Bec7074

Bec7074 has 3 years experience and specializes in Trauma, Critical Care.

Latest Activity

1. Acidotic Questions

   Bec7074 replied to tnelso150's topic in CCU, Coronary, Cardiac

   I'll speak to the second question. Read up on lactate, lactic acidosis, and base deficit. Those are related concepts especially in sepsis or after a cardiac arrest. It has to do with anaerobic...

2. PEA arrest

   Bec7074 replied to MLB55's topic in CCU, Coronary, Cardiac

   It's hard to say....I think I would wonder the same thing. His SvO2 was 50 the day before...not fantastic so maybe an early indicator that he was going to get worse regardless of whether or not you...

3. Hypoglycemia Mystery Theater

   Bec7074 replied to solneeshka's topic in General Nursing

   I'm kinda perplexed by a few things in this scenario. First, why does someone who got only 1 cardiac stent need Neo???? Was this a cath-lab patient? He sounds super stable given that he's eating and...

4. May 2013 Caption Contest: Win $100!

   Bec7074 replied to Joe V's topic in News, Announcements

   Nothing says 'Happy Nurses Week' like a few close calls with bodily

5. Advanced practice nurses in trauma?

   Bec7074 replied to manda691's topic in Critical Care

   I worked in a Level 1 trauma center and we have all NPs at night and one attending in house. The NPs who work with the trauma service are all ACNPs (acute-care nurse practitioners). There are 4 of...

6. Blue about Code Blue

   Bec7074 replied to barbaralynn's topic in First Year After Licensure

   Medical staff and patients, and patients and their loved ones need to have clear ideas of the pt's end of life wishes whether the patient is coding or is just unable to make decisions on their own. I...

7. Increasing creatinine

   Bec7074 replied to MLB55's topic in MICU, SICU

   Not that it's a good answer, but did the lasix increase her UO? If so, then it was the right choice for her. I look at your patient Ike this...she was severely hypotension in OR. Kidneys are the most...

8. calcium chloride

   Bec7074 replied to Andrea2107's topic in Critical Care

   CaCl is also a buffer for acidosis if that's what they think part of the problem was. It's a typical part of the "high K" cocktail that coincides with acidosis. I had a patient so...

9. Insulin drip/hourly BG checks

   Bec7074 replied to Elvish's topic in Patient Medications

   I worked on a med surg that took insulin gets with 1:4 ratio. Insulin ggts we're more common in the PCU I worked in with 1:3-4. I think it's very much facility

10. Lung auscultation question

    Bec7074 replied to lauderek's topic in General Nursing

    Diminished lung sounds are what we call it when we don't hear much air moving. Lungs can be both clear and diminished. Are you sure you are placing your stethoscope the in correct location? Try...

11. ICU nurses assisting in monitoring Med/Surg Telemetry Rhythms

    Bec7074 replied to sara525's topic in Critical Care

    This sounds awful for pts and nurses. Part of your assessment is assessing the rhythm. The ICU nurses are not caring for these patients and can't quite possibly know or have the time to see if...

12. how to make it clear when call doctor

    Bec7074 replied to neurontin's topic in CCU, Coronary, Cardiac

    The pt may have been a symptomatic at a rate of 130 only temporarily. In afib > 120, the heart loses its "atrial kick" (the small portion of blood ejected from the atria to the ventricles) and...

13. Nebulized flolan for severe ARDS

    Bec7074 replied to sunnycalifRN's topic in MICU, SICU

    We use inhaled Flolan in our ARDS pts as a last-ditch effort. Usually they are on Bi-Vent (bi-level or APRV) and a prone bed already. To me it makes sense. ARDS causes pulmonary edema which surely can...

14. Tips for becoming a solid CC nursing candidate...

    Bec7074 replied to TheBlackDogWaits's topic in MICU, SICU

    Critical thinking skills, motivations, and the ability to admit you don't know it all and aren't afraid to ask for

15. Gaining skills. What is important?

    Bec7074 replied to CrystalSSA's topic in General Nursing

    I did med surg to PCU to ICU in 3 years. I love ICU and will never go back. I admire the med surg nurses who juggle all those patients. I did it, but not very gracefully. You need confidence and...