BelgianRN

BelgianRN

GICU, PICU, CSICU, SICU

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All Content by BelgianRN

  1. Cardiac Hypertrophy

    BelgianRN replied to lrothenber's topic in Critical Care

    One of the major causes of cardiac hypertrophy is increased afterload (e.g. hypertension, coarctatio of the aorta, aortic valve stenosis). Hypertrophy is only beneficial in early stages of heart...

  2. Need help with answers about air embolism pls!!!!!

    BelgianRN replied to Nsg student2012's topic in Nursing Student Assistance

    Try this, Most of your questions seem to be answered in this link: Air embolism I have to admit I skimmed the article and looked at their sources randomly it seems to check out and it was one of the...

  3. Peg Tube Nightmare

    BelgianRN replied to GoNightingale's topic in Gastroenterology

    I was thinking exactly the same. Things that I sometimes do is use SodiumBicarb solution or water with a N-acetylcystein soluble tablet in it. But since both these things are meds I guess you'd need...

  4. s/p arrest - do you ask pts what they remember?

    BelgianRN replied to FlyMom's topic in Critical Care

    We take care of a lot of OHCA patients in my department. And we don't routinely ask them about what they remember. Generally they are still so disoriented by the time they leave us and go to the...

  5. Pacemaker codes help....

    BelgianRN replied to on eagles wings's topic in Cardiac

    the first letter of your pacemaker is always the site where potential pacing takes place. a = atrial, v = ventricular, d = atrial and ventricular. the second letter of your pacemaker is always the...

  6. Abuse of tertiary referral hospitals

    BelgianRN posted a topic in Critical Care

    I work in an ICU of a university hospital and they are a tertiary referral center for a large area (only university hospital on a population of roughly 3 - 4 million habitants). We serve as a level I...

  7. Abuse of tertiary referral hospitals

    BelgianRN replied to BelgianRN's topic in Critical Care

    Good luck finding anything out about the financing system, I'll try anyway. Remember our small mini country is ruled by three governments at the same time that all want something to say in the health...

  8. Nocturnal Dialysis- Dr. John Agar-Chief Medical Director-Barwon Clinics-Australia

    BelgianRN replied to NDXUFan's topic in Dialysis, Renal, Urology

    There was some talk a few years back to start nocturnal dialysis in our ICU's so that during the day patients could come out of bed and get diagnostic measures done without having to wait for dialysis...

  9. How Does Cor Pulmonale Affect The Heart?

    BelgianRN replied to FranEMTnurse's topic in Pulmonary

    Grr you beat me to it again Esme12 :) But excellent post as

  10. Patient asking for something at the wrong time...

    BelgianRN replied to Joe V's topic in Nurses Rock

    Had this happen as well where we postponed visiting hour by 2 hours because of a full open chest code in our ICU. A family member comes in and demands to see the one in charge (in a very violent way...

  11. Organ Donation after Brain Death

    BelgianRN replied to Nccity2002's topic in MICU, SICU

    In Belgium everyone is presumed an organ donor unless they signed an official declaration they don't want to. In theory we can harvest their organs regardless of the family wishes, but in practice it...

  12. gtt ???

    BelgianRN replied to surething1's topic in CCU, Coronary, Cardiac

    In my hospital most intensivists like to see vasopressin weaned pretty quickly, generally because of it's very potent splanchnic vasoconstriction and the fact that up to now it has always failed to...

  13. New to PICU - discouraged advice please

    BelgianRN replied to JKNewRN's topic in PICU, Pediatric

    Ok it's been a while since my unit was "the" designated PICU but I remember the days well :) First of all I think it is important to realize that being scared isn't a bad thing. When I'm precepting...

  14. Maintaining cuff pressure

    BelgianRN replied to chani's topic in MICU, SICU

    Hey There, In my institution we use intermittent checks with a hand held manometer that gives us the cuff pressure in cmH2O. As per institutional guidelines we have to keep it between 20 and 30 cmH2O....

  15. right ventricular infarction

    BelgianRN replied to tovahNS's topic in Nursing Student Assistance

    On right ventricular infarction. Keep in mind that vary rarely you will have an isolated RV infarction alone as generally the RCA is blocked and it provides blood for the inferior wall of the left...

  16. Sedation Woes...

    BelgianRN replied to MegNeoNurse's topic in PICU, Pediatric

    Same reason we don't use it in children in our unit as janfrn stated. Seen it in three adults so far and it is one scary syndrome. Patient is fine one moment starts to crash out of the blue the next...

  17. Drawing blood from central lines

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

    No not once or twice but if you draw blood every 4 - 6 hours (which is about the standard for nearly all my ICU patients) and do this for 10+ days or even longer. And the patients have increased...

  18. What "qualifies" a patient to be admitted to ICU

    BelgianRN replied to jules11's topic in MICU, SICU

    I work in an ICU and we get "abused" on a daily basis for babysitting duties if we'd let them. But I agree it isn't a fight between nurses it's a fight between charge nurse and referring physician or...

  19. Vent: Sometimes I think I speak a different language than the ward

    BelgianRN replied to BelgianRN's topic in Critical Care

    It's out of hospital cardiac arrest indeed and thx for the

  20. Vent: Sometimes I think I speak a different language than the ward

    BelgianRN posted a topic in Critical Care

    Sorry for the long post in advance. But I have to share two incidents I recently experienced concerning transfers to and from the ward and even if you are nice to hear I'm not a complete ***hole these...

  21. Temperature. Where do you go?

    BelgianRN replied to MLB55's topic in Critical Care

    We go by Foley or Rectal. Although the other day we didn't get as far down as rectal (without turning) and we decided lady partsl was hopefully just as good. A lot of our patients have either SG's or...

  22. Would appriciate advice to a new ER RN

    BelgianRN replied to KalipsoRed21's topic in Emergency

    I'll stick to commenting on the codes mostlly as I work in an ICU and not an ER. We do a vast amount of codes and I'm one of the lucky teachers for our new nurses (generally referred to as chicklets...

  23. Turn Teams?

    BelgianRN replied to canurse24's topic in CCU, Coronary, Cardiac

    I mentioned it yesterday at work "you know I've heard of other hospitals where they turn Q2 hours". And things just got silent and I was given the odd look followed by some huffing and puffing... Wish...

  24. Favorite and least favorite diagnoses?

    BelgianRN replied to Anna Flaxis's topic in Emergency

    In Dutch SOA is the equivalent of

  25. Apologizing for my prima donna ICU coworkers.

    BelgianRN replied to NickiLaughs's topic in Emergency

    @ Hagabel. I hope you didn't take grievance to my Foley with thermometer comment. I wrote that post only to highlight how much I appreciate the ER and their help. So to clarify this I don't mind at...