Zaphod

Zaphod BSN, RN

ICU-CCRN, CVICU, SRNA

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All Content by Zaphod

  1. If you don't know...please ask!

    Zaphod replied to mcknis's topic in General Nursing

    When the sugar reaches 250 is when you would see a d5. In this instance it was fine as it was decreasing, but the dose was probably pretty high. In some other case the patient might not be so lucky....

  2. anxiety attack during an interview

    Zaphod replied to sammer's topic in Certified Registered Nurse Anesthetist, CRNA

    Well, I guess I can join the club of panic attack interviews. Mine was just a little case of self-sabotage:)Didnt sleep all night before, then got worried when I started passing out 2 hours before the...

  3. Just how bad is the job market for experienced Nurses?

    Zaphod replied to Noahm's topic in General Nursing

    The market is good for experienced nurses. I only have 2 years of experience and have had multiple offers for various specialties. You will do

  4. Broke 2 year contract

    Zaphod replied to Shondacat517's topic in General Nursing

    No they cant. Unless you just took a sign on bonus-but then theyll bill you afterward rather than withold your

  5. Health-care related jobs

    Zaphod replied to sarahguziki's topic in General Nursing

    speech pathology. Wish I had done that

  6. Any INTJ personality nurses out there...I need help in choosing any advance nursing car

    Zaphod replied to BlackRN's topic in Nursing Career

    fellow INTJ here. I have the same issues and really should have gone to a more sciency profession. Have a hard time dealing with people and warming up. So, I fake it for now. But I think CRNA might be...

  7. Really bad day

    Zaphod posted a topic in CCU, Coronary, Cardiac

    Hi, guys-need some TLC Ive been precepting in an open heart unit and have had few hearts. Enough to get my confidence up I guess. yesterday I had a triple bypass with aortic valve replacement. He came...

  8. Really bad day

    Zaphod replied to Zaphod's topic in CCU, Coronary, Cardiac

    As an update. Patient experienced right sided heart failure(hence the high CVP), had an emergency IABP placed that night, avoided CRRT by a hair. And the best thing is he transferred to tele...

  9. when do you tell your pregnant? and shingles question

    Zaphod replied to evolvingrn's topic in General Nursing

    Can't give you med.advice really need 2 speak to you ob. It is my understanding that you can get shingles even if you had varicella and are more likely too. Congrats on the little one take every...

  10. IV start question.

    Zaphod replied to cecilsgirl's topic in General Nursing

    Frequently, yes. Especially on dehydrated or severely hypotensive patients. I always have a flash, but many times no blood return and IV runs

  11. Anesthesia-High Stress

    Zaphod posted a topic in Student Registered Nurse Anesthetist

    Hi everyone. I just applied to UM/Barry CRNA schools. Have 2 years ICU experience with the last 6 months being in open heart unit(3 years by the time program starts). That being said I am such a...

  12. Shadow a CRNA?

    Zaphod replied to demsboy007's topic in Student Registered Nurse Anesthetist

    Spoke to Barry and they are unbale to assist as the hospital I work for is not on their list. I wish I knew any CRNA's so I can document at least a conversation. Anyways, I did apply today to Barry/UM...

  13. What do you use for conscious sedation in your ER ?

    Zaphod replied to BunkyRN's topic in Emergency

    You are correct I got confused with Succ-however it is still an anestheisa adjunct and can cause apnea, without any anelgesic properties. Never seen it used for anything other than intubation or...

  14. What do you use for conscious sedation in your ER ?

    Zaphod replied to BunkyRN's topic in Emergency

    Etomidate?Thats crazy-Im sorry. Thats not even sedation-just paralysis. Geez. Im sure you can give Ativan, Versed, Morphine and other good stuff. No RN is EVER allowed to push propofol as common as...

  15. Really bad day

    Zaphod replied to Zaphod's topic in CCU, Coronary, Cardiac

    It is my understanding that you should never pause the pacer as some people are completely dependent on it. This person had no rhythm whatsoever when we slowly turned down the pacer on admision. Thank...

  16. There is one more thing worse than a old nurse eating their young,knowing all grad!

    Zaphod replied to Blackheartednurse's topic in General Nursing

    I think its a coping mechanism. Not done out of cockiness but out of desire to fit in and show that they are not dummies and are an asset. It just depends on the point of

  17. Really bad day

    Zaphod replied to Zaphod's topic in CCU, Coronary, Cardiac

    yes he did. RCA/LAD and OM were grafted. I just dont understand why as soon as she touched the pacer-icreased by few beats he went in to VTach-Is it a coincidence?She is really beating herself up and...

  18. Albumin/fluids and svr

    Zaphod replied to Zaphod's topic in CCU, Coronary, Cardiac

    Well co was high-but I figured its due to the low svr. CO was arround 8-9/index in the 4 range. SVR in the 450-550. pas were ok 30's over 15-18. he did get lasix at end of surgery and put out 1500 in...

  19. Help? I need a change!!

    Zaphod replied to BrookeeLou_RN's topic in General Nursing

    Speech is a great field, but it does require a 2 year masters. Good schedules, respect and decent

  20. Albumin/fluids and svr

    Zaphod replied to Zaphod's topic in CCU, Coronary, Cardiac

    Thank you. My patient had very low SVR-so likely vasodilatated. I figured some albumin would bump the svr, but some people disagreed. Eventualy levo fixed the

  21. Memphis

    Zaphod posted a topic in Tennessee Nursing

    Hi guys-I am considering moving to Memphis and wanted to know how the job climate is. Will be relocationg in the U of tenessee area. I have 1 1/2 year ICU and some CV experience. Are jobs very...

  22. hanging blood with the wrong fluids

    Zaphod replied to newnurse012's topic in Medical-Surgical

    Not as bad as hanging blood with heparin:) Seen that one. Patient had no adverse reaction. It happens but do be extra vigilant when hanging

  23. Shadow a CRNA?

    Zaphod replied to demsboy007's topic in Student Registered Nurse Anesthetist

    Thank you. I will contact their admissions department and see if they can assist me. I really appreciate it. I wonder if it would be ok to shadow an Ansthesiologist

  24. Shadow a CRNA?

    Zaphod replied to demsboy007's topic in Student Registered Nurse Anesthetist

    Barry and UM. I dont work in any of the hospitals that they have their clinicals sites

  25. Acinetobacter transmission q

    Zaphod replied to Kitty Hawk's topic in General Nursing

    cant give medical advice, but Acitenobacter mostly infects immunocompromised and is by nature MDR. Probably a small chance of anything-especially the eye. If you notice pus-call your PCP. I had...