sapphire18

sapphire18

ICU

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All Content by sapphire18

  1. Highest PEEP you've seen?

    sapphire18 posted a topic in Critical Care

    Saw this, this week at work: twenty-FOUR of PEEP. WOW!!! 2. 4. Blew my

  2. Clots related to fast afib

    sapphire18 replied to maloneys's topic in CCU, Coronary, Cardiac

    I've never heard that about the clotting potential; I agree though that it would be up to surgery. I don't get why you would let someone sit at that high of a rate for so long though- why not give...

  3. Highest PEEP you've seen?

    sapphire18 replied to sapphire18's topic in Critical Care

    Jeeeezzz those are some crazy numbers right there. The 24 of PEEP was also a large pt- 400lbs- I've never thought of weight factoring into amount of PEEP required but I guess it makes sense that it...

  4. Highest PEEP you've seen?

    sapphire18 replied to sapphire18's topic in Critical Care

    Ahh!

  5. Holding Antihypertiensives

    sapphire18 replied to jamiejohnson2007's topic in Patient Medications

    That's why I said that *since the pt is a cardiology pt and not in ICU*, I would call the physician in this case. Whether a cardiologist wants a low BP or not, the correct thing to do in this...

  6. Holding Antihypertiensives

    sapphire18 replied to jamiejohnson2007's topic in Patient Medications

    A BP of 83/46 has a MAP of 58...in my ICU, if that patient were on pressors we would still be titrating UP (90% of our patients have MAP goals of 65mmHg)...so yes, this BP definitely warrants holding...

  7. Is asking for info in lobby a HIPAA violation?

    sapphire18 replied to rse3's topic in HIPAA Challenges

    My initial thought is that this is not a HIPAA violation as long as there is an option of writing down the info including

  8. My patient had HIV and the flu but wore mask incorrectly

    sapphire18 replied to ssoxford's topic in Patient Safety Issues

    How were you wearing the mask if it wasn't covering your mouth? As others have stated, N95 is for airborne precautions and the flu requires droplet precautions- a standard surgical mask is used for...

  9. How do you respond to rude patients?

    sapphire18 replied to MILOBRI's topic in Emergency

    I agree with the above: to them, they don't know or care that you are taking care of a head trauma patient. All they know is how much pain they're in. I try to be short and sweet- kill them with...

  10. It is *not* a pannus...

    sapphire18 replied to Music in My Heart's topic in General Nursing

    EWWW who comes UP with these things??!

  11. It is *not* a pannus...

    sapphire18 replied to Music in My Heart's topic in General Nursing

    Your mini seizure was contagious...I'm having one now in response to this^!!! Wizard sleeves are big at the bottom though so I don't really get it. Maybe I'm being too literal,

  12. Crossing a line?

    sapphire18 replied to nurse4littles's topic in HIPAA Challenges

    I think that as long as your boss is ok with it, it is ok to stay *cautiously*

  13. Admitting you are wrong

    sapphire18 replied to madwife2002's topic in General Nursing

    Yeah, some people can just never admit when they're wrong...luckily, I'm always right, so I don't have that problem!

  14. Passing things on

    sapphire18 replied to Nanz_B's topic in General Nursing

    I will never understand this...not only is it illegal but you set yourself up for a lot of liability; you are not covered by the facility if something happens while you are off the clock. I get that...

  15. It is *not* a pannus...

    sapphire18 replied to Music in My Heart's topic in General Nursing

    Guys!

  16. Critical Thinking Development

    sapphire18 replied to Loving-and-Learning's topic in General Nursing

    High CO2 can create tremors,

  17. Charting Bloopers

    sapphire18 replied to AHarri66's topic in Nursing Humor

    Haha!

  18. Cops and Nurses

    sapphire18 replied to GundeRN's topic in General Nursing

    Hahaha! I love it! Gotta love us

  19. Cops and Nurses

    sapphire18 replied to GundeRN's topic in General Nursing

    Twice got out of speeding tickets going to/from work. Pretty sweet deal considering how much they would've cost and how much my insurance would've gone

  20. Are RNs allowed to arterial stick at your hospital?

    sapphire18 replied to Deetail's topic in General Nursing

    Yep, we do

  21. Getting Thrown Under the Bus

    sapphire18 replied to ThePrincessBride's topic in General Nursing

    What happened?

  22. Antidepressants in Sedated/Comatose Patients

    sapphire18 replied to blondy2061h's topic in Patient Medications

    Just wrote a long post that got lost. Yes I think they should be continued unless there's a very good reason not to. Some doctors say "they don't need them" while some make every effort to continue...

  23. Iv mag or k+ which do I hang first?

    sapphire18 replied to JenniferG rN's topic in Emergency

    ...Agreed. They would also not be getting 800 mEq of

  24. Iv mag or k+ which do I hang first?

    sapphire18 replied to JenniferG rN's topic in Emergency

    I just saw the nemo avatar and assumed it was the OP my bad stargazer...but you still will not wait to correct a K+ of

  25. Iv mag or k+ which do I hang first?

    sapphire18 replied to JenniferG rN's topic in Emergency

    Umm, if the K+ is 1.9 you need to give that first, that is way way way too low...actually I've never seen below 2. A mag of 1.7 is fine to wait if you really don't want to just give them