prep8611

If pentobarbital isn't working to suppress burst activity then your probably not gonna stop the brain activity

Honestly doctor should have scanned him when he became lethargic. Vomiting and positive troponins from catecholamine release are easy indicators of hemorrhagic bleed but were more likely to be the AMI. Dont beat yourself up, you did nothing wrong. Li...

The first one actually looks like it trying to be atrial bigeminy.

The first one is sinus arrhythmia and the second is a run of supraventricular tachycardia. It's not PACs because the underlying rhythm is irregular, with PACs u have extra p wave with a qrs following but the underlying rhythm must be regular.

I always wanted icu but started in med surg then went to stepdown then icu which is where im at now. I learned a lot in med surg and its invaluable from a time management perspective.

Ok I guess i took it the wrong way so I apologize but I'm going to argue with you again haha. Nursing skills in an ICU or any floor can be taught but you can't teach work ethic and personality. When they are hiring you they are hiring a personality a...

I think you feel as though I'm directing comments towards you or the many great nurses in the field (many that I work with). I'm not, at all. I am just disgusted by the complaining that the OP made in his/her snarky post and everyone else who followe...

Well I've worked in a lot of hospitals and a lot of floors and the only thing they have in common is that they're are lazy nurses that provide "ok" care but do nothing extra as well as many nurses who provide ok care and really go out of there way to...

This is exactly what I'm talking about.... Good job.

I think wowing someone can be as simple as going to another floor to get the flavor of pudding someone likes or really taking time for education, if you can't see yourself doing that then your probably in the wrong field. I work in a busy icu and I f...

Coding someone who is above 80 or cancer filled is a terrible experience for me but it happens once a month. What people also fail to think about is how the person will be if we do get them back... How long were they down? Were they receiving adequat...

My guess is the nurse gave 1mg IV which is standard packaging for a code.

Your colleague is gonna feel worse when he/she gets brought to court.

My hospital has just switched to bedside reporting in the icu which everyone besides ER and us has been doing. What I'm finding is that report takes 5 times as long as families ask questions and argue about past medical history and such. I have no pr...

My beef is that we did that before. We did a full neuro exam at shift change and introduced ourselves. Now we do a full report and go over orders ect and it all feels like its for customer satisfaction which is great but its killing our actual work f...

Bump^

Ya usually they wait till after background check for that. You sound good but go in confident and humble.

This guy is very intelligent. What he said ^

From my experience temple pays the best while hahnemann is the worst.

That's what I was saying before, the d diner may be ordered but we rarely use it. D dimer will also be very elevated in CA patients who tend to have medical icu admissions.

I would say by their presentation yes they absolutely should have been scanned. The NP and other nurse mentioning vq scan both made solid points. Pt is post op with shortness of breath and tachycardia..... Could be PE, atelectasis, pna, sepsis Rememb...

From my experience d-dimers rarely mean anything anymore. My hospital barely does them, if we suspect PE the patient gets scanned. Sounds like ur docs need to implement better dvt prophylaxis

Glad I don't work with you although I'm married and faithful. You just sound like a pain in the you know what. Not a fact, just my opinion. Go to work, take care of your patients, go home.

Neurosx will usually try to coil asap and get a venticulostomy if pt is gonna have hydrocephalus(likely). I work neuroscience icu now and are treatments are rapid if the patients gcs is dropping but if a patient with a small sah comes in scaled at 15...