seem to think that there is a dec...

So really...is there a difference between wide qrs tachycardia and VT?...if so can someone explain.. Thanks

thank you athena. I am talking about when "it appears" that someone had "say" a run of VT or is in actual stable VT. Some nurses are refering to it as "wide qrs tachycardia rather than just saying VT.. so my question is what is really the difference ...

what really is the difference between "wide qrs tachycardia" and "Vtach"....? maybe the hr?

I am looking for evidence based practice website to search?..does anyone know of any sites?...where the info is free and you dont have to pay to look at it

Do you insert IV's into the affected side of a stroke patient? And is there any credile sources like websites that I can look at?

Thanks for all the replies--this really helps!

Ya know things like this happen when ppl have been working somewhere for a long time. I would definetely talk to the LPN's if you are comfortable with that. They have to remember--we are all here to take care of patients--

What type of team building activitied do you guys do at your facility? What is done on the unit to praise your co workers?

alright well I know it has been standard practice to prime the blood tubing with saline...i was always told that you have to fill the saline past the mesh filter in the chamber because if not, the rbc's are ruined my the mesh filter....is this correc...

so...let me get this straight...saline has to be primed above the filter in order for the cells to have a softer landing..otherwise they become damaged...(?)...If saline is not primed above the filter...is the filter not working properly to filter th...

yea they do go through the filter anyways...so that is why i am curious to figure out the rationale behind this...

There is a nurse in my facility that is outright obnoxious and loud. When dealing with patients she gets very loud, demanding (of other nurses), making all of our anxiety levels rise--when we were fine and dandy. No one likes to work with her and avo...

thanks for the replies. the thing is that she has been reported many of times by various ppl, administration has seen her acting out... you would think the correct steps for discuplinary action would be taken, but obviously they are not

At my previous job, they used to close one unit quite often, but we would not be called off to accomadate for the nurses on the closed unit. Where i currently work, my icu is closed down, bot because of the economy per say but b/c of md shortage...

Gees, don't ya hate when that happens. I used to float alot off my unit. I would let the staff know what unit i came from and not that familiar with routine care of the patients on their floor. But i was never afraid to ask questions or for help. The...