CABGx4

CABGx4 ASN, BSN, MSN, CRNA

Anesthesia

Started in PA, now in TX

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All Content by CABGx4

  1. microteaching on temporary pacemaker

    Why a patient would need temporary pacing would be a good place to
  2. PRN fluid boluses post open heart?

    We have orders to give 500cc albumin x2 for
  3. insulin administration

    Absolutely! Give the long-acting insulin as scheduled and cover with the SS. Since long-acting insulins have no peak, the sliding scale will bring the glucose down quickly while the long-acting...
  4. Putting a mask on a spitter

    My pt's get a mask and we're simply ruling out the flu. Personal safety trumps dignity.
  5. I am married, two young kids, mortgage, student loans from nursing school and a previous degree, car payment, and credit card debt. I know I should pay off as much as possible prior to starting a...
  6. Clogged feeding tubes

    use a small syringe (10cc) filled with most any liquid. i will plunge the syringe until you break loose the clog. be careful though, if you do not have a good seal, you will spray yourself or your...
  7. Why is sexual orientation relevant to being an anesthesia
  8. Ambulate with Femoral Lines

    If they are healthy enough to ambulate, the femoral line (arterial or venous) needs to be dc'd and access moved a little further north. Femoral lines should be for emergency access and kept in for...
  9. Found a free site that teaches ICU concepts

    How do I get the "ICU Rounds" podcasts onto my ipod. I can only get them to play, but cannot sync??
  10. Get out of the nursing home asap!! I suggest hospital, unless you're an lpn, then get your rn and move to hospital. I could never do the nsg home, for all the reasons you described. If it's not...
  11. Found a free site that teaches ICU concepts

    Here are a couple more: www.icufaqs.com and www.ccmtutorials.com the first is very extensive on many aspects of critical care. ccm tutorials covers basic critical care topics, but is geared more...
  12. Multiple Drips - Did I do the right thing?

    she sounded hypovolemic. if the hemothorax could have caused her to lose enough volume, plus insensible loss which doesn't ever get enough attention, or if the chest tubes clotted and she could have...
  13. The financial reward of becoming a CRNA is one of the MANY reasons I am working toward that goal. I feel the salary reflects the immense responsibility that comes with being an anesthesia provider....
  14. How much lorazepam have you given....

    etoh/drug withdrawls= my least favorite
  15. MICU interview...is a follow-up email appropriate?

    I sent an email to the shift supervisor that interviewed me recently. I have no idea if it helped, but I got the job so... I don't know why it wouldn't be appropriate?? Thank you letters have...
  16. What Personalioty Does Best in ICU Nursing?

    one thing that is guaranteed is that however you think your day is going to is...IT WILL NOT!! the sooner you come to terms with that fact, the better off you'll be. granted, some days are quite...
  17. removing dialysis increases temp

    I had a pt like that recently. He was septic from a ruptured gallbladder. Similar scenario. OK so CRRT typically lowers your body's core temp because you are dialyizing a persons 37 degree blood (or...
  18. Top 10 CT-ICU drugs

    Hey all, I am leaving my position in the MICU/CCU after 2 years for a spot in the CT-ICU. During the interview, the clinician said they primarily use 10 (cardiac) drugs for the OH patients. Can...
  19. Top 10 CT-ICU drugs

    No, they said I will orient to the OH pt's right away (probably not the first day or maybe even week). Anyway, the unit just opened this month so it is a new environment for the whole
  20. Top 10 CT-ICU drugs

    thank you for all of the replies!! I am familiar with most but was looking for CT-ICU specific drugs. You have all listed drugs that I need to learn so again, thank
  21. I never do but my wife always gives me
  22. Good replies from all! Patients will find ways to up and die on you when you least expect it, so you have to keep a vigilant eye on them. If the patient is in PEA (pulseless electrical activity),...
  23. CVICU Interview Help!

    Have a good reason why you want to work there or ICU in general. Since you have no experience to show off, you need to sell yourself. They want to know that you can handle the pressure of a...
  24. Most of our critical care MD's use fentanyl/versed combo if propofol is contraindicated. Precedex has been used but long-term use has not been studied. If volume is not your issue, then adding a...
  25. Proning

    We use KCI here in Pittsburgh and rotoprones are still in use. We switch patients to the Triadyne once they have tolerated being supine for a while and are relatively stable. Then consult for a...