BelgianRN

BelgianRN

GICU, PICU, CSICU, SICU

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All Content by BelgianRN

  1. BP arm VS calf while running pressors

    BelgianRN replied to anarchy187's topic in MICU, SICU

    In my humble opinion BP-cuffs are primarily designed for upper arms and can be adjusted to different sites but my gut tells me this is less reliable in absolute values and should be used as a trend....

  2. Steroid treatment for spinal cord injuries

    BelgianRN replied to WRNCEN's topic in Emergency

    As far as I know the ACS guidelines have changed from "you HAVE to give steroids regardless of the side effects" to "you CAN give steroids if you prefer but it has many side effects". The positive...

  3. Mom Needs a Pain Pill

    BelgianRN replied to brandinalove's topic in Geriatric, LTC

    I interpreted the message of jasnms that he/she meant to follow the patient's wishes over that of the family if the patient is fully capable of making their own decisions. And I agree that we can't...

  4. Maybe I just don't know...

    BelgianRN replied to Kdids520's topic in Emergency

    I agree I wouldn't be comfortable hanging meds that someone else will get orders for later on. My policy is I only ask my colleagues to give what has been ordered. And if I decide to deviate and give...

  5. bradycardia with nitro drip?

    BelgianRN replied to valsalvamanuever2's topic in Cardiac

    Change of rhythm with loss of AV-synchrony leading to cardiogenic shock perhaps? Sudden change suggests acute event... Could be a septic problem with a failing heart that is simply no longer capable...

  6. Transcatheter aortic valve replacement: New hope for patients with aortic stenosis

    BelgianRN replied to NRSKarenRN's topic in Cardiac

    We've been doing this procedure for a few years now. It's great for those people that cannot tolerate a sternotomy or being on cardiac bypass. I remember the first few, those had poor outcomes. But...

  7. Understanding cardiac gtts

    BelgianRN replied to squirtle's topic in CCU, Coronary, Cardiac

    Please delete any knowledge you retain on renal dose of dopamine it's a myth but some old school folk keep believing in it. But it kills more patients than it helps recover

  8. Vent: Why I won't accompany my mother to the ER anymore

    BelgianRN posted a topic in Emergency

    Slight vent, and ARGH. My mom was in the ER the other day (for a rule out PE) and before I could hold her mouth shut the words were out at the very friendly ER nurse: "sonny I'm a very tough stick...

  9. Why do Critical Care nurses look down their noses at Med-Surg nurses?

    BelgianRN replied to marisatheresa's topic in Critical Care

    *Raises a guilty hand* I'm one of those ICU nurses that asks a thousand "irrelevant" questions. But I try not to be condescending while doing it. But if I manage to get at least a few questions...

  10. Running multiple drips into one line

    BelgianRN replied to IheartICUnursing's topic in Critical Care

    For multiple pressors I use a train of stopcocks we have standard ones per 5 and per 3. Sometimes I'll combine 2 fives if i have many many pressors and stuff running on a single lumen. No matter which...

  11. ventilator settings

    BelgianRN replied to munch666nath's topic in Neuro Intensive Care, ICU

    As far as I know on a Dräger IPPV+autoflow is a pressure regulated volume controlled modus and IPPV equals volume

  12. Name that rhythm...

    BelgianRN replied to *LadyNurse*'s topic in CCU, Coronary, Cardiac

    U-waves are associated with

  13. Emergency Kit

    BelgianRN replied to Kidrn911's topic in Emergency

    I think the aspirin comment is based on the fact that in the recent CPR guidelines there is growing evidence of giving prehospital aspirin. I searched the US version of the guidelines to see if it...

  14. Central line placement left IJ

    BelgianRN replied to Jennkae's topic in MICU, SICU

    Very limited information so it's mostly guessing as to the cause. Hmmm when concerned with placement in an artery just hook up the pressure transducer and look at the waveform. A measured CVP of 40...

  15. Vent: "I should warn you, I'm a tough stick..."

    BelgianRN replied to Anna Flaxis's topic in Emergency

    I know the feeling. I had to stick a girl the other day that was doing IV drug abuse in my opinion and the mother complained it took a second stick to get a functioning

  16. Fascicles?

    BelgianRN replied to transducen's topic in Cardiac

    The fascicles are another division for your conduction system. The right bundle branch consists of just that a right bundle or right fascicle. But the left bundle branch can be further divided into...

  17. Hypothermic policy

    BelgianRN replied to cparra's topic in MICU, SICU

    Our hospital makes use of two cooling systems. We have the Arctic Sun system and the Coolgard system. As nurses we generally prefer the Arctic Sun since it provides us with means of cooling...

  18. bradycardia and CVP

    BelgianRN replied to ChrisSmith's topic in Cardiac

    Hey ChrisSmith, When I'm reading your question my mind immediately falls to the technical aspect of CVP measuremets. You mention certain key signs that provide you a basis of what's happening. CVP is...

  19. Why I guard the referral telephone like a dog...

    BelgianRN posted a topic in Emergency

    Newer grad in the ER. She somehow gets the referral telephone in her hands. She takes a call and hears the word sectio, type A, and (nearly) ruptured. So she reports to the coordinating nurse...

  20. Did you have to brush your classmates teeth?

    BelgianRN replied to pixiestudent2's topic in General Students

    We did this in school as well. I find brushing someone else's teeth odd since you are so used to the distances you need to travel in your own mouth. I recall many students gagged because of the...

  21. Why I guard the referral telephone like a dog...

    BelgianRN replied to BelgianRN's topic in Emergency

    Keep in mind English isn't my mother language and smacking someone in Dutch isn't comparable to physical assault but rather an expression of frustration and I should have used a more fitting...

  22. Why I guard the referral telephone like a dog...

    BelgianRN replied to BelgianRN's topic in Emergency

    In no way was it negative towards the new grad that I like very much. We had a few good laughs over it lately and we can certainly find the humour in the situation tense as it

  23. Need Advice on Metoprolol

    BelgianRN replied to Stormy8's topic in Cardiac

    It's because we are much better at the doctoring most of the time

  24. Things I noticed as a patient...

    BelgianRN replied to theantichick's topic in General Nursing

    OP, I seriously wonder where your priorities lie and why you didn't voice your concerns during your stay. What good can come from you contacting administration that couldn't come from you speaking up...

  25. 'Us and Them' mentality

    BelgianRN replied to Michelle123's topic in Emergency

    It happens across the board and from their perspective you are always inconvenient and you are never welcome. Not because of you naturally, but you are bringing a patient and that implies additional...