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chitchat

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  1. I thought what you wrote when my friend said that to me. I went to AACN website and it said "Practice as an RN or APRN is required for 1,750 hours in direct bedside care of acutely or critically ill patients during the previous two years, with 875 of those hours accrued in the most recent year preceding application." I also called AACN and made sure it is not limited to ICU nurse. The person I talked to me said that ED nurse or home care nurse can take the exam but it has to be hand-on care.
  2. never worked in ICU but my background is Tele and PCU. I was going to take PCCN and recently my friend who works in ICU told me to take CCRN instead. I don't really know ventilator that much and monitoring arterial lines. I am not sure if I can score enough to pass CCRN exam if I study since I don't work in ICU. (I have a plan to go to ICU in the future.)
  3. Thank you for a quick answer. There is a misunderstanding in my question. I meant my ICU friends said they never heard of Dobutamine being Diuretics. Neither did I. Of course My friends and I knew Dobutamine. Our organization uses Dobutamine more often than Dopamine for CHF patients. I saw it in the literature. It said Dobutamine therapy is useful treatment of Pul. congestion and low cardiac output and in hypotensive patients with pul. congestion who cannot tolerate vasodilators.
  4. I work in rural(?) hospital tele unit. I was talking to a couple of my co-workers about cardiac medication dose titrating upon dry weight a few weeks ago. They didn't seem to know what dry weigh is and some of people there titrating the drug dose every day per daily weight. This is not the only frustrating part. Some of them told me that Dobutamine is diuretics(according to that nurse, patient who has dobutamin drip puts out alot of urine output?? I understand that CHF patients have dobutamine drip also has a bunch of diuretics as well and dobutamine itself increases blood flow to kidneys. I have friends who work in ICU. They never heard of it and I never heard of it either. But I am not a scholar and I didn't read all the literature in nursing and medicine. Does anybody know if Dobutamine falls into a category of diuretics somehow?

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