blucrna

Latest Activity

1. St Elizabeth's/YSU CRNA Fall 2014

   blucrna replied to jtb83's topic in Student Registered Nurse Anesthetist

   First off congrats, getting into school is a huge accomplishment!!!! I always try to respect others opinions but let me put a Youngstown spin on things. I work at St E's in the cvicu and though I...

2. 5% dextrose and cardiac outputs with a swan ganz catheter

   blucrna replied to BethanyBSNRN's topic in CCU, Coronary, Cardiac

   I've been meaning to grab one of our s/crna's about this. As soon as we get the pt post op we change all the dextrose bags to Ns. It just seems like a no brainer to start with NS given the need for...

3. Open Heart Training

   blucrna replied to KRWICURN's topic in CCU, Coronary, Cardiac

   I agree. When money dictates patient care I think we all

4. Leaving Phenylephrine on with an Epi Drip?

   blucrna replied to Dodongo's topic in CCU, Coronary, Cardiac

   I agree, having both gtts seems redundant. Any effects the neo is giving can easily be attained by simply going up on the

5. New to CVSICU...cardiac gtts

   blucrna replied to Stormy8's topic in CCU, Coronary, Cardiac

6. Extubation Difficulties

   blucrna replied to Nursingbride12's topic in CCU, Coronary, Cardiac

   Seems I'm too late but self extubation does wonders for these pts. Not that I advocate it but I've been there lol. This case does sound more like delirium than withdrawal. Your time frame would...

7. Why not Levo?

   blucrna replied to EyeSeeYuRN's topic in CCU, Coronary, Cardiac

   I agree. The 3 L bolus and increased SVR (via pressors) are temp fixes but certainly enough to get you through until tPa busts up the clot. Levo is def a possibility worth considering but I guess you...

8. bp in heart failure

   blucrna replied to samjoe's topic in CCU, Coronary, Cardiac

   I like that psu is trying to make you think. Simply put, lower bp (but not hypotension) is desirable because the heart doesn't have to work as hard to drive bp. This in turn decreases cardiac oxygen...

9. Any ICU's ambulating vented patients?

   blucrna replied to hodgieRN's topic in MICU, SICU

   I've seen videos of this and its wild. We don't do it in my ICU (mixed ICU and CCU) but I've heard nothing but good things outcome wise as long as the pt can tolerate ambulation

10. CCRN Practice Tests

    blucrna replied to DaughteroftheKing's topic in CCU, Coronary, Cardiac

    Congratulations

11. chf and ventilator understanding

    blucrna replied to soon2bbam's topic in CCU, Coronary, Cardiac

    I agree. More info would definitely help answer the question. If its overload related a few days on a lasix or bumex may due the trick to alleviate that sob but if its ejection fraction related then...

12. Amiodarone help!

    blucrna replied to Brama28's topic in CCU, Coronary, Cardiac

    I'm pretty sure amio can be given in any case of vtach pulseless or not. Its an antiarrhythmic agent and per acls the dose is 300mg iv push for the first dose and 150

13. How stressful and rewarding is working in any intensive care unit?

    blucrna replied to Amine's topic in CCU, Coronary, Cardiac

    Very true Esme. When I was in nursing school every semester that went by my classmates slowly figured out where they wanted to work. (The PEDs/ob semester especially) I thought I'd be a med/surg nurse...

14. Kudos to you neuro folks

    blucrna replied to IHeartDukeCTICU's topic in Neuro Intensive Care, ICU

    Ya neuro is a whole new world. I've been in the nicu for less than a month and probably learned more than I had in my entire critical care class for my bsn. You really have to stay on top of your...

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

    blucrna replied to marisatheresa's topic in Critical Care

    Good for you yshell. I agree that post did come off with a "chip on my shoulder" vibe. I'm new to icu nursing but I started off Tele . I've run into a bunch of icu-rns that give others a hard time....