michellehoong

Latest Activity

1. Cardiac Stepdown unit 5:1 patient ratio...is this normal???

   michellehoong replied to jaznia15's topic in CCU

   I agree.. 5:1 is ridiculous.. unless u realy hands on or hv the real experience.. then only u can tell...In my unit.. the ratio is 2:1... sometimes post opt cabg pt who is restless and uncooperative will be difficut to manage even u share with a pos...

2. Milking chest tubes

   michellehoong replied to CleioRN's topic in CCU

   it has been a standard procedure in our unit to milk patient pleural and medi drain post opt...we do not need the surgeion approval...thanks for the above info.. i will be careful and think about the pressure it will caused while milking..

3. Chest Tube Clogging

   michellehoong replied to Chestdoc's topic in CCU

   we often seen oso... however we will do manual milking and it is effective to prevent from blocking the tube.. eventually i see the strand/fibrin will be hanging in the tube but it wouldnt block the tube.... and draining the haemoserous...

4. Dobutamine Advice

   michellehoong replied to ellekunk's topic in CCU

   in my unit Dobutamine we will use 250mg and dituled to 50mls normal saline and give infusion to pt