Dirk

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 ... Dirk

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 reality. We are writing in the diary, what happens d...

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 symptoms like sleep-disturbances, flashbacks, depression...

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 ICU`s

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

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 can reach the diagnosis of ICU elirium, and what are...

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 very critical thing, you have to look at is rhabdom...

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 nursing care" ? I know this concept as a really helpful...

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 hands, and stay sitting. This is like staying in bed -...

... 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 this will help you .... Dirk

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 formula). So the med is used ONLY for treatment of i...

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 measurement of Vasopressin - or do you give Insul...

http://content.nejm.org/cgi/content/abstract/346/8/549?hits=20&where=fulltext&andorexactfulltext=and&searchterm=hypothermia&sortspec=Score%2Bdesc%2BPUBDATE_SORTDATE%2Bdesc&excludeflag=TWEEK_element&searchid=1095459518145_11309...

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 ! Dirk

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 constantly existing possibility for the independent move...

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 different. If it is OK, I will try to give little e...

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 little later, if I will be at home (now I`m at work). F...

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 learn nursing-english, and I´m happy about your help...

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 make the wound-ground dry, and the granulation is di...

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 disabled (special with neurologic disorder (hope that is...

Hello ! I lived long time near the netherlands border, and I think, they would say : Ik houd van pleeg Hope that is right Dirk

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 :

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% survived, with normothermie only 26% survived ( HACA-...

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 effect. This effect limits the useage for a long time...