MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Voluntary Euthanasia

    I'll mention that to my
  2. MunoRN

    Voluntary Euthanasia

    The dosages ordered for non-terminal patients can kill non-terminal patients, that we have various monitoring protocols for patients receiving opiates, that's why we use narcan. Along with other...
  3. MunoRN

    problems with urinary catheters

    Coude' tip catheters are designed specifically for getting around the
  4. MunoRN

    Ebola in Texas

    We get a fair amount of people who travel abroad regularly coming through our ER. The triage nurses have been told specifically to flag anyone with recent travel to Western Africa. The only person...
  5. MunoRN

    Pushing meds through NGT/OGT with the plunger

    Cola really isn't a good idea anymore since it causes most modern tube feeding formulas to mineralize, literally creating a rock in the tube. Even when it doesn't come in contact with tube feeding,...
  6. I'm all for linguistic proselytizing, but the established definition of "nauseous" includes both affected with nausea as well as to cause nausea. This is the definition used by Oxford, American...
  7. MunoRN

    Your PROPOFOL stories wanted

    I didn't think midazolam was the "drug of choice" anywhere anymore due the research that's come about regarding benzos and
  8. MunoRN

    Oxygen in dying patients.

    It used to be generally assumed that it was the oxygen that treats dyspnea, although for most patients that isn't the case and it's actually the sensation of airflow that helps alleviate dyspnea in...
  9. MunoRN

    Obamacare and hospitals

    Actually they can't charge more. They can only charge individuals more based on a limited set of conditions, such as smoking, and even then the amount is limited. They are actually specifically...
  10. MunoRN

    Obamacare and hospitals

    Blue Cross is the only insurer offering plans in New Hampshire, and it's actually the state that certifies insurers to offer plans on the exchange, not the federal government. Any insurer who is...
  11. MunoRN

    Are physicians that thick?

    Based on the information given I don't see any reason to believe the nurse wasn't taking appropriate actions. The nurse did make arrangements to have the draw done after she failed by putting the...
  12. MunoRN

    Flu Vaccines. A Hassle?

    Working in the ICU I see plenty of patients who thought the same thing. Is a week on a vent possibly followed by death really less of a
  13. MunoRN

    Voluntary Euthanasia

    I must have missed something, have there been arguments in favor of involuntary
  14. MunoRN

    Nurse Staffing Costs

    I think healthcare consulting groups can potentially be very helpful to nursing and patient care, but as you may have noticed, that's not the experience many nurses have. I've worked at two...
  15. MunoRN

    Voluntary Euthanasia

    There are many situations where morphine is unlikely to hasten death, and probably actually extends life. But there are also many where it doesn't, examples of this are more likely to be found when a...
  16. MunoRN

    Swan question from a new CCU RN

    By "mixed" it refers to mixed venous blood from all sources; the superior vena cava, inferior vena cava, and coronary sinus. An ScvO2 is a sample of venous blood usually only from the superior vena...
  17. MunoRN

    Voluntary Euthanasia

    I think the point is that while you have every right to take moral guidance from your religion and use that to guide the decisions you make for yourself. But everyone else also has the right to not...
  18. I'm not quite following the vitamin part, but ordering an ADA diet is within the scope of the RD, just like ordering a dysphagia diet is within the scope of a speech therapist, although technically...
  19. I still don't get what you're saying. Did the dietician write a order requiring the patient to stay on the
  20. MunoRN

    Could this be construed as "abuse"?

    In the US all patients, regardless of payer, have a legal right to refuse treatments or assessments. The only exception is for patient who have lost their rights to make medical decisions through a...
  21. MunoRN

    Could this be construed as "abuse"?

    What do you mean by "if it's a requirement of the
  22. Maybe you could be more specific, I'm not sure what it is you're asking
  23. MunoRN

    Question on reacting to tachycardic afib

    "the dose of amiodarone should be decreased or the drug should be discontinued if the length of the QTc closely approaches or exceeds 500 msec(9)." Internet Scientific
  24. MunoRN

    Boston children's hospital cicu

    The CICU Director is ************, ******* appears to be the manager. I wouldn't worry about being "creepy", most of the places I've worked only consider applicants that go through the extra effort...
  25. MunoRN

    Question on reacting to tachycardic afib