Blandini7 replied to Blandini7's topic in Critical
Thank you for responding. We considered the differences in flow and that the quad will be pushing in the normal at 1/4 the rate if it goes through the same line. This is why we initially augmented the volume by y-ing in a NS bag into the line that co...
Have any of you seen a precipitous drop in blood pressure when you switch from a normal (4mg/250ml) concentrate of Levophed to a quad strength (16mg/250ml)? I have a strong huntch that this is a half-life issue and not a volume issue. Please let me k...
I'm new to this forum but I really like it. I'm sure we see unique situations in our small circle of practice that are shared around the world by other clinicians. The left ventricular assist device (LVAD) might be the "device" that "rakcna" was thin...
Definitely wasn't a loose lead or monitor error. Pt had no pulse by palpation, ultrasound, or doppler. The "alternate mechanism for circulation" was chest compressions.
Our pt did not survive either. This probably should be addressed in BLS courses so that responders aren't quick to cease compressions when the pt becomes responsive.
I saw something this week in a code that is truly unique and a bit disturbing. We were doing CPR on a pt that coded and he started moving his arms purposefully. We stopped chest compressions and he was asystole and without a pulse. The ED doc that wa...
A couple of qualities that I find essential to doing critical care well are: 1. High attention to details 2. Ask lots of questions (and look for answers). No matter how long you've been a nurse Good luck. It's a great area of nursing.
I've been in critical care for 13 years. I've seen new grads make great ICU RNs if they have good support and ask LOTS of questions and are highly motivated (with attention to detail). I recommend that you start studying for the CCRN. It has lots of ...
I started in the ICCU (intermediate critical care) then moved to SICU for about 7 years. I switched to MICU about 5 years ago. I really like it. You see a lot of different cases than SICU and the patients tend to hang out in the unit longer. Unlike t...