mochamonster

mochamonster

ICU

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All Content by mochamonster

  1. Extreme Lab Values

    mochamonster replied to TX.RN.Shannon's topic in General Nursing

    K+ of 1.5 yesterday and dropping with boluses. Didn't work today and I'm not back until

  2. Floating? I need your comments!

    mochamonster replied to editor2rn's topic in Patient Safety Issues

    I pray I have a good CNA, because they have always been the ones to make or break a float for

  3. What do you want in a set up of a new room for an incoming patient?

    mochamonster replied to meghan91's topic in MICU, SICU

    Here's what else I do: Zero the bed, lower it and put all the side rails down Remove blanket, top sheet and extra pillows Take the recliner out of the room (our bathrooms are big enough to put it in...

  4. Post Mortem Care

    mochamonster posted a topic in General Nursing

    I am interested in finding out how you all cope with giving post mortem care. It has never really bothered me, but I see, from my coworkers, that it bothers them. When I give post mortem care, I...

  5. Taking post-mortem pictures

    mochamonster replied to Double-Helix's topic in Pediatric

    This made me tear up. I'm glad she had that picture. ETA: in response to the post above this

  6. Making sense of metabolic alkalosis...

    mochamonster replied to MPKH's topic in General Nursing

    The only thing I could come up with is perhaps they were previously compensating for an acidosis (respiratory depression from the morphine perhaps) which drove up the bicarb (which takes longer) and...

  7. Stopping IV infusions

    mochamonster replied to Ciale's topic in Nursing Student Assistance

    This is what I was

  8. Sleep cycle while sedated on propofol

    mochamonster posted a topic in Critical Care

    Hello everyone, It is my understanding that patients still experience sleep/wake cycles while sedated on propofol. However, I am having difficulty finding more information about this. I am curious...

  9. How do you possibly study with YOUNG kids???

    mochamonster replied to TryingNot2BeScared's topic in LPN, LVN Students

    I stayed at school after class and studied there. I also started studying after they went to bed or got up early to

  10. Nurse with migraine?

    mochamonster posted a topic in General Nursing

    Hi everyone,So at work today I got an abnormal migraine and was unable to take care of my patients. Other nurses took over their care, but I feel awful because I was sent home by employee health and...

  11. Nurse with migraine?

    mochamonster replied to mochamonster's topic in General Nursing

    Thanks for your input folks. Unfortunately mine do respond to meds and are on the rarer side. I have neurological symptoms, but no pain. I felt like I was letting everyone down by not being able to...

  12. Fluid bolus with BP 140s/100s?

    mochamonster posted a topic in MICU, SICU

    Hello wise nurses, Perhaps you can help me understand this. Patient comes up to the unit with pneumonia, rules in for sepsis. Pressures in 140s/100s during time in the ED even higher in the unit but...

  13. Sleep cycle while sedated on propofol

    mochamonster replied to mochamonster's topic in Critical Care

    Usually after, yes. What is prompting me to write this is a patient that has their days and nights so mixed up that they sleep all day and then they are a wild banshee all night. Unfortunately they...

  14. Fluid bolus with BP 140s/100s?

    mochamonster replied to mochamonster's topic in MICU, SICU

    I'm with ESME12, but like you say we weren't there and who knows what they saw. Mattmrn2013, COPD is not a confirmed diagnosis, just my suspicion from looking at the patient. They just "looked" like...

  15. Fluid bolus with BP 140s/100s?

    mochamonster replied to mochamonster's topic in MICU, SICU

    Point taken Altra. It

  16. Fluid bolus with BP 140s/100s?

    mochamonster replied to mochamonster's topic in MICU, SICU

    Thanks for your responses everyone. Patient was not a good historian. All the patient could tell was that they had a "lung disease" (suspect COPD, but ABGs were good on BiPAP) and history of heart...

  17. A beautiful thing happened today...

    mochamonster replied to Anna Flaxis's topic in Emergency

    That is beautiful, thanks for sharing. Hopefully she dies with some dignity with her loving (and well-informed) family with her. Bless

  18. Calling a Death

    mochamonster replied to KareBear0609's topic in General Nursing

    Also, often times the person who knows the patient's health history best is not the physician running the code, but the nurse (at least where I work, ICU). A wise physician would ask if anyone else...

  19. Dreaming about death...

    mochamonster posted a topic in General Nursing

    Hello everyone, I am a new nurse in the ICU. Lately I have been dreaming about death a lot lately. Of course I know where this is coming from and I'm sure it's just my psyche's way of trying to...

  20. Working as a staff nurse when an APRN?

    mochamonster posted a topic in Advanced Practice

    Hello all, I am curious if any advanced practice registered nurses also work at the bedside? I wonder if this is possible since, at least in my state, you retain your RN license in addition to your...

  21. Working as a staff nurse when an APRN?

    mochamonster replied to mochamonster's topic in Advanced Practice

    Thanks for your response tonet. I appreciate hearing what it is like for an APRN who does work at the bedside. It seems like this arrangement works really well for you and your patients benefit from...

  22. Working as a staff nurse when an APRN?

    mochamonster replied to mochamonster's topic in Advanced Practice

    This is the exact thing I was concerned about. Since they are treating you as an NP and not an RN by asking your opinion and making decisions based on that NP opinion, are you not "practicing" as an...

  23. Does anyone change their propofol tubing Q24h?

    mochamonster replied to Murse_1's topic in General Nursing

    Because I have an inquiring mind and wanted to know, I've taken a 10cc syringe and filled it sucking up left over fluid from our IV tubing including the cassette. That was not counting the drip...

  24. Working as a staff nurse when an APRN?

    mochamonster replied to mochamonster's topic in Advanced Practice

    This is what I was afraid of. It's a shame because I'm sure I'm not the only one who is interested in more than one area. It's one of the reasons I was drawn to nursing. I haven't gotten my MSN, so...

  25. Taking blood pressure. Confused. Help!!

    mochamonster replied to purplesteth's topic in Nursing Student Assistance

    There are many things that you will be taught in nursing school that is not practical in the real world. The key is to realize that nursing school is the ideal way to do things (ie. no budget or time...