NeoPediRN

NeoPediRN

Pediatrics, ER

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All Content by NeoPediRN

  1. Questions on Mechanical Ventilators

    NeoPediRN replied to floridarose's topic in MICU, SICU

    You have an interesting way of twisting things to make nurses feel like they have to prove themselves. I don't buy into manipulation, and I stand by what I said in my previous

  2. Questions on Mechanical Ventilators

    NeoPediRN replied to floridarose's topic in MICU, SICU

    P.S. You have referenced nursing textbooks twice in this thread in a condescending manner. Please remember you are on a nursing forum, and while you are welcome to participate, you are a guest. We...

  3. Questions on Mechanical Ventilators

    NeoPediRN replied to floridarose's topic in MICU, SICU

    We primarily use Servos for the kiddos who are weaning. You have the option to set pressure support and add a rate instead of SIMV. I understand your point. It has become a bit iffy because for the...

  4. Questions on Mechanical Ventilators

    NeoPediRN replied to floridarose's topic in MICU, SICU

    Our hospital no longer refers to it as SIMV. It is pressure support with a rate

  5. NaHCO3 lead to SVT?

    NeoPediRN replied to TangoLima's topic in MICU, SICU

    Does your policy permit carotid massage? You could also try ice to the bridge of the nose/forehead to initiate a vagal

  6. HELP! Ostomy bag will NOT stay on!

    NeoPediRN replied to Preemie2RN's topic in NICU, Neonatal

    What is causing the bags to slip off - too much leaking from the stoma, or the awkward position of the double

  7. NG/OG tube verification policies

    NeoPediRN replied to Sue Hinds's topic in NICU, Neonatal

    We just auscultate before each round of meds or bolus feeds. Checking the pH isn't really helpful if you have a baby on a continuous feed because the pH of most formula is similar to the pH you'd find...

  8. To be a pediatric nurse or not to be?

    NeoPediRN replied to WannabeNurse(:'s topic in PICU, Pediatric

    As the PPs have said, you can really create your own experience. I started off in a community hospital setting. I took care of mostly seasonal respiratory/asthma patients, GI bugs/dehydration, minor...

  9. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Labs essentially at baseline for pt x for mildly elevated WBCs and creeping BUN, which was first treated with a pedialyte bolus PNG and then normal saline once a line was

  10. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Something acute caused the hypertensive crisis. We thought for sure it was a plug because his symptoms were initially so tracheal. We were really surprised to not find a plug when we changed the...

  11. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Close! Pulmonary hypertensive crisis, yes, but secondary to something else. He is on aggressive meds including sildenafil, aldactizide, and

  12. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Here's a case in the meantime: Infant with bilateral pulmonary vein stenosis and chronic lung disease/pulmonary hypertension. Vented on pressure control. S/p GI virus. Pt was about to get a bath but...

  13. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Wait, so she did have

  14. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Nope, we use as low as 0.05mg

  15. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I woud think infection would be a concern over the next few days. Is plasmapheresis a possibility? Is her illness toxic epidermal

  16. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    That's interesting. We've always weaned it here because of the risk of withdrawal seizure, even if it wasn't being used for sz

  17. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Also, do we have a tegretol

  18. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    What are her

  19. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Could this be Stevens Johnson Syndrome? Also, I would have the docs wean the Tegretol and switch to something else for the migraine control. I'd probably ask for some hydrocortisone cream for the...

  20. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    It almost sounds like a severe allergic reaction, and the respiratory/septic appearing decline could be a result. What are her allergies? What does her CBC look

  21. Need input on a patient condition please.

    NeoPediRN replied to NeoPediRN's topic in PICU, Pediatric

    CHB, I totally agree. His CXR showed a very small perihilar patch but it wasn't significant enough to worry them. We may never know, but I'm just happy he's finally turning a corner. By the way, does...

  22. Need input on a patient condition please.

    NeoPediRN posted a topic in PICU, Pediatric

    Any input would be greatly appreciated to help save our patient. Expreemie (less than 2 years old right now...don't want to get too specific because of HIPPA) with bilateral pulmonary vein stenosis,...

  23. Need input on a patient condition please.

    NeoPediRN replied to NeoPediRN's topic in PICU, Pediatric

    Well, CBC was worse. WBCs up to 26.2 from 17 and ESR of 86...definitely not neuro. Everything but a trach aspirate was negative and he is being covered empirically with dual abx...finally afebrile,...

  24. Need input on a patient condition please.

    NeoPediRN replied to NeoPediRN's topic in PICU, Pediatric

    Hi, thanks for the response. No, platelets are WNL. They were actually elevated at one point but have normalized. Baby is chronically anemic and corrected with BID fe supplements. Last hgb/hct was...

  25. Thinking of moving to Boston Area

    NeoPediRN replied to rachelaleanRN2B's topic in Massachusetts Nursing

    I think it's probably due to my unconventional background for an ED. I mostly have peds experience with about 9 months of m/s mixed in. I currently work on a pedi stepdown/pulmonary rehab