Mully

Mully

SICU

Member

All Content by Mully

  1. Sliding scale insulin...give or hold?

    Mully replied to Annie Wilkes RN's topic in Long Term Acute Care

    Just give it. Problem solved

  2. Dopamine

    Mully replied to UCAFblue's topic in NICU, Neonatal

    All ways round, though, that baby needs a central

  3. Dopamine

    Mully replied to UCAFblue's topic in NICU, Neonatal

    I see what you're saying, kind of. The physics thing I believe you're referring to is Poiseuille's law, which says (among other things) that flow is directly related to the radius of a cylinder raised...

  4. Dopamine

    Mully replied to UCAFblue's topic in NICU, Neonatal

    Why would the baby get less than what you infuse? Can you explain the mechanism behind what you mean? I'm not saying you're wrong, but I've never heard

  5. IV bolus ordered because pt hypertensive

    Mully replied to Are Enn's topic in Patient Medications

    If you can't explain something well, then you don't understand it well. Too complicated to explain = to complicated to comprehend... by anyone lol. I agree with the previous posters here. If the...

  6. What are the best nursing schools to learn neurology on the East Coast?

    Mully replied to swimmingfever00's topic in Neuro Intensive Care, ICU

    In my experience, that's not really how it works. Mostly nursing schools are all going to cover all the same topics relatively evenly. If a particular school does clinicals at a place that you're very...

  7. IJs

    Mully replied to maloneys's topic in MICU, SICU

    When you're removing a line which is placed above the level of the heart, especially a large gauge line, you want to lower the patient's head to at least the level of the heart. This would be either...

  8. Calculating SVR, CVP, Preload, etc..

    Mully replied to stdntograd06's topic in CCU, Coronary, Cardiac

    Resistance = Change in pressure/Flow Or in cardiac terms: SVR = MAP-CVP/CO. This is because MAP is basically your starting average pressure at your aorta, and CVP is your ending pressure at the R...

  9. Art line question

    Mully replied to forgop's topic in Critical Care

    Excactly. If you did have a good waveform, dicrotic notch, and were able to draw blood and flush appropriately, it is likely that the art line is more accurate than the cuff. A better method that will...

  10. Anybody want to discuss pKa?

    Mully replied to traumaguy8's topic in Student Registered Nurse Anesthetist

    I may not be the best one to answer that as I am only in semester 2 of anesthesia school, but so far it hasn't come into play much. It's definitely important for people who create the drugs...

  11. Anybody want to discuss pKa?

    Mully replied to traumaguy8's topic in Student Registered Nurse Anesthetist

    I'll take a stab at it. Others can correct me if I'm wrong... Ok, in the sense of the question you posed, you could technically figure out at which pH the drug would be more ionized vs. unionized. The...

  12. Going from SDU to ICU at a different hospital. Anyone else done this?

    Mully replied to RNDude2012's topic in Critical Care

    I did the same thing you are. It was a very smooth transition for me and I think you're doing all the right things. Good luck and have fun! ICU nursing is my favorite type of

  13. Intubation - confused about orders

    Mully replied to RNexplorer's topic in Critical Care

    Regardless of the flowrate, the patient will get the same Fi02 with a non-rebreather. The flowrate just works to provide the 02 to the bag which the patient then breathes from. Non-rebreather valves...

  14. Intubation - confused about orders

    Mully replied to RNexplorer's topic in Critical Care

    Did you see my last

  15. Intubation - confused about orders

    Mully replied to RNexplorer's topic in Critical Care

    Throwing someone on a non-rebreather is generally going to make their pO2 levels tolerable for a while. It's more about the trending. My best guess (correct me if you think I'm wrong): Pt with CHF is...

  16. Intubation - confused about orders

    Mully replied to RNexplorer's topic in Critical Care

    Right so respiratory acidosis would be caused by sleep apnea when the patient is asleep. But that's self limiting. When the patient awakes, they breath fine right? So ignore that that's what the MD...

  17. Intubation - confused about orders

    Mully replied to RNexplorer's topic in Critical Care

    I like this discussion. Okay so you have a CHF pt that's likely been getting worse over the past few days. RNexplorer: What could explain a ABG of respiratory alkalosis in this patient? Or, if you...

  18. Intubation - confused about orders

    Mully replied to RNexplorer's topic in Critical Care

    An important clarification is how quickly after the roc did you give the Etomidate? As many people have pointed out, the onset of rocuronium is slower than the onset of etomidate, so it makes sense to...

  19. Assessment question

    Mully replied to Reba2084's topic in Neuro Intensive Care, ICU

    We always had an intermediate box "withdraws to pain". "Arousable" alludes more to waking up, as in consciously. It can definitely be taken either way (depending on the attorney ) and would best be...

  20. RIP Betty Ackley RN - Nursing Diagnosis textbook author

    Mully replied to nurseprnRN's topic in General Nursing

    She taught at the school I graduated from! Although she was retired when I went through there, everyone had nothing but great things to say about her. Thanks for posting

  21. I need advice! DNP-A or MSN?

    Mully replied to pink.berry's topic in Student Registered Nurse Anesthetist

    I PM'd

  22. Advice for getting into CRNA school?

    Mully replied to sanovin's topic in Student Registered Nurse Anesthetist

    It's important to note the political climate of anesthesia in America for a thorough answer to your questions, which is an entire bag of worms that goes beyond the scope of this thread. Suffice it to...

  23. CCRN Content Helpful During CRNA School

    Mully replied to GaMommy81's topic in Student Registered Nurse Anesthetist

    I disagree with Just an Illusion, although I may not be the best to say so because I never actually got my CCRN. However, I did study for it. The CCRN makes you a more knowledgeable ICU nurse, and...

  24. Jane Fitch MD, prior CRNA, now Anesthesiologist elected president ASA

    Mully replied to puppies'n kittens's topic in Certified Registered Nurse Anesthetist, CRNA

    Some thoughts from an SRNA... Well there are some valid points. Take the education of a physician for instance. They go through an amazing amount of education, not only regarding anesthesia, but...

  25. Jane Fitch MD, prior CRNA, now Anesthesiologist elected president ASA

    Mully replied to puppies'n kittens's topic in Certified Registered Nurse Anesthetist, CRNA

    Very impressive and objective write-up, Ether511. Opinions aside, you make many valid