dmc_rrt

dmc_rrt

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All Content by dmc_rrt

  1. Mechanical Ventilation- what's the difference between settings?

    dmc_rrt replied to Steph, RN's topic in MICU, SICU

    Quick Version: Volume A/C=pt triggers breath, and ventilator delivers set tidal volume or Pt cannot trigger breath (due to decreased resp drive) and ventilator delivers set Resp rate and tidal...

  2. trach care with No inner canula

    dmc_rrt replied to trulynurseatheart's topic in MICU, SICU

    A trach with no inner cannula is quite dangerous. What would you do if it occluded? When an inner cannula occludes all you have to do is remove it, and the pt. can breathe. Also, like you are asking,...

  3. Spontaneous Awakening & Breathing Protocols?

    dmc_rrt replied to rikkemp's topic in MICU, SICU

    RSBIs in our hospital usually depend on the RT. My preference is to try someone on PSV 0/PEEP 5, for 2 mins. I usually do this on anyone on PSV of 12 or less. An RSBI of 100 or less is usually a sign...

  4. When coffee is no longer enough,

    dmc_rrt replied to Katie5's topic in General Nursing

    Our hospital has a gym. I use it for about 15 mins, 2 times a night. It seems to keep alert throughout the

  5. When coffee is no longer enough,

    dmc_rrt replied to Katie5's topic in General Nursing

    modafinil, a drug used to treat narcolepsy. A few Drs and Nurses here in Canada use it to keep alert during nights. Lasts about 10

  6. Rapid Response Team & ICU

    dmc_rrt replied to akrn2's topic in MICU, SICU

    RRTs here in BC, consist of ICU docs,ICU nurses and RTs. They respond to Code blues and pre-codes(ICU consults). If this is the case for your hospital, why would you want a member of this team to have...

  7. Comfort Care -- End of Life

    dmc_rrt replied to pinky22786's topic in Hospice, Palliative

    Sounds like you did the right thing, I like how you included the family, as I feel they are just about as important to keep comforted at this time. Just an idea...Sometimes an order for glyco or...

  8. End stage COPD

    dmc_rrt replied to rachelgeorgina's topic in Pulmonary

    Nebulized morhine helps

  9. Canadian Nurses_Boxing Day question...

    dmc_rrt replied to Otessa's topic in General Nursing

    ERik J: I had to look it up and you're right; although, you might want to be working Boxing day because we still are getting paid like a stat. It must be a union thing here in

  10. Merry Christmas from...

    dmc_rrt replied to RNnbakes's topic in General Nursing

    Merry Christmas from the interior of British Columbia, Canada. It's about -15C and we have about 3"

  11. Canadian Nurses_Boxing Day question...

    dmc_rrt replied to Otessa's topic in General Nursing

    Yeppers. It is considered a stat holiday. 1.5

  12. SOB and Chest Pain....

    dmc_rrt replied to lm8539's topic in Emergency

    MIs can present similar asthma. chest tightness, wheezing. I would be careful giving someone in an MI situation brochodilators, as they can cause arryhtmias, and increase work on the heart. I would...

  13. On call pay?

    dmc_rrt replied to Finallydidit's topic in Geriatric, LTC

    $2.75, then $4.25 when on call greater then

  14. Healthcare reform

    dmc_rrt replied to moneyline702's topic in Activism, Healthcare

    How strong is your nurses union? In the public health care system in Canada, the nursing wages seem quite acceptable ($30-40/hr). The nursing unions are very

  15. Pulse ox and hematocrit

    dmc_rrt replied to TemperStripe's topic in MICU, SICU

    Hct is comprised of Hgb. If the pt's hgb is low, which could correspond to low hct, he can have 100% sats, but his oxygen carrying capacity is still crappy, and could still result in hypoxemia. Look...

  16. nasal then oral suctioning

    dmc_rrt replied to chele44's topic in General Nursing

    I sxn nasaly first because its easier when the pt is moving his head around and gagging. I only go orally when I'm having trouble nasaly, and the pt has no or weak gag and I can place an OPA in the...

  17. BIPAP ventilation

    dmc_rrt replied to kipi's topic in MICU, SICU

    Best used on COPD exacerbation and CHFers. BiPAP is like putting pressure support ventilation through a mask. There are two levels of pressure. 1) EPAP or PEEP which is the lower level usually set...

  18. Nebulized flolan for severe ARDS

    dmc_rrt replied to sunnycalifRN's topic in MICU, SICU

    We started using it the other day, didn't see your results. INO is expensive and seldom works in ARDS. HFO is contraindicated in pt's requiring infection control, and our pt has

  19. repositioning oscillator pts question

    dmc_rrt replied to Zookeeper3's topic in MICU, SICU

    On this type of vent, the pt is receiving quite high alveolar pressures, so you want fairly even distribution of these pressure t/o the lung to prevent pneumos. This doesn't happen when a pt is on...

  20. Anesthesia

    dmc_rrt replied to cmonkey's topic in Certified Registered Nurse Anesthetist, CRNA

    the answer from focker0014 says it

  21. 21 year old male with tachycardia

    dmc_rrt replied to alissajo33's topic in General Nursing

    I know of two ladies with their resting HR around 100. They have been like this since their twenties , they are now in their forties. Both also have lower BPs

  22. s/s of sepsis?

    dmc_rrt replied to Ms.RN's topic in Geriatric, LTC

    If a pt. is getting fluids, he can still be septic with a normal temp, as the fluids are cooling him

  23. BLS vs ACLS

    dmc_rrt replied to WoofyMutt80's topic in General Nursing

    Also remember that you are going to have to keep paying for the ACLS

  24. anyone seen a pH this low?

    dmc_rrt replied to ritarunningfeet's topic in Critical Care

    A pt. had 6.5x this last spring. A few years back we had one with 6.5x and he pulled through. In our ICU this week we had pH6.98; CO2 8; HCO3 2 and the pt. was able to pull through with only bicarb...

  25. Plastic catheters vs. rubber catheters for trach suctioning

    dmc_rrt replied to 60571's topic in MICU, SICU

    I have worked at two hospitals. The first we used Red rubber caths. and I really liked them, because they caused less trauma to the pt. The second hospital is latex free, so we only use plastic sxn...