hodgieRN

hodgieRN

ER trauma, ICU - trauma, neuro surgical

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All Content by hodgieRN

  1. HTN, Vasoconstriction,hypotension, vasodilation

    hodgieRN replied to AngelofSeduction's topic in General Students

    If you have less blood volume, then you will have hypotension. Giving blood or fluids will correct the problem. Hypertension could be an issue of low blood volume if the body is trying to compensate....

  2. HTN, Vasoconstriction,hypotension, vasodilation

    hodgieRN replied to AngelofSeduction's topic in General Students

    Obviously, the body needs oxygen, but carbon dioxide (CO2) levels are much more potent. In hypoxia, the body is not getting proper supply. The brain needs lots of O2. But if a pt is hypoxic, meaning...

  3. HTN, Vasoconstriction,hypotension, vasodilation

    hodgieRN replied to AngelofSeduction's topic in General Students

    I'd love to help. Loved A and P. You are right with vasoconstriction and the heart needing to work harder. As said before, vasoconstriction is a compensatory mechanism. This is a process to raise...

  4. Goals for pt. with C. diff

    hodgieRN replied to j.kachinski's topic in General Students

    C-diff can cause a number of issues. They can become severely dehydrated and need fluids. It can also cause skin breakdown b/c pts can sit in feces for a long period of time if not checked...which...

  5. ACLS Experienced Provider Course

    hodgieRN replied to detroitdano's topic in MICU, SICU

    In my opinion, there is nothing wrong with taking the class if you are fairly new (maybe at least 6-12 months in). Here's why...becoming an ACLS provider doesn't mean you are going to be in charge of...

  6. Titrating multiple drips

    hodgieRN replied to Good Morning, Gil's topic in MICU, SICU

    Also, never be afraid of picking an in-between number. You will learn intervals like 5, 10, 15 mcg but sometimes, picking 8 or 9 mcg can be just right. Another big thing is picking how fast to cycle...

  7. im injection

    hodgieRN replied to peaceful nurse's topic in Patient Medications

    Thanks for sharing the info about aspirating :) It's interesting that instructors are now teaching to not aspirate. I was taught to always aspirate, but that was about 12 years ago. It makes sense...

  8. Timing assessments

    hodgieRN replied to NeuroNP's topic in MICU, SICU

    I don't think so. If you are gonna time something for 1157, then technically your next assessment needs to be 1557 or sooner...anything after that is greater than four hrs. If you are going to chart...

  9. please help me

    hodgieRN replied to Nurse of future's topic in Nursing Student Assistance

    I can try to answer about the crash cart. I don't know what she means by nursing action. Hopefully, this will help... The crash cart consists of a defibrillator to deliver shocks for coding pts...

  10. Propofol and drug overdose

    hodgieRN replied to ICUenthusiast's topic in MICU, SICU

    And that propofol is not a narcotic or benzo, it's simply an anesthetic. For drug overdoses, you basically keep them intubated until they wake up. Propofol keeps them sedated until the narcotics wear...

  11. What would you have done??

    hodgieRN replied to Sun0408's topic in MICU, SICU

    I would have held the labetolol for HR in the 40's. And asked for parameters for labetolol orders. Most Dr don't want it given if less than 60 or 55. The Dr could have used a whole list of meds to...

  12. New ICU nurse, need advice please???

    hodgieRN replied to ICUnurse201's topic in MICU, SICU

    Took me a year or two to really on top of my game. I still learn something

  13. What CCRN book do you recommend?

    hodgieRN replied to montinurse's topic in MICU, SICU

    Look up Laura Gasparas Vonfrolio. She runs a CCRN education program and hold lectures/seminars all over the country. She also has books and DVD's of her lectures. Everyone raves about how good she is....

  14. Any good rules of thumb r/t IV compatibility? & your preferences?

    hodgieRN replied to IheartICUnursing's topic in MICU, SICU

    Agreed. It's always good to print one out. Don't forget to ask pharmacy. Another big one is LR...some drugs don't mix with it (I think Zosyn is one). Diprivan and TPN are

  15. Timing assessments

    hodgieRN replied to NeuroNP's topic in MICU, SICU

    I document on the hour (0800, 1200, 1600). I am not sure if one is better than the other. My argument is...if you chart on the minute and 2 hrs 32 mins go by, then a lawyer could say you technically...

  16. Transition to ICU

    hodgieRN replied to redtshirt's topic in MICU, SICU

    I understand what you saying....Not all ICU pt are sedated and intubated. There are a good number that are confused or have neuro issues. I work in the unit and I get to talk to my pt all the time. I...

  17. Titrating multiple drips

    hodgieRN replied to Good Morning, Gil's topic in MICU, SICU

    You will need to titrate multiple gtts at the same time in your unit. The best thing is time and experience. When I first started, I had to look everything up. After a while you learn how things work,...

  18. im injection

    hodgieRN replied to peaceful nurse's topic in Patient Medications

    never heard

  19. How Do You Administer The Following Meds?

    hodgieRN replied to All4NursingRN's topic in Patient Medications

    Dilantin - Causes extreme burning so I give it with 250 NS. It can cause arrhythmias, so yes for the monitor. IT SHOULD BE GIVEN WITH FILTER. A lot of nurses don't do this. Needs in-line filter....

  20. dialysis patients

    hodgieRN replied to AngelofSeduction's topic in General Students

    Not all. There are many stages of renal failure. Think of the kidneys....they excrete water from the body but also act as a filter system. Anuria means you are missing both. A dialysis pt can still...

  21. Nursing not for me?

    hodgieRN replied to ILnosaben's topic in General Students

    If I can offer some advice...I don't know the full extend of it but I would say don't weight it on clinicals. I knew I wanted to work ER before I got into school. I hated every minute on the floor. My...

  22. Confused....

    hodgieRN replied to CanuckLPN73's topic in General Students

    Well...You have think in terms of compensation, not one thing goes up while the other goes down. If you give oxygen to someone who has a low BP and it goes up, that is b/c of severe hypoxia. Like in a...

  23. Confused....

    hodgieRN replied to CanuckLPN73's topic in General Students

    Low oxygen levels aren't mainly related to HgB. It can be. Someone's B/P is low from hypovolemia ( from low HgB count.) And yes, the blood loss can relate to hypoxia but there are other things like...

  24. ACLS Experienced Provider Course

    hodgieRN replied to detroitdano's topic in MICU, SICU

    I don't think it's bad at all. I've taken it a couple of times over the years and you spend 80 % of the time learning. You get lots of information and you'll be a better nurse for it, especially...