mlbdestined

Hey all, concerning adult patients (no open foramen ovale or anything like that, just regular patients) I know that certain meds like mannitol needs a IV filter on it, but I don't know the reasoning for this? All I was able to see online is that the ...

I am really trying to improve my SICU's hygiene and I think the first place to do so is our nurse servers: When a patient is on isolation precautions for, let's say contact precautions, the clinicians take the appropriate precautions to protect thems...

The other day in my ICU practicum my pt.'s lactate levels kept rising so the MDs ordered a 1L bolus of Lactated Ringer's solution. If I am correct, the fluid bolus is to flush the lactate out in order to make sure that the lactate level doesn't keep ...

I'm having trouble understanding what effects acidemia and alkalemia have on the body that LEADS TO death. I have scoured the internet to no avail. I was told by my preceptor that both acidemia and alkalemia affects the conduction of the electrical s...

Wow Belgian thanks! That really helps my understanding of the whole picture. I haven't seen these scvo2 catheters yet. Are they like continuous co measuring devices in that they give you a constant update on the scvo2 via a monitor?

I'm having trouble understanding what effects acidemia and alkalemia have on the body that LEADS TO death. I have scoured the internet to no avail. I was told by my preceptor that both acidemia and alkalemia affects the conduction of the electrical s...

thank you both for the responses. It helped. I guess I need to focus on the MODS picture that I'm guessing acidemia/alkalemia causes. I just was confused b/c the specific things I was told was that acidemia causes the heme molecules to give up O2 mor...

so the filters are for air rather than particulate? Nice to know thanks all

Hi all, I know how to measure for the NGT placement, but my question is for the intubated patients that are getting Orogastric tubes placed. How does the measurement differ? Do you cut out the nose-to-earlobe part of the measurement, or do you st...

yeah I know that it's usually tip of nose to earlobe to xiphoid process, but when you aren't going through the nose there has to be some part of that cut out I would think because you're closer to the stomach. You cut all that space out between the n...

Hi All, I have been a RN in a SICU for going on 2 years now. I really want to further my education and go into either a acute care nurse practitioner role or a certified registered nurse practitioner role. I already have done the research for the...

so my question is then when the patient leaves, I guess in order to be cost effective the supplies can go with the pt., but we in the icu use a lot of stuff that the floor doesn't, so that's all wasted products...

it's just a set of drawers in the rooms that house all the supplies a nurse would need; for ex.: pre-filled saline syringes, 12 lead stickers, duoderms, 2x2s, 4x4s, yankauers, etc.

Is ventricular tachycardia WITH A PULSE shockable? I understand that V-fib and pulseless V-tach are shockable, and that PEA and asystole are not shockable, but I am reading this book on cardiac arrest and it doesn't mention any scenario with v-tach w...

I understand what lasix does in terms of removing fluid from pts' so to help with CHF/fluid around their lungs to hlp them breathe better, and what it can cause (metabolic alkalosis, hypokalemia, hyponatremia, etc.) but I am having a hard time graspi...

happens all the time in the sicu I am doing my practicum at

thanks for all the replys so far...I was just confused b/c I have heard before that if the BUN and creatinine are elevated then it is time to stop giving lasix. Is that true or is that not the case in this straight-forward scenario? I'm just curious ...

A friend of the family is very concerned about a recent PE they have had; I am trying to educate them on why they should probably get an IVC filter but have some questions that I can't get answered anywhere. When an IVC filter is placed, do pt's stil...

I was wondering what the lower right lead is used for when running twelve lead EKGs. 1. Lead I is RA to LA 2. Lead 2 is RA to LL 3. Lead III is LA to LL 4. aVR is RA lead 5. aVL is LA lead 6. aVF is LL lead and V1-6 are all unipolar leads which comp...

Hey guys, new to the board and to an ICU experience. Just had a quick q. I heard somebody mention today that their pt had a cordis with a slick. I know a cordis is like a great big central line usually used to administer rapid boluses through and als...

hey thanks so much for taking the time to explain that. For some reason it just wasn't sinking in.

sorry, but I still don't understand. Is the SLIC the part that say a PA cath would go into of the cordis in this picture or is the SLIC the part that you can infuse fluid through (the see through lumen @ the bottom right corner in the picture)? Or is...