Nurseboy1

Nurseboy1

MICU, SICU, CICU

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All Content by Nurseboy1

  1. D50 for blood glucose protocol vs juice/snacks, your thoughts

    Nurseboy1 replied to Billy_Ruben's topic in General Nursing

    The patient is having hypoglycemia unawareness as stated earlier which is a form of autonomic neuropathy. The actions you took to increase his blood glucose seem appropriate to me, if he was my...

  2. hepatic encephalopathy..??

    Nurseboy1 replied to rj90's topic in General Nursing

    So remember that bilirubin is a function of RBC breakdown, by the liver and spleen, which is cleared from the body by the liver. When the liver fails it can no longer clear the bilirubin which causes...

  3. Where are the new grads in ICU?

    Nurseboy1 replied to kika72's topic in Student Registered Nurse Anesthetist

    We are building an ICU bed tower at my hospital and have to staff CTICU, Neuro ICU, SICU, MICU, plus expanded stepdowns. We still aren't fully staffed and the managers are hiring new grads and...

  4. Low Tidal Volume Alarm

    Nurseboy1 replied to SterlingArcher's topic in MICU, SICU

    Pt may need to be

  5. tums in an ng tube

    Nurseboy1 replied to menardca's topic in General Nursing

    Are they using the tums as a phosphate binder

  6. You might be a night shifter if...

    Nurseboy1 replied to beeker's topic in General Nursing

    I know every 24 hour place in my town You know which channels on TV have programming other than infomertials after midnight I have walked my dog at 0300 on an off night The few times I have worked...

  7. NP in Australia

    Nurseboy1 posted a topic in Australia, New Zealand

    Hey everyone Just a quick question for my aussie colleagues. Does Australia utilize acute care NPs? I am halfway through an ACNP program and in a couple of years my boyfriend and I would like to move...

  8. NP in Australia

    Nurseboy1 replied to Nurseboy1's topic in Australia, New Zealand

    That much I did know. I just thought it was similar to here in the US. If you graduated from an accredited program and could pass the nclex you can get licensure here. I did not realize that it would...

  9. NP in Australia

    Nurseboy1 replied to Nurseboy1's topic in Australia, New Zealand

    So I have 8 years of experience in my current specialty and have maintained my ccrn for 4 years. By the time we are talking about going I will be done with my acnp program and in practice for a couple...

  10. Naked Where I Work: Surgery

    Nurseboy1 replied to Ruby Vee's topic in General Nursing

    Glad you are recovering Ruby! I have always enjoyed reading your posts and the wisdom that you share on these boards for those of us who still have much to

  11. Dobutamine without a Swan and use of Dopamine

    Nurseboy1 replied to maloneys's topic in MICU, SICU

    Correct the line both monitors and infuses as

  12. Dobutamine without a Swan and use of Dopamine

    Nurseboy1 replied to maloneys's topic in MICU, SICU

    So this is what the SCVO2 triple lumen looks like. The blue sensor gets plugged in line for the vigeleo. I wish my hospital used this system, but we use the lidco instead or just place a swan if...

  13. Dobutamine without a Swan and use of Dopamine

    Nurseboy1 replied to maloneys's topic in MICU, SICU

    So my hospital utilizes the Lidco, which plugs into our monitors and calculates the information from the A-line data, so it is only as good as the A-line. I have worked at another hospital that...

  14. Dobutamine without a Swan and use of Dopamine

    Nurseboy1 replied to maloneys's topic in MICU, SICU

    We often titrate dobutamine in our MICU without swans, we draw q2h SCVO2 levels and hook the patient up to the lidco to watch their CO and CI. Once we reach a stable dose then we change to q4h SCOV2...

  15. New Student meet and greet

    Nurseboy1 posted a topic in Student Nurse Practitioner

    Well it is the start of a new semester, thought this might be a way to meet other new NP students and potentially start some networking etc. So I will kick it off: I am an ACNP student at Duke. I have...

  16. There but for the grace of....

    Nurseboy1 replied to xtxrn's topic in General Nursing

    I remember being a new ICU nurse not even a month off orientation when a horrible upper GI bleed was rushed over from the floor. He was awake and conscious when he got to us. He begged us not to let...

  17. New Student meet and greet

    Nurseboy1 replied to Nurseboy1's topic in Student Nurse Practitioner

    I just read the syllabus and then look at my work schedule and scratch my head wondering how I will fit it all in

  18. New Student meet and greet

    Nurseboy1 replied to Nurseboy1's topic in Student Nurse Practitioner

    Welcome! I can definitely commiserate on the workload! Lots of reading to keep up with, and like you, I work nights which can make doing a lot of reading just a bit more

  19. On the positive side . . .

    Nurseboy1 replied to KimICURN's topic in General Nursing

    esme12, that was simply beautiful. Brought tears to my

  20. New Student meet and greet

    Nurseboy1 replied to Nurseboy1's topic in Student Nurse Practitioner

    I am a part time student. I need to work full-time to maintain my tuition benefits. I feel your pain on the workload though, it is already quite a bit more substantial than anything my undergrad...

  21. What would you do? ...stop TPN or not

    Nurseboy1 replied to IheartICUnursing's topic in MICU, SICU

    I probably would have stopped the TPN. Usually if my docs are worried about sepsis, they would d/c it until we had negative blood cultures. Otherwise I probably would have gotten the doc intubating to...

  22. Precedex for DT's

    Nurseboy1 replied to MunoRN's topic in General Nursing

    My unit commonly uses precedex for patients in DTs. We have found that especially for our alcoholics who get intubated for say a GI bleed that the precedex generally helps us to get them down without...

  23. Heparin Injection

    Nurseboy1 posted a topic in General Nursing

    OK everybody, here's a quick question for you. I know in school that the instructors were adamant that all heparin, lovenox injections were to be given within a 2 inch radius of the umbilicus....

  24. Fluid restrictions vs Patient rights

    Nurseboy1 replied to HamsterRN's topic in General Nursing

    You are very correct that the debate is interesting. While I understand the reasoning in the ANA code of ethics, unfortunately it's tort law that I worry about more. There may be legal precedent in...

  25. Fluid restrictions vs Patient rights

    Nurseboy1 replied to HamsterRN's topic in General Nursing

    The problem though is that being thirsty won't kill you, but letting a fluid overloaded patient get more overloaded will. I fail to see why you are continuing to drive this issue, there seems to be...