zzyzx

zzyzx

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All Content by zzyzx

  1. Overly rapid correction of hyperglycemia

    zzyzx posted a topic in Critical Care

    What is the result of correcting blood sugar levels to quickly in DKA, and also in HHS? I have trouble finding an answer for this. One source says rebound ketoacidosis, and another says brain edema....

  2. Tracheostomy emergencies

    zzyzx posted a topic in Critical Care

    I just read an article that stated that if an immature trach; ie one less than a week old, is dislodged, then it is unlikely that it can be replaced. However the article doesn't clarify if this is...

  3. Tracheostomy emergencies

    zzyzx replied to zzyzx's topic in Critical Care

    Thanks for your reply. What would you do in this scenario: a vent-dependant patient is 3 days post trach placement, and while turning him his trach becomes fully dislodged somehow. Would it be...

  4. albumin and hypotension

    zzyzx replied to zzyzx's topic in Critical Care

    Thanks for your reply. Okay, so albumin IV is not the correct treatment for hypoalbuminemia, correct? This is also what I've read, but it didn't quite make sense to me. So, the albumin soon just...

  5. lactic acidosis in status asthma

    zzyzx posted a topic in Critical Care

    We had a status asthma patient the other day. She was intubated in the ICU after some time in the ED. Her pH was 7.20. Her PaCO2 wasn't super high though--52. She had an elevated lactate, which I...

  6. lactic acidosis in status asthma

    zzyzx replied to zzyzx's topic in Critical Care

    Sorry I dont remeber the lactate

  7. How woud you treat this patient...

    zzyzx posted a topic in CCU, Coronary, Cardiac

    How would you treat this patient: C/o chest pain and is very anxious. His 12 lead shows a heart rate of 60, but it is bigeminy and his palpable pulse rate is 30. His BP is

  8. Good ICU Nursing Books (Non Textbooks)

    zzyzx replied to Crew2Nursing's topic in Critical Care

    Any recommendations on books covering ICU clinical topics? I have "The ICU Book" and liked it very

  9. How woud you treat this patient...

    zzyzx replied to zzyzx's topic in CCU, Coronary, Cardiac

    I'm the OP. So, after much chin scratching, I think what the patient needs is a transvenous pacer. I originally said external pacing, but I don't think that would work because the pain would just add...

  10. How woud you treat this patient...

    zzyzx replied to zzyzx's topic in CCU, Coronary, Cardiac

    I'm not entirely sure, which is why I'm asking, but probably I would do this initially: 1) give Versed and Fentanyl 2) pace him This is complicated because he's brady, yet also very hypertensive, very...

  11. Beta blocker vs Calcium channel blocker for AF

    zzyzx posted a topic in CCU, Coronary, Cardiac

    I understand how calcium-channel blockers work in AF with RVR. They slow down impulses going through the AV node, thus lowering the ventricular rate. However, I don't totally understand how beta...

  12. Beta blocker vs Calcium channel blocker for AF

    zzyzx replied to zzyzx's topic in CCU, Coronary, Cardiac

    I know that beta blockers work through a similar pathway, blocking calcium influx/exit. I guess what I'm not understanding is which has a better effect on the AV node and why. It seems that CCB are...

  13. Drugs for acute heart failure

    zzyzx posted a topic in CCU, Coronary, Cardiac

    Hey guys. I'm wondering what the current recommendations are for drug therapy for heart failure. I understand the importance of nitro for a patient presenting with hypertension and pulmonary edema,...

  14. Drugs for acute heart failure

    zzyzx replied to zzyzx's topic in CCU, Coronary, Cardiac

    Thanks for you responses. Yes, I have read UptoDate, as well as an older ICU book that I have. I posted the questions here because I wanted to get responses from nurses who have hands-on experience in...

  15. Drugs for acute heart failure

    zzyzx replied to zzyzx's topic in CCU, Coronary, Cardiac

    I don't know why. Is there something you know that I don't? I ask the question because i see so many different recomnendations, and i wonder which treatments are obsolete and what is current I am...

  16. Septic patient with liver failure

    zzyzx posted a topic in Critical Care

    I have little critical care experience. I would like some thoughts about how someone with liver cirrhosis and low albumin levels is best manged with they are septic and hypotensive.

  17. Septic patient with liver failure

    zzyzx replied to zzyzx's topic in Critical Care

    I'd also like to hear about experiences with taking care of septic dialysis patients.

  18. Septic patient with liver failure

    zzyzx replied to zzyzx's topic in Critical Care

    I'm not an ICU nurse; I work in the ER. The other night I took care of a pt with liver cirhhosis, and I realized that of all the septic pt's I've taken care of, I have never had one with liver...

  19. heparin for DVT prophylaxis

    zzyzx posted a topic in General Nursing

    I wondering if you guys know what studies show about the usefullness of heparin for DVT prophylaxis. At my hospitals we give 5000 units SQ to many patients. Just wondering how commonly patient's...

  20. University of Oklahoma-Accelerated BSN Program

    zzyzx replied to nicole15's topic in Online Distance Learning

    They only look at two things and nothing else: science GPA and recent GPA (I believe the last 60

  21. University of Oklahoma-Accelerated BSN Program

    zzyzx replied to nicole15's topic in Online Distance Learning

    I'm looking forward to meeting you all at the orientation. What medical backgrounds do you guys

  22. University of Oklahoma-Accelerated BSN Program

    zzyzx replied to nicole15's topic in Online Distance Learning

    Do you guys know what the passing rate has been for the previous

  23. University of Oklahoma-Accelerated BSN Program

    zzyzx replied to nicole15's topic in Online Distance Learning

    do you guys know when the 2-day orientation

  24. University of Oklahoma-Accelerated BSN Program

    zzyzx replied to nicole15's topic in Online Distance Learning

    Hey guys, Do you know: 1) the start date of the Fall program in Glendale 2) cost of books 3) is there a second orientation session after the 7/20 one? 4) do we pay all at once or in

  25. online RN program

    zzyzx replied to zzyzx's topic in General Nursing

    Thanks for all your replies. This is very helpful. Just one more question: how much time do you put into lectures and studying every day? I'm a paramedic, and I would like to work at least one or two...