maloneys

maloneys

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All Content by maloneys

  1. Strange hgb results

    maloneys replied to maloneys's topic in MICU, SICU

    Hmmm, perhaps an undiagnosed Ca. Thanks for

  2. Turning patients while cooling

    maloneys posted a topic in MICU, SICU

    I used to work for a trauma hospital, and we often had neurotraumas that we kept hypothermic. Assuming they were stable enough, we turned q2h. Now I work in a diff. peripheral hosp. We accepted a...

  3. Turning patients while cooling

    maloneys replied to maloneys's topic in MICU, SICU

    Dear Esme12, you ARE an angel... and I don't mean that in the diminishing, Florence Nightengale way :-) We don't have internet access at work, if you can believe it. I work in a cave, it seems....

  4. Turning patients while cooling

    maloneys replied to maloneys's topic in MICU, SICU

    Again, Esme, I thank you so much for your very helpful teachings. If only I could put you on my right shoulder and learn from you throughout my

  5. Nurse: Patient Ratios

    maloneys replied to aei09a's topic in MICU, SICU

    I work night shifts only, and we ALWAYS have 3 patients. We also dont' have an orderly at night. Think I need to move to California,

  6. Turning patients while cooling

    maloneys replied to maloneys's topic in MICU, SICU

    Oh MomRN, don't get me started on the central access problem in our ICU. Most patients don't have central lines. "Decreased risk of infection!". Give me a break. I agree with what you said. It's...

  7. Turning patients while cooling

    maloneys replied to maloneys's topic in MICU, SICU

    May I just ask, at the risk of sounding completely daft, how does paralyzing prevent increases in lactic acid formation? Thank you in advance

  8. Turning patients while cooling

    maloneys replied to maloneys's topic in MICU, SICU

    EXTREMELY helpful, thank you. Patient is not paralyzed and, only mildly sedated with Versed 4mg, and no central access to replace lost electrolytes. I love this forum. I learn so much here. Thank...

  9. Dobutamine without a Swan and use of Dopamine

    maloneys posted a topic in MICU, SICU

    I'm a little confused about the practice at my current work place. I see Dobu Rx'd for patients without a Swan. I feel strange administering without understanding how we can titrate without a Swan?...

  10. Succ vs Etomidate

    maloneys replied to maloneys's topic in MICU, SICU

    Thank you for taking the time to answer,

  11. Succ vs Etomidate

    maloneys replied to maloneys's topic in MICU, SICU

    Hi CRNA, yes, we always give some sedative with succ, as I mentioned, usually propofol, versed, etc. I was just wondering about the trend others are seeing, though, as I'm seeing certain docs use...

  12. Dobutamine without a Swan and use of Dopamine

    maloneys replied to maloneys's topic in MICU, SICU

    Thank you for that picture, Nurseboy. So the SvcO2 can be used to monitor and infuse as well? Great! I live in Canada, and I used to work for a teaching hospital that had 2 residents on site, for...

  13. Dobutamine without a Swan and use of Dopamine

    maloneys replied to maloneys's topic in MICU, SICU

    Thank you, Nurseboy. Okay, so what is the difference between the traditional triple lumen catheter (central venous), and the ScvO2 cath? Americans have the most wonderful medical technology! I'm...

  14. Dobutamine without a Swan and use of Dopamine

    maloneys replied to maloneys's topic in MICU, SICU

    This is FASCINATING! I'm reading about measures I haven't heard of before. Prior to you mentioning these, I'd never heard of the ScvO2 cath and Vigileo, nor the Lidco. I'm trying to get info on...

  15. VBG in a limb and PICCs

    maloneys posted a topic in MICU, SICU

    Been gone nearly 2 years and back in the ICU. Need a little refresher but hosp. is not a teaching hospital. When doing bloods, I've been 'pushed' into doing VBGs from small, peripheral lines. This...

  16. VBG in a limb and PICCs

    maloneys replied to maloneys's topic in MICU, SICU

    Thanks for your feedback everyone. It's quite tricky where I work, yes. Docs REGULARLY order VBGs from periph. lines as they say they want to "follow a trend". They also want CVPs from PICCs even...