TennRN2004

TennRN2004

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All Content by TennRN2004

  1. Common Drips Used in CCU

    TennRN2004 replied to DangJ's topic in CCU, Coronary, Cardiac

    Our CCU docs use Natrecor over Primacor, but the SICU is the opposite. Primacor works wonders in the post op CABs when indicated because of the increased availability of calcium. If you have a chronic...

  2. Precedex

    TennRN2004 replied to my2sons's topic in CCU, Coronary, Cardiac

    I don't understand this either. Precedex has many indications, not just the OR. It can be used without an established airway (Bipap, venti) for pts who need sedation. Precedex is also used at some...

  3. Precedex

    TennRN2004 replied to my2sons's topic in CCU, Coronary, Cardiac

    Currenty, the max dose is also only 0.7 mcg/kg/hr, but there are ongoing studies to demonstrate the safety of higher doses and longer hang times. The company used the current approved dose and hang...

  4. getting a cardio cath-input? worried

    TennRN2004 replied to nightwatcher's topic in CCU, Coronary, Cardiac

    Not sure exactly what you're looking for...Typically when they do the cath they will look at all the coronary arteries, right and left sided heart function. A couple of things that can be done if...

  5. Blood sugars

    TennRN2004 replied to kitkat83's topic in General Nursing

    We have a hypoglycemic protocol for all of our pts on sliding scale insulin. Actually, even with an IV, a PO form of glucose is the preferred route. You can give them glucagon tabs, or a 6 ounce cup...

  6. Precedex

    TennRN2004 replied to my2sons's topic in CCU, Coronary, Cardiac

    LOVE IT LOVE IT !! And the pts do too. It is an excellent drug for the CABs you want to wake up and get extubated quickly. It also cuts down on the dose of pain meds you have to give, and is helpful...

  7. To thump or not to thump....

    TennRN2004 replied to 123456yy's topic in MICU, SICU

    it is not part of the acls protocol anymore. the precordial thump only generates about 25 jolts of energy, not nearly enough to defib unless it is delivered immediately at the time the pt goes into...

  8. holding BP/HR meds

    TennRN2004 replied to limabean's topic in General Nursing

    I agree, I had a similar situation at work the other night. Had a patient who was getting amiodorone PO BID (he had been cardioverted for post op AFib a week before). He had a feeding tube, but it got...

  9. POLL: Do you still use trendelenburg?

    TennRN2004 replied to bluesky's topic in MICU, SICU

    we routinely use albumisol bolus on our post op cabs (adults). why do you not like it? and, are you talking an spa (50cc) bolus or albumisol (250cc) bolus. i've never taken care of kids, but i...

  10. POLL: Do you still use trendelenburg?

    TennRN2004 replied to bluesky's topic in MICU, SICU

    we routinely use albumisol to bolus our post op cabs (adults) why do you not like it? and, are you talking about an spa (50cc) bolus or albumisol (250cc) bolus. i've never worked with the kids, but i...

  11. POLL: Do you still use trendelenburg?

    TennRN2004 replied to bluesky's topic in MICU, SICU

    Hey Papaw John, funny enough I did just that on my shift last night. Had an immediate post op CAB on admit temp was 97.8 range, couple of hours later, it was 102.9, treated with tylenol, which didn't...

  12. RN's leaving drugs in lines

    TennRN2004 replied to JiffyGriff's topic in MICU, SICU

    I would agree that if a gtt like Levo was stopped, the prior nurse should have flushed your line when the gtt was d/c'd. Especially in a patient with a need for so many IV accesses, you don't want to...

  13. Natracor and low bp

    TennRN2004 replied to ark-two's topic in Cardiac

    We don't use an albumin/lasix gtt. Our common dose is 250 of albumisol with 20mg of lasix it's called a "cocktail" where I work. We just draw up the lasix and put it in the albumisol bottle and run...

  14. AMI pt after transfer to Your Hospital....

    TennRN2004 replied to OH RN,BSN's topic in Cardiac

    If the patient needs to be transferred for surgery right away, they may come to our open heart unit as a pit stop just long enough for the OR team to get prepped and ready (I work nights, so they have...

  15. IABP augmented pressure

    TennRN2004 replied to msjangir's topic in CCU, Coronary, Cardiac

    rnbob.tripod.com/iabp.htm(there's no www. before the website) the above link gives great rationale for the different pressures we look at on iabp pts and why each is important. Remember, the goal with...

  16. Dopamine infused by infusion pumps

    TennRN2004 replied to laurentm38's topic in MICU, SICU

    We send our post cabgs out to the floor with Dopamine gtts at low dose (3 mcgs). At first I was surprised and kind of worried about this too. However, we haven't had any bad events, the floor nurses...

  17. DVT Prophylaxis in critical care

    TennRN2004 replied to ParrotHeadRN's topic in General Nursing

    I've heard (but not done any research myself on this topic) that one or the other is sufficient, that you do not need both SCDs and TED hose. At our hosital, it seems to be simply the doctors...

  18. Lovenox Injections: SC, But Where?

    TennRN2004 replied to lmz's topic in Patient Medications

    That's our policy for administration of lovenox as

  19. New grads in cvicu?

    TennRN2004 replied to troyb's topic in Cardiac

    [quote=TopherSRN While I think new grads should be allowed to start in CVI, I feel very few are ready for it. The dissension may come from people realing they're are in over their head on their first...

  20. V Tach

    TennRN2004 replied to melanie1126's topic in Cardiac

    It takes time to develop that judgement, sometimes it is a fine line deciding who to listen to between the six nurses on your floor that may tell you different things. Two may say go ahead and call...

  21. significance of chest drain

    TennRN2004 replied to souu's topic in MICU, SICU

    I'm not exactly sure if you mean he had a total of 80-100 ml for 3 hours (in which case, that is not a considerable amount to worry about), or if he had between 80-100 mls each hour for the first 3...

  22. V Tach

    TennRN2004 replied to melanie1126's topic in Cardiac

    Just something to keep in mind, whenevey you have a patient with ventricular ectopy, make sure electrolytes have been checked recently. Low K and Mag levels can contribute to an irritable heart...

  23. Do you have Nurse Aides in your ICU?

    TennRN2004 replied to Zee_RN's topic in MICU, SICU

    It varies from unit to unit at my hospital, but the basics are take temps Q4 hours, empty urinals at 0500/1700, daily weights on 7p shift, accu checks, baths, assist with turning/transferring pts out,...

  24. From Ltc To Icu????

    TennRN2004 replied to johnson0424's topic in MICU, SICU

    Just my oppinion, but ER may be better experience for FNP school depending on what type of practice you want to end up in. I personally love the ICU, but I think you have to be a certain type of...

  25. How to handle nurses who "Don't get it"....? (Kind of long)

    TennRN2004 replied to JSRN81's topic in MICU, SICU

    Not all new grads have problems in the ICU. It is a harder adjustment being new, but there are just as many nurses who have plenty years of experience who "don't get it". I think it comes down to a...