heartICU

heartICU

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All Content by heartICU

  1. Nurses pulling CTs?

    I worked in a CTICU and we pulled chest tubes all the time. Pleural and mediastinal tubes. No big deal. Also pulled JPs on occasion. We didn't pull the pacing wires though - the clinicians did that on...
  2. Mortgage for new grad RN?

    I graduated nursing school in May 2003, and purchased my first house in December 2003, and purchased a condo a year later, so I can offer you some insight. It is definitely doable for a new grad! I am...
  3. A-Line Question

    We always use normal saline. You never infuse anything through an arterial line - the pressurized fluid is simply to keep the line patent, and only infuses approx 3ml/hr. You wouldn't want to use...
  4. Carotid stenting

    Recent studies have shown that overall perioperative morbidity and mortality decreases with the administration of beta blockers to patients undergoing intermediate to high-risk procedures. Patients...
  5. Hi all, Just looking for some advice. My aunt, with whom I am very close, has been battling cancer. She has run out of curative treatment options, and she and my uncle are going to get hospice...
  6. I would do a search on th forums. You will find a lot of info on interviews, as it has ben discussed ad
  7. Lowest H/H I ever saw...

    Had to take a GYN patient back to the OR a few months ago...H&H was 2 and 7. She lived - thank god she had no
  8. A better comment would have been...."Wow. You are pretty smart/hardworking/dedicated/motivated. You will make a great crna." Why does everyone assume that all intelligent people should therefore go on...
  9. hahaha...I am sorry this just made me
  10. This is something that has been going on for a long time. Physicians and CRNAs will always be at odds with each other in terms of political and professional rights and practice issues. I would suggest...
  11. I don't have the CSC, but I scheduled the CCRN after my required 1750 hours of bedside nursing. I think that if you have been working in a open heart ICU you will have no problem with the test. It was...
  12. Before I reply to this, I want you to know that I am sorry for your experience. It is a traumatic thing to go through, and I hope that you have sought appropriate resources to help you cope. That...
  13. Get there early. Is this your first clinical, or just first time being there all week? If it's your first clinical, get there early. Nothing adds to the stress of being in the OR for the first time...
  14. I think so - I don't think you had to register for
  15. I am going, along with a few students from my class. What sessions did you guys decide to go to...anything interesting? I am getting excited to go - I am also running for a position there, so I'm...
  16. I think it depends on the person. For me, the actual material is not difficult, with a few exceptions. It's just that the volume of material you are expected to know in a short period of time is...
  17. Anesthesia attitudes

    Actually, you would be surprised to know that most CRNAs and anesthesiologists work extremely well together, at least where I am. I work in a large academic institution, and we have the largest...
  18. Another Drug Calculation question

    Drug dosages are not always marked with more than their volume percent dosage. Often times, we have ampules with only their volume percent - 0.1% epinephrine, 2% lidocaine, etc. This is just another...
  19. Well, when dosing these drugs, some control can be retained. For example, if you give a 50kg patient a 5mg dose of rocuronium, your patient most likely will not stop breathing, but they may feel some...
  20. It's actual mechanism of action is by muscle relaxation - competes with ACh to occupy cholinergic receptors at the motor end plate of the neuromuscular junction to prevent depolarization. I know the...
  21. That IS fact, though. I don't think it was glossed over at all. The drugs we use are muscle relaxants, not paralytics. Paralysis tends to refer to the inability to move as a result of nerve damage, as...
  22. It may be the timing of the drug - are you giving the last dose too close to the
  23. How many of you have ever used phenylephrine in your spinal mixture? Someone at my clinical site (a CRNA who has been practicing for many years) mentioned that has added 5mg of phenylephrine to a...
  24. Working with extremely sick patients, learning to prioritize patient problems, learning how to resuscitate a patient (not just CPR - fluid wise, blood wise, drug wise), learning to glance at a monitor...
  25. We get them up from a bed to the chair, but that is it. It's not all that often that our patients will get out of bed if they have a PA cath, because if they are well enough to get up and out of bed,...