hodgieRN

hodgieRN

ER trauma, ICU - trauma, neuro surgical

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All Content by hodgieRN

  1. No rapid response for a DNR?

    I don't find my response
  2. No rapid response for a DNR?

    Right....
  3. I saw one episode where a woman complained of leg cramps and he told her she might have a DVT, which could end up in her lung and ultimately kill her. Dr Oz is a quack. He advises eating cinnamon or...
  4. Cardiac questions...

    New onset slurred speech is by far the highest priority. Every seconds count with stroke. The clock start ticking at last seen normal, not at first assessment. Brain is more important than limb. I...
  5. No rapid response for a DNR?

    I would have called the family and not called a rapid response. To me, medically treating a DNR means routine stable care (antibiotics, xrays, medications, feedings, etc). If things start becoming...
  6. Bicarb Drip and Low GFR...

    Dang it, I did say produce. It is made in the pancreas. Thanks for pointing that out! I meant
  7. Is there any truth to this?

    I don't do anything for temps unless they are sustained above 101 or climbing. Tylenol for a temp of 101 is more for comfort. A large portion of temps in the 99.5-100.5 range are induced by us. Has...
  8. Super Obese

    I think there should be a lot more psych consults for these
  9. CT techs starting IVs

    Our rad tech do it all the time. You don't have to have an official certification from the state (or anything). The facility just allows it if you get the proper on the job training. It just a...
  10. Bicarb Drip and Low GFR...

    If the GFR was low, this would indicate that the pt was in some type of renal failure/ renal insuff, acute tubular necrosis (ATN). One of the things that the kidneys do is produce bicarbonate. Pts who...
  11. What's the coolest operation you've watched??

    Brain tumor removal. The brain pulsates with each heart beat. So
  12. Can a pt hyperventilate themselves into resp failure?

    It might be possible that he was able to do that, but he wouldn't be able to do anything severe enough to be an actual emergency. Eventually, he would have to stop the act to start breathing again. It...
  13. street drugs vs. prescribed drugs

    I miss the days when pts OD'ed on GHB, and all you had to do was intubate them for 4 hrs and then send them home. At least the weekend warriors knew that the fun stopped before work on monday. To...
  14. newER

    They will teach you everything that you need to know. You have to make sure that your thinking as a medic doesn't cross over into your thinking as a nurse. I've seen medics (that have become nurses)...
  15. Endocrine

    Remember that nursing exams are notorious for being clever and slick..um, I mean needing critical thinking skills. The questions in your book are there as a learning tool. Exams are there to test your...
  16. If she's going out and partying all the time, it sounds like she's more concerned with getting hammered and enjoying the last of her college days. If she was sleeping all day, never leaving her...
  17. Nursing diagnosis for myself

    Urinary retention r/t being lazy AEB refusing to get out of bed because you just washed the sheets and its raining
  18. Have I RUINED my chances at Nursing? :(

    Seriously, go to the dean. I have had times where the instructor won't budge. I just went to the dean and they have the power to override things in certain situations. Some instructors won't move on...
  19. IV fluid question

    KCL does not change the tonicity of of IV fluids. It is an isotonic fluid (normal saline) with simply electrolytes added. Adding dextrose changes the tonicity and changing the sodium content changes...
  20. Vent: Downgrading patient from ICU status

    I think it's a little different from this side. If there's a pt with multiple trauma and gtts vs the guy that's there because his hemoglobin is a low, well, one pt takes priority for the bed. I...
  21. General demeanor and behaviour as a male SN

    Never talk about your sex life. They are going to talk about vibrators, sex, periods, and make remarks about memberes, but if you make one remark about some person you slept with a year ago, you will...
  22. I have to share this with all of you!

    Congrats!
  23. Micro over the summer might be a good choice. You can just concentrate on that and it's not that bad. You might need a good 6 months for at least one of the A&P's. It's a lot of
  24. Weepy arms

    Some other factors can added along with the heart failure. Pt's with low albumin levels can have issues with edema (the oncontic/hydrostatic pressures in the vessels). The pt's sodium intake can be an...
  25. Home med lists make me crazy.

    I totally agree that the med rec is a problem. But, I don't expect the ER nurse to finish the med rec. They have so many other important things to attend to, and most of the time, the med list isn't...