reyfresco

What may be more cruel is the damage we are doing to our patients in the long term. By over sedating our patients studies have shown poorer outcomes in these patients. Over sedation leads to ICU delerium which causes increased risk of dementia, depression, STM loss, variety of mental health disorders, and a four fold risk of mortality (yes, death) in the next 10 years, due to over sedation. Benzos are enemy number one, they have the worst long term effects. Using a valid and reliable tool such as the ABCDE type bundle we can improve patient outcomes. I was a hard and fast believer in sedation, diprovan was my best friend. Despite it being more work for us, and the patient being more aware, we have duty to act and implement evidence-based best practice. There is a lot of current information out there on ICU delerium and ventilator sedation management. When patients are sedated they are not "resting", and when there are lying in bed and not moving they are not "heal[ing]". It is a cultural shift from how critical care nursing used to be, to what it must become.

When a patient is mechanically ventilated this increases the inter-thoracic pressures thus giving the appearance of an elevated CVP. So if a patient has a a CVP of 15 when ventilated, it is coomparable to a CVP of 12 in the non-ventilated patient.

Becoming an MA is a terrible idea if your going to nursing. No I am not talking about experience but rather the waste of money and time. You can simply go to community college, take one semester, pay around $250.00, become a CNA and then apply to nursing school. Second every field or career is less glamorous then advertised including nursing. Everyones always overworked, someones always complaining. But the higher your education, and experience level the more control you gain over your own life.