nurs1ng

Any feedback would be greatly appreciated. Thanks!

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 ECG (with strips printed side by side on the same p...

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 be appreciated

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 mg/ml)

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 difference as to how much you take out since 1% will be ...

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 but totally forgot as this wasn't exactly my pt. Th...

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 again.

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 (ie. minimizing shivering in a hypothermic pt). T...

Can anyone tell me how you would position each lead on a patient's back? Thanks.

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 not "entering" the pt's brain since the whole syste...

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 so, do you place the machine on standby prior to ...

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 responses in that I should manually flush every hour ...

What day is your interview? How soon did you hear back after submitting your application? Thanks!

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 be draining POD 1 and those tubes should always be...

Don't be a know-it-all. Ask for help, but don't shop for answers. Do your own homework.

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 decided to place pt on the pacer box with a set rate of...

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 waves. Don't even remember now whether these spike...

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 advance.

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

Yes, mode was set to DDD.

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 chamber be, then, obsolete? thanks!

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 all. Regardless of whether the patient was A&O ...

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 from the MD to transfer to the ICU but that order was...

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 is the real answer and reasoning behind why someon...

Let's see... do I use the bell or diaphragm?