hotcoffee replied to icumurse1122's topic in Critical Care
It weird how everyone keeps using benzos even when there is evidence they are bad news. I have even had a hospitalist refuse to order precedex because she didnt want the patient "to get intubated"...
I am going to be commuting from the peninsula to ucsf. What is the deal with parking? I checked out the website and the lots all have waitlists. Also it looks like the caltrain to N Judah is an option...
This is the highest-paying area for nurses, and we have unions so you almost always get to eat lunch (cheers for unions!). It is a hard place to get a job. Lots of new grads move out of town to get...
hotcoffee replied to sunnybabe's topic in Critical Care
Sounds like you know more than I do about hemodynamics. But my point was that I don't think it's clinically accurate to say that in all situations an increase in cvp = a drop in stroke volume. There...
Use a jaw thrust when bagging a patient, or on someone who is obstructing. most RTs and RNs I have seen bagging don't do it. Emergency Ventilation in 11 Minutes on
hotcoffee replied to ilikesharpthings's topic in MICU, SICU
One thing I have to add- obviously I was not there so I don't know what was happening- but i am reluctant to pull the plug on people who are fully functional prior to admission. Sounds like your...
hotcoffee replied to sunnybabe's topic in Critical Care
Regarding the first response- I don't think it's accurate to describe high cvp as an impediment to venous return. But I think I get your point. Cvp is often used as a measure of preload but lots of...
hotcoffee replied to rearviewmirror's topic in Critical Care
Wow that's a lot of questions. you need to look those meds up. sounds like you already have a handle on the clinical implications/applications it will help you if you understand the mechanisms of...
Every once in a while this comes up and it bugs me. I have read in a few different studies that really high pao2 is harmful (after cardiac arrest, MI, etc). So to me it seems logical to try and...
Bicarb isn't in the ACLS algorithm. Does that mean the docs who wrote the guidelines don't know what they are doing too? im not saying we don't give it where I work. just saying that there is no...
From what I have read there is no evidence that pushing bicarb is helpful. We do it at my job fairly often. I don't have a good grip on the physiology. After you inject the nahco3 you get h20 and co2...
You can get lots of old editions used for cheap on Amazon. clinical anesthesia by Morgan, mikhail is really good. Covers lots of Icu info even though it's an anesthesia