Dirk

Dirk

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All Content by Dirk

  1. ABG analysis

    Dirk replied to nurse-in-learning's topic in Critical Care

    Long time ago I made a sketch for me, to learn how ABG interpretation works. I hope, I translated everything correct. Perhaps you can use it ...

  2. Patient diaries on ICU

    Dirk replied to Dirk's topic in Neuro Intensive Care, ICU

    Thank you for your comment ! I have talked to many patients, and very often I heared horrible stories about nightmares, or unreal dreams. Very often, they can`t remember, what is dream, and what is...

  3. Patient diaries on ICU

    Dirk posted a topic in Neuro Intensive Care, ICU

    First - sorry for my english ... but I am from Germany (working in Switzerland), and I always try to improve my english ... A lot of patients, surviving the ICU, are suffering from PTSD-related...

  4. Patient to Nurse Ratios: What are yours?

    Dirk replied to rkitty198's topic in General Nursing

    Not 5:1 - only 1.5:1 Means - 14 bed ICU morning shift : 10 nurses late shift : 9 nurses night shift : 8 nurses BUT in Germany the ratio is very often 4:1 on

  5. Patient to Nurse Ratios: What are yours?

    Dirk replied to rkitty198's topic in General Nursing

    Country Switzerland City Zurich Unit worked ICU Patient load 1,5:1

  6. ICU Psychosis ?????

    Dirk replied to loricatus's topic in MICU, SICU

    There is a very good article, written by Kimberley Litton. This article deals with the ICU delirium (not psychosis, because it is an acute confusion, not a psychiatric disorder) and shows, how you...

  7. ET pilot balloon & Diprivan

    Dirk replied to Toby's mum's topic in MICU, SICU

    To question 2) Propofol is used on my ICU to some patients for a really lomg time, without any problems. But there are reports about people, have experienced severe problems because of propofol. One...

  8. Do you know "basic-stimulation"?

    Dirk posted a topic in Neuro Intensive Care, ICU

    I just saw the threat "Do you talk to brain-dead ...". I didn´t read all comments (there are too much), but I wanted to know, if you know (and use) a nursing-concept called "basic-stimulation in...

  9. Do you know "basic-stimulation"?

    Dirk replied to Dirk's topic in Neuro Intensive Care, ICU

    hmm .. just a little more ... Not only some patients after a stroke feel like this. Try following : You have to be with another (perhaps your friend or collegue) Take place on a chair sit on your...

  10. Vasopressin = Desmopressin?

    Dirk replied to TREBORICUNURSE's topic in MICU, SICU

    ... one new aspect : The potency-effct is only for the anti-diuretic-effect. The vasoconstriction is only 0,39 of vasopressin. So the use of desmopressin will take a very low effect while CPR. Hope...

  11. Vasopressin = Desmopressin?

    Dirk replied to TREBORICUNURSE's topic in MICU, SICU

    Hello Treboricunurse! I only know Desmopressin as a med, which we use to treat the insipidus too. It is, in comparison to vasopressin , only changed a little bit (it has a little different chemical...

  12. Vasopressin = Desmopressin?

    Dirk replied to TREBORICUNURSE's topic in MICU, SICU

    I try it in english .. Desmopressin is a Vasopressin-derivative with a potency-effect of more than 100. That means, that Desmopressin has a 100 times higher effect than Vasopressin. units are the only...

  13. cooling down after CPR

    Dirk replied to Dirk's topic in MICU, SICU

    http://content.nejm.org/cgi/content/abstract/346/8/549?hits=20&where=fulltext&andorexactfulltext=and&searchterm=hypothermia&sortspec=Score%2Bdesc%2BPUBDATE_SORTDATE%2Bdesc&excludefl...

  14. cooling down after CPR

    Dirk posted a topic in MICU, SICU

    Hello ! Do you cool down patients after CPR ? Which methods do you use - wich experinces did you made ? (Sorry my bad grammar) I´m excited about your answers !

  15. Do you know "basic-stimulation"?

    Dirk replied to Dirk's topic in Neuro Intensive Care, ICU

    First I have to apologize for my english. I try to describe things, if I don´t know the right english word. Please help me to learn - if you use special words, let me know ! - Thank you ! The...

  16. Do you know "basic-stimulation"?

    Dirk replied to Dirk's topic in Neuro Intensive Care, ICU

    Hello ! Yes I will try - but you have to be patient with me, because I have to translate my knowledge - and it is very difficult for me. I only know school-english - but nursing-englisch is a little...

  17. Do you know "basic-stimulation"?

    Dirk replied to Dirk's topic in Neuro Intensive Care, ICU

    Yes - you are right - except some differents. I made the experince, that we some things do, because they have to be done, and the way we do, is the way we ever have done. I will write you more a...

  18. abbreviations

    Dirk posted a topic in General Nursing

    Hello ! I don´t know the most of your used abbreviations. I can tell you thousands of german or swiss, but sorry - english ones - I don´t know. Can you explain me some, you know ?? I really want to...

  19. Do you use powder on your patients?

    Dirk replied to mamaof3's topic in General Nursing

    Hello ! Sorry - my nursing-english is not very good - but I try ! I never use powder on my patients for skin-care. I have very often seen powder on wounds. This is a special problem, because powder...

  20. Do you know "basic-stimulation"?

    Dirk replied to Dirk's topic in Neuro Intensive Care, ICU

    Hello ! I just make a try - and please don´t laugh about my english. Now I get into special nursing-english, that I don´t know ... Basic stimulation is a concept for the advancement and care of...

  21. cooling down after CPR

    Dirk replied to Dirk's topic in MICU, SICU

    thank you for the nice welcome! i never used a cool line for intravasal cooling, but i think that this is a good way for the patient. i have copied further information

  22. cooling down after CPR

    Dirk replied to Dirk's topic in MICU, SICU

    ok ..I try to explain : Cooling down a patient after a cardiac arrest will let more pat. stay alive, and they will have a better outcome. ( pat. treated with hypothermie after cardiac arrest - 49%...

  23. Pentobarb comas

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

    Hello ! The use of Thiopental is not very often here - other methods of ICP-management are useful enough. If you use Thiopental for such a long time, you have to think about the immuno-suppression...