Nurseboy1

Nurseboy1

MICU, SICU, CICU

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All Content by Nurseboy1

  1. Fluid restrictions vs Patient rights

    Nurseboy1 replied to HamsterRN's topic in General Nursing

    Here I have to respectfully disagree. The patient does not have the education and experience to be a part of the decision making. Sure they can choose to comply or not, but there has to be an...

  2. Fluid restrictions vs Patient rights

    Nurseboy1 replied to HamsterRN's topic in General Nursing

    The logic with eriks' argument has to do with the actions of "a reasonable and prudent nurse". If you are ever in a legal situation this is the standard that you will be judged by. If you gave the...

  3. Fluid restrictions vs Patient rights

    Nurseboy1 replied to HamsterRN's topic in General Nursing

    So when you provide water for your patient on the fluid restriction their condition worsens, who do you think will get the blame? If grandma with CHF goes into pulmonary edema and winds up on the vent...

  4. IVPB 5-6hrs of ABX when pt is on cont IVFs

    Nurseboy1 replied to fiveofpeep's topic in MICU, SICU

    Why not see if some of the antibiotics could be given PO or via tube? Would definitely cut down on the fluids and maintenance

  5. The worst code you've seen?

    Nurseboy1 replied to jesshopper12's topic in General Nursing

    My worst code was an 18 year old 22 weeks pregnant, PEA arrest from a massive PE. We coded her for over an hour got her back several times but couldn't keep her going. Gave TPA and emptied 2 code...

  6. Out of touch clinical instructor

    Nurseboy1 posted a topic in General Nursing

    I am currently working with a senior nursing student from an area university. The student follows my schedule working in the MICU of a large academic medical center. Our patients are high acuity and...

  7. Out of touch clinical instructor

    Nurseboy1 replied to Nurseboy1's topic in General Nursing

    This is typically how I work with students. This is not my first student and I have precepted multiple students from several area schools in addition to new nurses on the unit. I guess when the...

  8. repositioning oscillator pts question

    Nurseboy1 replied to Zookeeper3's topic in MICU, SICU

    Ok so I work in the Duke MICU. We don't have a hard line policy with repositioning HFOV patients. During the first 24 hours we do no position changes. After that period we generally utilize continous...

  9. Nebulized flolan for severe ARDS

    Nurseboy1 replied to sunnycalifRN's topic in MICU, SICU

    I have an H1N1 patient right now on HFOV. We simply close the room door and wear N-95 masks when caring for the patient. To answer the OP no haven't seen nebulized flolan. We generally use nitric...

  10. Giving Lantus insulin when patient is NPO

    Nurseboy1 replied to retiredlady's topic in General Nursing

  11. Helping out those on the Dark Side

    Nurseboy1 replied to netglow's topic in General Nursing

    Working in a teaching hospital with residents, I find especially working night shift that there is a lot of collaboration with the docs. In the ICU environment, the residents are acutely aware that...

  12. NS through peg?

    Nurseboy1 replied to I_LOVE_TRAUMA's topic in Emergency

    In my unit we put NS down PEG and NG tubes fairly frequently. If the patient is hypernatremic then we use free water. If they have problems with hyponatremia then we use

  13. Oscillator Vents and ARDS

    Nurseboy1 replied to Cindy-san's topic in MICU, SICU

    My unit and the SICU in my hospital are two of the high volume units for the oscillator. We frequently oscillate patients for severe ARDS and the SICU often oscillates for severe pulmonary...

  14. Why ICU is the "dream place"?

    Nurseboy1 replied to greenland's topic in General Nursing

    I started in med/surg and transferred to ICU after about 1.5yrs. For me I enjoy the complexity of the patients that I take care of. I mean right now I have an intubated, swanned, on pressors and...

  15. The things you never forget...

    Nurseboy1 replied to nerdtonurse?'s topic in General Nursing

    I don't know that I'll ever forget seeing the tattoo on the forearm of a nazi concentration camp survivor. Gave me new appreciation for that person's struggles in

  16. Anyone working two jobs?

    Nurseboy1 replied to mcknis's topic in General Nursing

    With the current economy, living on my own as a not-so-experienced nurse has required me to work two jobs. I don't really regret it, I am learning new things and taking care of a different population...

  17. Paralytic Question

    Nurseboy1 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Just a quick question for some of you anesthesia providers. I am an ICU nurse, and when we have to page anesthesia for an RSI intubation they always ask two questions : what is going on and what is...

  18. Hyperkalemia AND Sine Waves

    Nurseboy1 replied to poppy07's topic in MICU, SICU

    How about pushing calcium, insulin and D50. The resulting decrease in potassium should change how the rhythm

  19. CASE STUDY??? Anyone interested in an interactice one??

    Nurseboy1 replied to Medic/Nurse's topic in General Nursing

    I know I'm late, but the EKG does not look like V-tach to me. It actually looks like a SINE wave with short runs of V-tach. The OP mentions that the potassium bottle has less pills than it should and...

  20. You Know the patient is going bad when...

    Nurseboy1 posted a topic in General Nursing

    You know the patient is going bad when their PA pressure is higher than their blood pressure (Pt quickly coded and died) Feel free to add and keep the list

  21. You Know the patient is going bad when...

    Nurseboy1 replied to Nurseboy1's topic in General Nursing

    Had another one the other night: When the bladder pressure is 71 and the HR is 50 and falling...... Quickly led to code and bedside ex-lap ......very poor

  22. LVN taking ACLS?

    Nurseboy1 replied to SaraO'Hara's topic in General Nursing

    ACLS is simply at didactic way of teaching some organization into what invariably is a chaotic situation. It provides a thought platform for providing consistent and organized treatment for several...

  23. Tacrolimus Drip

    Nurseboy1 replied to freedom22's topic in General Nursing

    brissygal: GVHD=graft vs host disease I am taking care of a patient right now on a tacrolimus drip. I often see patients from the bone marrow transplant unit on tac. drips, I believe that due to the...

  24. smart pumps

    Nurseboy1 replied to suepozitory's topic in General Nursing

    Sometimes with the diprivan and lipids it may just be the viscosity of the liquid, I have noticed similar problems with diprivan drips on my unit. I have found that if i prime the tubing more slowly...

  25. er visitors...a funny

    Nurseboy1 replied to UtErRnEmt's topic in Emergency

    I can't believe we overlooked this gem: Renal Ralph: I couldn't resist that large slice of watermelon at the cookout. Now I can't breath, and my heart feels funny. By the way when you get back from...