hodgieRN

hodgieRN

ER trauma, ICU - trauma, neuro surgical

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All Content by hodgieRN

  1. ACLS Experienced Provider Course

    Nice! That's what I'm talking
  2. I saw this post and thought I could respond. Periorbital edema is obviously caused by trauma (MVC, Fall, and surgical). But if a pt has severe cerebral edema, you could argue that all the surrounding...
  3. What is the better path?

    Going for your BSN would be alot quicker to get it over with. There's nothing wrong with getting your RN and then bridging. One good thing with RN to BSN is it's super easy to get accepted into a BSN...
  4. ACLS Experienced Provider Course

    Congrats on finishing the EP course and getting your ACLS! That's awesome! Now you can apply everything you have learned and pick apart different things in a rhythm strip and during a code. Right...
  5. IV Flushing & clots

    When talking to pts about flushing iv's, I like saying "it's a tiny bit of sludge and flushing it keeps the iv open." The main concern with clots is when you pull a sheath. Anyone ever had to pull a...
  6. Need Help Interpreting Specific Gravity

    You are right that the SG would be higher with kidney disease. SG is basically a measurement of water vs. particles. It could be argued that the kidneys are not only excreting water, but also not...
  7. What am I doing wrong (heparin SQ)

    One thing I learned was "pinch an inch." If there is enough tissue, grab with your fingers an area 1-2 inches wide and pull up. Check out a picture of an athletic trainer using calipers to measure...
  8. Why Dopamine and not Levophed for head injury pts?

    I think dopamine was probably the next best thing in this scenario b/c many trauma pts experience some type of cardiogenic shock following a major accident. When I used to work in the ER, we hung...
  9. I always got singled out to do stuff. "Ready to give another enema?" "Ah, come on..I've done 2 already and no one else was told they needed to do it." Remember, some single you out because they know...
  10. pharmacology question

    Lido is basically a medication that causes numbness. If you are gonna get sutures, injecting Lido will numb the area. If given in a high enough dose iv, it can help with arrythmias (but there are...
  11. ACLS Experienced Provider Course

    Yeah, do it! Take the rhythm class and get ACLS under your belt! What about you RN_10? How have things been coming along? Sign up for any
  12. ACLS Experienced Provider Course

    Thank you! That was really nice to hear! I love teaching and ACLS is one of my favorite subjects. All the new nurses will one day become mentors and it is gratifying! That is one of the great things...
  13. Help a Senior out :3

    My favorite is " Since you are a male nurse, are you gonna become a doctor?" One way I like to respond to non-medical people when asked about my profession... "So, what do you do for a living?" "I'm...
  14. Regarding FFP transfusion

    In my opinion, I think you should run into plasma slowly for the first increment, than increase it. I've had three who had hypersensitivity reactions with FFP. Thankfully, they were awake and could...
  15. IV Compatibility

    It's not unusual for pts to be on D5 and an insulin gtt. If not on TPN or tube feeding, dextrose is needed for metabolism. Plus, D5 should be up on a pt with an insulin gtt once the blood sugar is...
  16. Fecal Management Systems

    Our hospital used flexiseal for a while and then we switched to Dignicare. I think Dignicare works better....it's shaped like a cone and I think the leakage is much less. Plus, dignicare is rolling...
  17. ACLS Experienced Provider Course

    Good stuff! If you can read strips, then ACLS should be a great experience. The best part is applying the treatments under high stress. It's not about knowing what needs to be done, but what shouldn't...
  18. Do you have PCTs in your CCU?

    We have PCT's at our hospital in ICU, CCU, CSU. They help with transfers to the floor, rountine accuchecks, feeding, bathing, putting in orders, etc. Vitals in critical care are done automatically...
  19. Fundraising ideas?? please help

    A great fundraiser is hosting a walk or run. Try and get a sponsor. You can get something like the american heart association or breast cancer awareness organizations and donate a percentage of the...
  20. HTN, Vasoconstriction,hypotension, vasodilation

    Now when it comes to electrolytes, it can be a little tricky. First, you have to think of ions in terms of where there are and how they interact. Ions can be inside the cell and outside the cell. For...
  21. HTN, Vasoconstriction,hypotension, vasodilation

    "at first you said c02 is a potent vasodilator but in that same sentence you said it causes vasodilation." Sorry if that was confusing. I said CO2 is a potent vasodilator, meaning higher CO2 causes...
  22. HTN, Vasoconstriction,hypotension, vasodilation

    Sorry if the sentence was confusing what I was saying is that CO2 is a potent vasodilator meaning higher levels of CO2 means more vasodilation. The second part of the sentence said "if we blow off...
  23. HTN, Vasoconstriction,hypotension, vasodilation

  24. ACLS Experienced Provider Course

    No problem! Let me know if you have any questions ACLS content. It's one of my favorite subjects. See if you can chat with a CCU/CSU nurse...they are wonderful resources and very knowledgeable,...
  25. Question about BP control in your ICU

    Mainly see HTN management with bleeds. But if someone has been living at 150's-160's, then 170 isn't that