PRNketamine

I was looking online at instructors… Was this the instructor you had? This is the only female patho name i found-Krista L Rompolski Taney. Thanks for your help!

IrishIzRN- Could you tell us who your Patho teacher was? I am planning on starting as a non-matriculated student this spring. My plan is to then start the Acute care PNP program in the fall. I am really looking forward to learning in patho and pharm and hoping to have a good experience like you did… Thanks :)

PICU- rarely we see them. In the 2 years I have worked on my unit I have seen 3-4.

The only time I can't pee is when I'm in the room with an intubated poorly sedated pt and no one to cover. Although mostly I am too dehydrated to need to pee anyway.

76,000. Great benefits- medical around 30$/month single.

There are pumps that auto-populate into the eMAR??

40$/hr NYC

As a new grad for the picu I had 1 month classroom and 2 months preceptorship. That is the same for experienced nurses coming to our unit. The only people who get less are travelers have 1 day orientation.

Update?

I don't know where you live.... Where I live it is nearly impossible for ADN's to get a job in an acute care hospital. I believe this would be the point of a BSN. What is the point of a bunch of MSN's that have never taken care of acute care patients?

If it were me, I would take the SICU position. I went into PICU right out of school and it was the best. I learned more than you could imagine.

I've seen 0% on 2 different pts both with a waveform and matching HR.

Thanks so much!

Any suggestions for how to study for the pediatric CCRN? I have my exam in a month and I'm starting to panic! Thanks in advance! :)

I say take it! I commute 1 hour by car, I was taking the train which was 2hours. You get used to it. You can read, sleep ext. which is nice. I have people that I work with that commute 3 hours +.

Nope... We are in the same boat, hardly enough pumps to go around as it is.

mmm.... Someone gave me Reglan IVP too fast once.... that was terrible.

What I am confused about is the statement about K+ being retained or excreted opposite hydrogen. In acid base imbalances the lungs and kidneys can help to regulate balance. The lungs can retain or eliminate CO2 (acid), and the kidneys by regeneration, or reabsorption of Bicarb (base). At the cellular level K+ and H+ can exchange like you explained in your part 1. The lungs are the fastest mode for correcting acid base balance, this can happen in as little as minutes to hours. The cellular shifts are the second fastest, this usually takes a few hours. The kidneys take the longest to try to correct any issues (hours-days). Does anyone have any other information about the potassium excretion or retention leading to the hyperkalemia/hypokalemia? I only know this to be associated with shifts at the cellular level...

Hydrogen is an acid. An increase in hydrogen ions causes a low pH and acidosis. A decrease in hydrogen ions causes a high pH and alkalosis.

Part 1 is definitely at the cellular level. I don't believe part 2 makes sense. If you are excreting hydrogen you would no longer be acidotic...

Congrats! I started in Peds ICU as a new grad. I learned so much in that first year, and continue to. My advice is to never be afraid to ask a question or for help. Just be open to your co-workers ideas and LEARN! It's going to be scary, but it will get better and a year from now you won't believe how far you've come!

No idea what "excreted" and "retained" is referring to. In acidosis there are too many hydrogen ions. So the cell will take on some of the extra hydrogen in exchange for potassium. That is why acidosis always goes with hyperkalemia. And vise-versa. As far as I know there is no excretion or retention. The acidosis and alkalosis is not fixed by this process. It just corrects is enough for the person to stay alive.

My point is there is always going to be something someone has never done before. I disagree that working in a med surg floor would have given that nurse the opportunity to have a patient with a CBI. It all depends on the type of unit, the hospital, ext...

RNsArewe, Nursing is a profession of life long learning. New grad or not, there is always SOMETHING you've never done. I don't believe in berating anyone for asking. Think of the consequences of not asking... Much worse.