MLB55

MLB55

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All Content by MLB55

  1. AV fistulas and lines.

    MLB55 replied to MLB55's topic in Dialysis, Renal, Urology

    He is now getting iHD, aox3, and asking when he can get out of "here."

  2. FFP off the pump?

    MLB55 replied to chris_mnd's topic in MICU, SICU

    We give alot of FFP, I'm surprised I've never heard this being at a large teaching hospital. Going to ask

  3. Fast Food Medicine.

    MLB55 replied to rnjlin's topic in Emergency

    I always hear, you don't want to be the guy they are rushing back with nurses and docs surrounding

  4. AV fistulas and lines.

    MLB55 replied to MLB55's topic in Dialysis, Renal, Urology

    Oh, wow. I work in a large teaching hospital in a Neuro ICU and I have never seen a pt that was not a candidate for a trach... C spine injuries and all. You truly just never know until it happens.Vent...

  5. How do you verify NG tube placement on your unit?

    MLB55 replied to digitiminimi's topic in NICU, Neonatal

    Not sure in kids, but in our teaching hospital we always get an

  6. AV fistulas and lines.

    MLB55 replied to MLB55's topic in Dialysis, Renal, Urology

    Guy is doing better today. He LOOKS alot better, actually has color and looks like he is 49 and not 79.He's on vaso with a touch of Levo (1-5 mcgs/min), both fem lines are removed and has a vas cath...

  7. AV fistulas and lines.

    MLB55 replied to MLB55's topic in Dialysis, Renal, Urology

    He was that classic renal pt that got septic. I was there the day he got admitted, report sounded something like "last bp was 30/20"... Give fluids, intubate, put in lines, and than maxed on four...

  8. AV fistulas and lines.

    MLB55 replied to MLB55's topic in Dialysis, Renal, Urology

    Hey guttercat I appreciate the info.I can not state whether or not the Picc was placed on this admission, but he definately had it before he came to us (ICU).. he had been admitted for stem cell 2/t...

  9. AV fistulas and lines.

    MLB55 replied to MLB55's topic in Dialysis, Renal, Urology

    Also, he had a RUE dvt. Which is the lesser of the two evils

  10. AV fistulas and lines.

    MLB55 replied to MLB55's topic in Dialysis, Renal, Urology

    That is what I thought. Thank

  11. Temperature. Where do you go?

    MLB55 posted a topic in Critical Care

    It's been my experience with floating that every unit has there own "culture." by this, I mean the way they do things. My question is for constant temperature reading, where do you go? I've recently...

  12. Hourly doses of vent sedation, is this common?

    MLB55 replied to jkej's topic in MICU, SICU

    Large teaching hospital. Only with our micu overflow pts will you see q1 hour fentanyl. Our neuro pts that are tubed always have a fent/prop drip. I cringe Iif my micu pt doesn't have adequate...

  13. Tell me what it's like in your Trauma ICU!

    MLB55 replied to strawberryheartRN's topic in Critical Care

    Every unit is different but we use 3% and goal sodiums are 145-155. Mannitol for a goal serum osmo as close to 320 as possible, we hold if > 320. As far as pressors go, depending if we are triple...

  14. OR nurse looking to transfer to ICU

    MLB55 replied to vcunurse22's topic in Critical Care

    I think it depends on the manager when telling them your future plans. For me, I'm sure my old manager told my new manager what my plans were. When asked where I see my self in five years, I sure...

  15. Tell me what it's like in your Trauma ICU!

    MLB55 replied to strawberryheartRN's topic in Critical Care

    We are mostly neuro, but with neuro you get trauma... Bedside procedures include bolts, evds, central lines (cordis, macs, swans and plain triple lumens) art lines, trachs, pegs, bronchs. Medications...

  16. BP: how high is too high (at 2am)? i.e., when will Pt stroke out?

    MLB55 replied to allthesmallthings's topic in General Nursing

    I work in Neuro ICU and we let ischemic strokes be "permissively hypertensive" for perfusion purposes. Generally our goal is You did the right thing in at least needing a PRN to give, maybe some...

  17. Labs and vasopressors..new icu nurse needs advice

    MLB55 replied to icu26RN's topic in MICU, SICU

    I know this is really old... But I have seen a handful of pedals and at least 2 brachials. Are they really that bad? Our anesthesia CC docs put alines in on any pt with a vaso active

  18. ? for CVICU Nurses!

    MLB55 replied to my2sons's topic in MICU, SICU

    If we recover the non intubated patient, PACU orders of Dilaudid 0.2-1.0 q5mins. If we get them after PACU Dilaudid 0.2 q1hr and 2 norco's q4. Direct pts are my fav. Prop +

  19. Flotrac for Triple H therapy

    MLB55 replied to bellehill's topic in Neuro Intensive Care, ICU

    Out large teaching hospital usually does CVP goals of 6-10 alternating between albumin and ns bolus PRN and SBP goals of 140-160. We use CVPs via a cordis or other central

  20. NEW TO NEURO ICU

    MLB55 replied to CVICU14's topic in Neuro Intensive Care, ICU

    One year on the spine floor. Started in October for the NSICU, I figure I'd like at least 2 years before I go back. There is so much to learn still (cvvh, swan) and I hear the more experience the...

  21. NEW TO NEURO ICU

    MLB55 replied to CVICU14's topic in Neuro Intensive Care, ICU

    Sound like me. Came from a neuro (more spine) floor to a neuro ICU. Almost done with my first year and here are some points... EVDs, ICPs, bolts, a lines, central lines, mannitol, 3% na, neo, Levo,...

  22. Single Use Leads

    MLB55 replied to nikkicoliCCRN's topic in MICU, SICU

    We use single use EKG leads, pulse ox, and BP cuffs. I couldnt imagine re using any of that stuff. The single use ones get disgusting after a few

  23. Measuring from a foley urometer

    MLB55 replied to Sigridlillian's topic in General Nursing

    The big canister starts @ 60. Yes. What you see is what you get, no need to dump the little into the

  24. Rectal trumpet

    MLB55 posted a topic in Critical Care

    Has anybody else heard of these? Basically, take a nasal trumpet + a foley bag = quick bowel management

  25. Rectal trumpet

    MLB55 replied to MLB55's topic in Critical Care

    Ya I'm sure the zassis are expensive. We use those too, but we have to "order" them... So when in a pinch and the right viscosity. Viola! I remember the first time I used it, I got 1L out of this guy....