AwesomeManRN replied to nursebettee's topic in CCU
Pressors are usually all compatible. Stack them all together on a CVL port. Next find compatibilities for your other 2 ports. Draw blood through the non- life sustaining gtt lines. If you got a CVP, use it for blood draws and IVPBs. If you have not v...
AwesomeManRN replied to thatoneguyRN's topic in CCU
If he was following commands post arrest, he does not need hypothermia. Hypothermia is only indicated in pts who are unresponsive post arrest. The anoxic injury was not significant enough to have any benefit from hypothermia. Side note- recent study ...
Usually the rule of thumb for afib and a clot my cardiologists use is 24 hrs. If a patient knows when they go into afib and it's been less than 24 hrs, they will just receive a cardioversion. If unknown time or greater than 24 hrs, you do a tee and t...
Was therapeutic hypothermia performed post code? While some facilities have moved away from it, it is still believed to be best practice post code for neurological injuries. Everything else sounds correct for his tx. It is an almost certainty that hi...
AwesomeManRN replied to stdntograd06's topic in CCU
It really depends on the insertion device. The EZ-IO drill is approved for the distal tibia in adults. It is not a common insertion site. In our facility, I do the education for all ICU nurses. The EZIO is used in codes in places of dropping in a fem...
AwesomeManRN replied to stdntograd06's topic in CCU
It was most likely an IO. The first choice for selection for a drill-based IO is the tibial tuberosity below the knee cap. If the pt has had knee replacements or trauma to that area, the second selection is the medial malleolus at the ankle. Last spo...
AwesomeManRN replied to AwesomeManRN's topic in CCU
I have a newborn so didn't get to study near as much as I wanted. It's more in-depth medical than CCRN. It was heavy on hemodynamics, shock, ACS, CHF, pacers; and all the meds/assessment/interventions for all. The biggest difference for me between th...
Just took the CMC exam, and I felt it was much more difficult than the CCRN. While I did well on both ( CCRN 114/125 and CMC 63/75) the CMC just had a different feel to it. Much harder IMO. Maybe cause it didn't have any easy ethical questions to buf...