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RNBEAUTY2003

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  1. Amazed with Nipride

    RNBEAUTY2003 posted a topic in MICU, SICU
    NEw to ICU- had my first very sick patient yesterday ALONE. No preceptor. I did very well. On Drager ( which I'm still trying to make sense of), Multiple drips including Vec drip with TOF monitoring, swan ,etc. Anyway- with everything that was going on- patient dropped his CI - started Dobuta at very low dose 2.5mcg/kg/mg. Patient already had B/p issues ( 190's)so of course his B/P sky rocketed (230's) . Nothing was controlling it. Started Nipride gtt- read our unit book about it prior to hanging and started at 1mcg.kg ( this was double strength concentration). Went down hall for a second , came back- pt B/P 70/38! all this within 3 minutes. Stopped it, let pt recover- which he did immediately- and restarted at .50mcg/kg/min. Just amazed how quickely this drug works. A wonderful learning experience for me as well. Any comments anyone. Would love to hear your point of view or any tips. :balloons:

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