hodgieRN

hodgieRN

ER trauma, ICU - trauma, neuro surgical

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All Content by hodgieRN

  1. Blood Urea Nitrogen

    I have a random question concerning BUN. Can't really find specifics in different references. Would it be politically correct to say that when measuring the BUN from a blood tube, it is measuring the...
  2. Blood Urea Nitrogen

    Thank you! I looked at tons of websites, including the CDC, various lab sites, and went through my old textbooks only to find explanations. You rock! I didn't see this link. Appreciate
  3. I am getting some info on a medication that is a blood component and want to properly say how to ask pts for their religious practices. Would you say "Ask pt is they are a practicing Jehovah's...
  4. DNR's that do not mean a thing!! Help...

    If a pt has signed a DNR, it's the health care surrogate's responsibility to care out and respect the DNR when the pt becomes incapacitated. They are supposed to carry out the wishes of the pt and...
  5. How do I change my outlook?

    I think the instructors may emphasize passing over getting straight A's because there's lots of students who are terrified of not graduating. There's a tremendous pressure that students bring on...
  6. Do i stay or do I go? helplessly stuck

    Did an academic adviser tell you about the direct
  7. If you don't have a job, you can try to do task-paid stuff like house sitting, baby sitting, dog walking, maybe some cleaning? When I was in school, I did have a job, but was always looking out for...
  8. Anyone getting calls for flu shots?

    Lol! I love your
  9. Why I Refuse Flu Shot

    You mean you've never been
  10. fentanyl dosing on a vent

    If we really need to sedate a pt (like with ICP monitors with cerebral edema, or even ARDS pt on pronator beds) we can go up to 600 mcg/hr. I've seen fent 600 mcg/hr, versed 10 mg/hr, propofol 70...
  11. CCRN help!

    Laura Gasparis also has an awesome questions book (I think over 1000 ques.) and a reference guide
  12. another ICU nurse's opinion

    I've seen a calcium gtt once (for Ca channel blocker overdose), so not sure if we have a protocol. I'm sure we do or pharmacy knows. If the ionized Ca was 3.7 and the goal is 4-5, then from what the...
  13. Hyponatremia question.

    There are diseases that can cause primary hyponatremia in normal volume states, however many cause the body to ultimately shift volumes due to ADH. (so basically yes and no). Pneumonia is one (more...
  14. Advice for exams?

    Well, it sounds like you are definitely studying enough. Sounds to me that you are interpreting the test questions wrong. Most people have a a hard switching to the critical thinking questions. Maybe...
  15. Splinting Post-Op

    If it is not abd surgery, maybe they are referring to ortho surgery? There's lots of splinting with hip, elbow, arm, hand, pelvic, leg fractures. There's splinting in vascular surgery too. If someone...
  16. Consider the size of the vein b/c medications can burn and veins can blow. If you have to give IV potassium, the higher up the arm, the less it will burn. Veins become thicker as you move up. Hands...
  17. Central lines

    The big factor between the two is right in the title. PICC's are peripherally inserted central line catheters while a central line is just a central line (usually in the femoral, subclavian, or...
  18. getting sick from microbiology

    You need to chill or else you are going to convince yourself that you have every cancer that you learn during lecture. Most times when people are "sick," its viral. You are 10 times more likely to...
  19. Question about hand hygiene

    It literally impossible to only wash your hands according to guidelines. Hand sanitizer makes it more realistic. You are supposed to wash before and after just pushing a button on a pump. Even after...
  20. Circumcision

    I had the option of observing during my OB rotation. The instructors didn't make anyone go. With the two that I saw, the doctors used lidocaine and there wasn't even a cry. So, I'm glad I got to see...
  21. Working while in nursing school?

    I'd say don't fall for people telling you that you should be a PCT during school. It doesn't give you some extra edge. PCT's get worked to the bone. Many don't have time to learn a bunch of nifty...
  22. New grad in SICU... advice please!

    There is a website that is great. icufaq.org. It's got tons of info and all sorts of links. I think it's an awesome
  23. What would you do?

    Just as a note. It's no longer ABC, it's CAB now (according to new ACLS guidelines). Compressions first. The longer you put off compressions, the higher the mortality rate. If there is a code, you hit...
  24. Kudos to floor nurses

    I work in the ICU. I send a very difficult pt to the floor (behaviorally) and couldn't imagine taking care of 5-8 more pts on top of that. I couldn't mentally handle that job, so thank you for doing...
  25. (Just a rant) Are nursing test unfair....

    I'm sure you have heard the idea of picking the righter answer. Many questions seem to have choices that could be argued either way. I still see questions that get a "oh, whatever!" from me. They are...