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Direct Discharges from ICU/CCU
first to medsurg then home. never from icu.
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CVVH/CRRT ques.
That company has obviously "amazing professional" approach to the customers. i just can`t belive that.....
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On the CRNA route, so which would be better to work: SICU or MICU?
My vote goes to SICU!
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CRRT: Who does it??
Hi, We do about 1-2 CRRT for every 2 - 3 months. Every time dialysis nurse is present in ICU and take care for machine and CRRT procedure. All others around that patient is ICU nurse job. Is it CRRT ICU or dialysis job?....Hm.... Critical care nursing and dialysis nursing today are highly specialized fields and every improvization is potential risk for patients health/recovery. I think that dialysis nurse are expert for CRRT and the best solution for patient who is on CRRT is dialysis nurse. Thay do CRRT, dialysis and other similary procedure every day. Thay have expirience, thay have knowleage. ICU staff who is 1:2 even 1:3 ( in my ICU ) cannot take responsibility for patients safety during the CRRT procedure.
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Blood draws through infusing central lines
Hm....if patient is on pressors, there is almost always a-line for BP monitoring. It`s the best way to take blood sample. Second opinion is CVC lumen without pressors ( with normal saline ). We use CVC with 3 or more lumens and one of them is always for normal saline infusion.
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Fresh CABG Patients
Pulseco? Is this a PiCCO thermodilution system originaly manufactured by Pulsion? ( CVC + termodilution artery catheter = transpulmonary cardiac output + pulse counter cardiac output )
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Malignant Hyperthermia
Yes, Dantrolene sodium is for MH treatment. And I think it`s the only iv. cure for MF. And also, I think there is no effect of cooling measures if you don`t have Dantrolene for MH treatment.
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What's the difference between CCU AND CICU?
Same things - different names...( I think )
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APRV Vent Mode
What`s a difference bettwen APRV and BIPAP ventilation mode? It`s look like the same thing to me. Anybody?
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Swan ganz Vs Picco
Try here - https://allnurses.com/forums/showthread.php?t=62914There is a short discusion about PiCCO vs Swan - Ganz. My expirience = I think that Swan`s are better method for hemodynamic mesurement.
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Vasopressin = Desmopressin?
Danke Dirk! But do you know something else about desmopressin? For example, dose in septic shock treatment etc. As I said before, we use desmopressin only for diabetes insipidus treatment. We haven`t any other expirience with desmopressin for septic shock, CPR...
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Vasopressin = Desmopressin?
In our hospital we don`t use vasopressin for septic shock, CPR... It`s our near future I think but now we don`t have any expirience with vasopressin. But we use desmopressin for patients with diabetes insipidus. I have a few questions. First, vasopressin = desmopressin? True or false?:uhoh21: If answer is true....our desmo is 4 microgram / ml in one iv. dose. I see on this pages that vaso iv. dose is unit / ml. Does anyone have expirience with desmopressin for septic shock treatment? And what is recommanded dose for desmo in septic shock and CPR ( dose in micrograms / ml not in units / ml )? Thanks!:imbar ( I hope this isn`t :chuckle question. )
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arterial lines vs noninvasive cuff
A-line vs NIBP? If A-line is properly zeroed and the waveform is good I think result from art. line is a true BP.
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VANCO in 250cc bag or OK to buretrol?
Same here. Vanco 1g in 100ml saline and running it over 1 hour minimum.
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which one do you use in your cvicu?
Agree with zambezi post. Everything above is standard for cvicu. Why do you ask?