BelgianRN

BelgianRN

GICU, PICU, CSICU, SICU

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All Content by BelgianRN

  1. Self extubation

    BelgianRN replied to Jdalt10's topic in Neuro Intensive Care, ICU

    Nearly all our neurosurgical patients are sedated by remifentanil and propofol. As stated above propofol most definately causes hemodynamic compromise. Particularly in neurosurgical patients we tend...

  2. vasovagal post sheath removal

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

    It could just as well have been a vasovagal collaps that occured independently from her sheath removal. Was she prone to vasovagal reactions in everyday life? As posted above it is a neurological...

  3. Succ vs Etomidate

    BelgianRN replied to maloneys's topic in MICU, SICU

    I found it quite interesting to read this because in our institution the exact opposite has happened. For years we used etomidate for the unstable ones and propofol for the stable ones as sedative of...

  4. Nitro vs Morphine

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

    In our facility patients receive both NTG and morphine (or derivate) most of the time unless one of the two is contra-indicated or there is a clear non-coronary cause for the ongoing chest pains. With...

  5. Best one sentence handoff report

    BelgianRN replied to emtb2rn's topic in Emergency

    Three of my favourites Box 3 is a bird for the cat. He is a hypoxic crawler, enough said. *open PDMS and see a long list of medical history, meds etc.* Nurse replies: this sums up to 160 kg stuffed on...

  6. Drug choice during intubation

    BelgianRN replied to IheartICUnursing's topic in MICU, SICU

    The adrenal suppresion by etomidate is seen more frequently when administered as a continuous sedative. That's why it's contra-indicated as a long term sedative. Adrenal suppresion from one or...

  7. Max on Levophed?

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

    In our facility we use levophed as a primary choice of vasopressor. However there is no maximum dosage that I'm aware of. 40 µg/min is a rather frequent dose for our deep shock patients. Generally we...

  8. Ambulate with Femoral Lines

    BelgianRN replied to Ruby Vee's topic in CCU, Coronary, Cardiac

    I agree with this post. In our instution only patients with flexible fermoral art lines and femoral CVC's are allowed to sit in a chair. We will however advocate very hard with our intensivists to...

  9. How to grow backbone in ICU?

    BelgianRN replied to AllAngelsRN's topic in MICU, SICU

    Without any kind of disrespect towards the OP but it is a one-sided story. I would like to start by saying that under no circumstance anyone should send you away from a patient without providing a...

  10. Levophed Bolus

    BelgianRN replied to Flyboy17's topic in CCU, Coronary, Cardiac

    In our hospital we sometimes use small amounts of levophed in bolus when the situation turns dire and we are about to go into a code (32 - 64 mcg as a maximum). Sometimes it is used when switching the...