valsalvamanuever2

valsalvamanuever2

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About valsalvamanuever2

Latest Activity

  1. blood transfusion and first 15 minutes

    Thank you all for entertaining such a thorough discussion on the topic. When I originally posted the question, I was new in my setting, but questioning what isn't necessarily in line with what I have...
  2. Best resources/advice/education for a new MICU nurse w/ m/s expirence?

    Hello, I just completed my second shift off orientation, with about a year of tele experience, so my advice is framed from that perspective. For factual stuff, the ICU book by Merino, as well as...
  3. difficulties in transitioning to ICU

    Thank you all for sharing your feelings. I thought that I probably wasn't the first to feel this way. It does feel good to have this outlet. My unit was nice enough to provided us with a giant...
  4. blood transfusion and first 15 minutes

    Thanks for the responses. Our policy states to stay for 15 minutes. (ICU). There is a clause regarding emergent/unit patients (which most of ours are) and changing assessment based on pt....
  5. blood transfusion and first 15 minutes

    Anyone work on a unit where the predominant attitude is one of it being ok to leave a pt. during the first 15 minutes of a blood transfusion due to the monitors attached to the
  6. difficulties in transitioning to ICU

    1 year RN experience on telemetry. Switched to trauma/surgical icu at different facility (dream job). Nearing end of 12 week orientation. Still feeling inefficient/slow. Limited experience with...
  7. rapid a fib with high blood pressure?

    I meant if her heart did this again and was either symptomatic (i.e. dizzy and takes an unplanned meeting with the ground) or asymptomatic (until her heart can't do this anymore and takes an unplanned...
  8. rapid a fib with high blood pressure?

    Pt. converted spontaneously. Bolus and GTT were about to be started when she went SR 60's/70's. The cardiologist who follows her as an inpatient felt that she could be seen outpatient for f/u....
  9. rapid a fib with high blood pressure?

    Pt was told to come to hospital after observed bp/hr at pcp's office. Yeah I have not been oriented/asked out loud how/why exactly some pt.s of this type are allowed to come over unsupervised if they...
  10. rapid a fib with high blood pressure?

    Hello, New nurse almost off orientation on telemetry. Pt. was direct admit from MD, walked onto the floor and into my room with no information to moi. When put on monitor hr a fib 160's- 180's,...
  11. bradycardia with nitro drip?

    Hello all. Thanks for the responses. I do not know the full story, aside from the fact the pt. remained on the floor for another week with dx of endocarditis. Did run into family member of pt. who...
  12. bradycardia with nitro drip?

    Thank you all for the input. Assigned to same pt. today. Pt. is 1. septic. 2. EF of Thanks all as I start to learn what I need to
  13. bradycardia with nitro drip?

    Nurse of 2 weeks experience on telemetry floor. Pt. transferred from smaller hospital with decompensated hf, scant information provided. Upon admission orders written for nitro drip and lasix drip....
  14. moving..what's a nice area to live in Rochester?

    Hello, My wife and I lived around the area for 6 years for school and still at times miss it. Depending on what type of living you like (i.e. complex vs. apartment in a house), there are a great...
  15. Freezer Meals

    Pretty much any cooked protein. We store them in quart canning jars (good size for two and it leaves some leftovers.) It's not freezer related, but my wife has learned to time crock-pot meals that...