critcarenurse16

critcarenurse16

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All Content by critcarenurse16

  1. CKMB ratio

    critcarenurse16 replied to cpeubob's topic in Cardiac

  2. Is this legal???

    critcarenurse16 posted a topic in General Nursing

    The hospital I work for is mandating all staff to complete a form so we can apparently be fitted for respirators in the event of a bio-terrorist attack. This form asks the usual health questions you...

  3. Need rhythm interpretation help

    critcarenurse16 posted a topic in Cardiac

    Pt is an 84 yo fe dx syncope. Cardiac Hx includes A fib (Chronic) TIA, HTN. Pt spontaneously converted to sinus brady two days ago. Rhythm since then has been SB 1 degree AVB(PR 0.26)with BBB, PVC...

  4. cardizem drip nurse/patient ratio

    critcarenurse16 replied to lihuejan's topic in Patient Safety Issues

    I feel the same way. The potential for the patient to become unstable is too great and requires very frequent

  5. Advised not to use security to "intimidate" agitated individual.

    critcarenurse16 replied to MrsWampthang's topic in Emergency

    You were very right to call security- from your post this man obviously had no problem expressing his anger and it seemed only a matter of time for the situation to become physical especially with the...

  6. I would like to pick your brain.....

    critcarenurse16 replied to jad2's topic in Cardiac

    :rotfl:

  7. Need rhythm interpretation help

    critcarenurse16 replied to critcarenurse16's topic in Cardiac

    "They're definitely NOT t-waves because t-waves CANNOT occur inependant of qrs complex...ie they arent seen on their own. U-waves would be unlikely because u-waves arent that big, and u-waves wouldn't...

  8. Need rhythm interpretation help

    critcarenurse16 replied to critcarenurse16's topic in Cardiac

    Sorry for not getting back to you all on this one--I'm moving to a new house and have been busy. :chair: All of your replys are great, but these T-waves are very random, it does not appear to be...

  9. Breaks in the ER

    critcarenurse16 replied to chellet98's topic in Emergency

    My ICU is staffed with only two RN's at night. We are not allowed to leave for breaks but are told to sit and eat 'when you can' at the nurses desk. :angryfire We do not get the opportunity to collect...

  10. IV heparin, PCA and central line question..

    critcarenurse16 replied to daz2003's topic in MICU, SICU

    I guess I should clarify my reply after reading this one... You should never PB directly to a PCA line-- that is why you run a primary IV at prescribed hourly rate or at least KVO if none is ordered....

  11. IV heparin, PCA and central line question..

    critcarenurse16 replied to daz2003's topic in MICU, SICU

    I would get clarification from the physician on disconnection of heparin. The PTT may drop to subtherapeutic levels if off too long (over an hr say). As far as central lines and PCA's check your...

  12. Seizure pts 101

    critcarenurse16 replied to RN92's topic in Emergency

    Ok this sounds just as cruel as the "drop test" but in order to rule out someone faking unresponsiveness I hold open an eyelid and with my other hand bring my index finger toward their open eye. If...

  13. Outlying hospital mistakes

    critcarenurse16 replied to clgmezzo's topic in Burn

    I work in a rural outlying hosptial. Our care in my opinion is top notch for what we have to work with. Most trauma is shipped out but one thing larger facilities need to keep in mind-- we MUST...

  14. Funniest injury you have ever seen.....

    critcarenurse16 replied to MrsWampthang's topic in Emergency

    Good think no one was

  15. Family in room during a resusitation?

    critcarenurse16 replied to SWFlorida's topic in Emergency

    AMEN!!! This can be a necessary step in the healing process for the

  16. Family in room during a resusitation?

    critcarenurse16 replied to SWFlorida's topic in Emergency

    I would not have a problem having family present during a code. But I feel there should be a member of the staff present to explain what is happening and to keep family from interfering with the code...

  17. Hydrochlorothiazide 'n Lasix...

    critcarenurse16 replied to AB_NormalRN's topic in Emergency

    Lasix 40 mg is a good start, and I agree with the poster that the ED doc will get more aggressive once in his hands. I have seen docs give doses up to 300 mg but if you're getting this high I think...

  18. What was the MOST ridiculous thing a patient came to the ER for?

    critcarenurse16 replied to JUSTYSMOM's topic in Emergency

    Lady came in complaining she was allergic to her bra. When she presented the bra from her purse it looked like she had it for years- no elastic or spandex left to cause a reaction! Discharge...

  19. Thou shalt not learn and drive.

    critcarenurse16 replied to nurse_lilyjaderose's topic in General Nursing

    First, I'm glad to see someone with your enthusiasm show an interest in the nursing profession--welcome and good luck. BSA= body surface area; TBSA= total body surface area; ETOH= ethenol (alcohol);...

  20. Is this legal???

    critcarenurse16 replied to critcarenurse16's topic in General Nursing

  21. Why a Philadelphia hospital gave in to a racist demand?

    critcarenurse16 replied to NRSKarenRN's topic in Activism, Healthcare

    In my neck of the woods we deal with a lot of religious discrimination. Our OB dept will staff RN who are of a religion because the narrow minded community will refuse to allow anyone other than...

  22. Pulmonary embolism and ABGs

    critcarenurse16 replied to twarlik's topic in General Nursing

    Due to hyperventilation the patient will present in respiratory alkalosis. Hypoxemia may be masked by the hyperventilation so normal values do not necessarily rule out

  23. Help! IV not properly flushed..

    critcarenurse16 replied to epiphany's topic in Infusion, Intravenous

    When I was a graduate nurse my preceptor primed the tubing into the pt's IV. All the air (approx 15 ml) went to the pt. I was mortified she would do such a thing, and in front of a novice nurse....

  24. Vasopressin for Septic Shock

    critcarenurse16 replied to pinkfloydfreak's topic in CCU, Coronary, Cardiac

    Is anyone using Xigris (sp) for septic shock yet?? I've heard it has great outcomes for septic shock syndrome but have not used it yet. Just wondering what your opinions

  25. 8:1 ratios in the ER???

    critcarenurse16 replied to jaimealmostRN's topic in Emergency

    It seems unsafe to not impose a pt/staff ratio in the ED for acute and critical care beds. Most places do this in the ICU's right??? So why not have ratios in the place where the pt recieves initial...