LOVE ER

hi, i just finished an online rn to bsn at university of north alabama. http://www.una.com 1-800-talkuna. great program, did clinicals in my area , didn't have to have an rn license in their state and fees reasonable. did require quite a bit of additional academics though. good luck

baseline on triage was 103/70 and nitro never got started, got nitro spiked and ready and took bp and had to start the dopamine.. don't know what the bp stayed at or went down to in the ambulance or what it was on arrival to our level I .

he had a saline line running and another line for iv push . we transfered him to our nearest level 1 approx. 40 miles away but he coded again and died after he was transfered from our strechter to their. very sad .

Ok, here goes, the other night , elderly guy came in sob and chest hurting "some" very vaque about symptoms. so, chest pain protocol started and surprise , surprise troponin .5 . pt's wife stated , he is allergic to all pain meds. so , doc orders nitro drip, started to hang and low and behold bp drops to 50/38, no to the nitro and pull out the dopamine. doc orders to titrate til bp stabel. however, after titrating to 20mcg , bp still low at 60/44 . doc orders up to 30 mcgs , i am getting more than a little concerned by this time, doc has walked out , no where to be found and pt is crashing. ok, so now question is ???? has anyone ever gone up to or over 30mcg for dopamine and do you have a protocol for this? I work in a small town er and still new to the er setting but all my bells and whistles were going off and still have problem with the way the situation turned out. When asked doc if maybe something else could have been done diffrent, got an ugly answer. any comments would be appreciated. thanks

I have the Incredibly Easy Nursing Procedures Book and it's great. The book gives you the how to , the supplies needed and the "alerts" to be aware of.:)