nurs1ng

nurs1ng

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All Content by nurs1ng

  1. Any feedback would be greatly appreciated.
  2. How to read atrial ECG?

    How the heck do you read an atrial ECG? I know that doing this augments the atrial wave on ECG but how do you interpret the reading itself? Yes, I'm aware of comparing the atrial ECG with the normal...
  3. Putting 5 cc of 1% propofol into a 10 ml syringe and mixing it with 5 cc 1% lidocaine... what would that give me X mg/ml of propofol? Just wanna make sure I have my calculations right. Any help would...
  4. Diluting propofol in lidocaine

    Well initially I got 5 mg/ml (5 cc of 1% prop in 5 cc lido)...but may have misinterpreted your post and so my other answer concluded to 2 mg/ml (1 cc 1% prop divided by 5 cc lido = 2
  5. Diluting propofol in lidocaine

    So that would give me 2 mg/ml? I know that 1% is 10 mg/ml.. what's confusing me is if there would be a difference with taking 1 cc of 1% vs 5 cc of 1% but from your post, seems like there is no...
  6. NMBA and high PEEP relation

    We had a pt one time with very high PEEP (~20) and I remember the nurse giving NMBA to aid in the process. My question is, what exactly is the relation of giving a NMBA to PEEP? My colleague told me...
  7. Can I place tele leads on a pt’s back?

    Thanks for this. In our ICU, we utilize the EASI lead placement and though I know that back placement is not ideal for diagnostics, I wanted to make sure that this was still feasible. Thanks
  8. NMBA and high PEEP relation

    TBH, I don't think the pt was in vent dyssynchrony / auto PEEP. I just wanted to make sure I'm not missing any other reason for why this drug is used aside from better controlling the pt's ventilation...
  9. Can I place tele leads on a pt’s back?

    Can anyone tell me how you would position each lead on a patient's back?
  10. Had a discussion with a colleague regarding the use of NS preservative free vs regular NS to prime the ICP system. In my colleague's defense, regular NS can be used to prime the system because it is...
  11. Help RE: IABP

    I've gotten different responses from our senior nurses, but I wanted to know what your guys' typical practice is: For the heparin flush going in the root line, do you manually flush every hour? And if...
  12. Help RE: IABP

    So to clarify -- is the tip of the arterial line alongside the tip of the balloon? We only get IABP so few times a year. We always place our hep bag in a pressure bag but again I've gotten various...
  13. What day is your interview? How soon did you hear back after submitting your application?
  14. How do you deal with unexpected death in the ICU?

    I get very wary about "minimal" chest tube outputs. Did your pt's chest tube output show a trend of decreasing drainage by the hour? Regardless of minimal chest tube outputs, I feel they should still...
  15. Don't be a know-it-all. Ask for help, but don't shop for answers. Do your own
  16. My dearest cardiac nurses, I have a question that has gotten me stumped. My co-worker received a fresh CABG with epicardial AV wires. The pt brady's down to the 40s (non-sustained) and co-worker...
  17. Pacemaker failed to sense

    I really wish I could've messed with the box more but didn't as this wasn't my patient. Thank god the pacer didn't capture because some of those spikes were all over the place, including landing on T...
  18. Train of Four

    Why is it that movement of the thumb (and not the other fingers) is only considered for the Train of Four? Can anyone explain further the patho behind this? Thanks in
  19. Pacemaker failed to sense

    Pacer failing to sense completely. It was firing spikes everywhere. Def not failing to capture since pt has been having own sinus beats
  20. Pacemaker failed to sense

    Yes, mode was set to
  21. My fellow nurses, i have been wondering about this for some time now.. What's the purpose of having a micro drip chamber if your flow rate is controlled via Alaris pump? Would the use of a micro drip...
  22. Being blamed for fall after shift

    For those of you saying that this is not considered a fall, go back to your hospital policy of how they define a "fall." I'm pretty sure this is considered an assisted fall in most hospitals, if not...
  23. RRT vs ICU transfer

    What unit was he in? Regardless whether he was "'fixed", he still needed to be transferred to the ICU for observation, just in case. Also looking back at your post, it seemed like you got an order...
  24. Usually with heart pts, we try to get them up on POD #1. I've gotten mixed responses from my colleagues (yes you can ambulate them / no you cannot ambulate them) while pt is on vasoactive drugs. What...
  25. Day 7: 2016 Nurses Week Caption Contest

    *Nurse charting at the nurse's station sees V-tach on the monitor* *Runs in the patient's room* Nurse: *Busts door open to see patient* Wait, woah, woah, woah!... Patient: OMG, couldn't you have...