KBICU

KBICU

Intensive Care Unit

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All Content by KBICU

  1. rapid a fib with high blood pressure?

    I agree with above we usually keep on gtt then go the PO route although i did have a patient started on fleccanide the other night. Im also surprised they got dcd after an
  2. rapid a fib with high blood pressure?

    It could be for many reasons. Was it a manual bp? Did they take their beta blocker today? Ive had many pts who go into a fib with RVR because they havent been taking their meds. It simply could be the...
  3. The worst code you've seen?

    Exploding ventricle. Pretty much says it
  4. Hello everyone, Just need to vent! First off I am lucky enough to be a new grad with a great tele position on a very busy floor. I feel bad for even saying anything negative because I know Im lucky to...
  5. Hypotension

    Call the MD to make them aware, possibly do a set of orthos to see if they drop further. I had a pt with a similar BP and the doc ordered a NS bolus. What meds are they on/what has been changed? Whats...
  6. Well hopefully you at the BARE minimum your patients got their meds went to their ordered testing (echo, xray, ct, etc) and you did your assessments....if your late doing something and its the end of...
  7. Sedation in ICU... your opinions/ experiences?

    Propofol or dex if we want a quick
  8. IVPB antibiotics and saline locks....

    And saline locks get changed every 96 hours (use to be 72...just recently changed) or if they stop working ie clot, infiltrate or get removed by mistake. Hope this
  9. IVPB antibiotics and saline locks....

    Flush the saline lock with 3 ml NS before any med administration. New tubing for antibx and bolus meds (if your patient needed a gram of magnesium for example) every 24 hours. Disconnect from the...
  10. New grad on stepdown tele

    Hello all, I currently work on a cardiac stepdown tele floor which is also considered a critical care floor (able to get your ccrn). I was an LNA on this floor for two years prior to getting hired two...
  11. Endocrine test help.

    Make a chart seperating the disorders: Hyperthyriod Hypothyroid Hyperpituitary Hypopituitary Etc etc Then pick out SPECIFIC, DIFFERENT things about each one. Signs and symptoms, when they become...
  12. PRN pay

    For most places I know around me (new england area) per diem nurses do get more an hour, somewhere between 5-10%. Where you work in CVICU id expect youd get critical care diff
  13. When is my ATT coming?! :(

    Call them and ask them to email it to
  14. Help! Cardiac Rehab Discussion

    Look up things like open heart surgery and cardiac rehab. My patients post cardiac surgery go 4-6 weeks post op to cardiac rehab. Secondary prevention may be things like eating right excercising etc....
  15. Is it "5 rights" or "6 rights"?

    Alot of texts leave out documentation as the 6th right. The five that are usually used are the other 5 you mentioned
  16. Bsn is 4 years. Asn is two...not sure how you are confused. Bsn also has capstone courses and leadership classes included. Asn doesnt always have
  17. Heartmate II Patients and CPR

    I know of a few cases, one of which was successful and the other patient didnt make it. Both using the LVAD for a bridge to transplant. The patient who did though is loving life, always has to wear...
  18. Floating? I need your comments!

    Exactly!!
  19. Infection Control Help... Please :-)

    Order to remove is alphabetical: gloves, gown, mask. TB negative pressure room, N95 respirator mask and at least 6 cycles/min. Just keep it basic the study guide on here was helpful for
  20. ECG NCLEX

    Not a bad idea to be familiar with the basic rhythms... NSR, brady/tachy afib and vtach/vfib...answer #1 is always check ur patient first before doing any intervention, aka see if ur patient is...
  21. Is it possible the pt is taking another drug to cause this? Did the docs order a redraw to make sure it was a true
  22. Why was it hard for you?

    What made it hard for me at first was learning not just WHAT to study, but the right way TO study. What I mean is unlike prereqs, nursing isnt something that should be studied just to pass a test then...
  23. Need to vent!

    Yay good for
  24. Need to vent!

    You are definitely right to speak to management. That would make me upset too! The ignorance that she treats her patients with is downright mean and if patients dont even want her, something needs to...
  25. LNA Health Careers is awesome!!

    I got a great LNA education there, but if they are still offering BLS certification through National Safety Council, dont do it. They offer a discounted rate for their students but hospitals and...