MarkHammerschmidt

MarkHammerschmidt

Member Member
  • 153

    Content

  • 0

    Articles

  • 6,808

    Visitors

  • 0

    Followers

RN since '79, ICUs since '83.

MarkHammerschmidt's Latest Activity

  • Joined:
  • Last Visited:
  1. What would you do for this patient?

    It's simple enough - slowing a patient's rate when they're in rapid AF or whatever gives them better chamber filling time, so their pressure improves. Breaking the AF will also give them back their atrial kick, which is something like 25% of cardiac ...
  2. Iabp

    Sure. Afterload is just SVR, which you get from your PA line numbers. Augmentation you measure manually on a printout, or by using a cursor on a screen-freeze, it's the difference between the patient's systolic peak and the "assisted" systolic peak, ...
  3. Is there a max dose of Levophed?

    We go as high as 100mcg/min, straight drip. This is usually a terminal situation though.
  4. New Graduates In The Icu?

    I can't get past the feeling that a new grad has enough on their plate just learning the basics of practice, without the added stress of the ICU. There are lots of pros and cons to this, lots of opinions, and sure, some people do fine. But I think th...
  5. New Graduates In The Icu?

    I can't get past the feeling that a new grad has enough on their plate just learning the basics of practice, without the added stress of the ICU. There are lots of pros and cons to this, lots of opinions, and sure, some people do fine. But I think th...
  6. "Slow" codes

    Another aspect... suppose an attending made a "wrong" call, and "allowed" a "clearly terminal" patient to pass away, possibly in good faith that everyone in the family had been in agreement... and some previously undetected member of the family poppe...
  7. "Slow" codes

    Another aspect... suppose an attending made a "wrong" call, and "allowed" a "clearly terminal" patient to pass away, possibly in good faith that everyone in the family had been in agreement... and some previously undetected member of the family poppe...
  8. Can't believe they do CRRT this way...

    I think your concerns are totally on the money, and the resistance you're encountering is just what they used to call "chickens**t", in the service. We use four three-liter bags of replacement fluid, running a 1.6 liter/hour volume turnover - but we ...
  9. Excellent Resources for Cardiac Nursing

    My wife and I run a cottage-industry website, offering free-access FAQ articles for new ICU nurses, at http://www.icufaqs.org - we've got upwards of 20 files up now, which are being serially updated over time. Something like 600 pages, we think, cove...
  10. Hi all - our article on blood transfusions, products, procedures, and the like has been updated on the MICU faqs website at http://www.icufaqs.org - let us know what you think? As always, free of access, and all comments are welcome. Also dog picture...
  11. Hi all - our article on blood transfusions, products, and the like has bee updated on the MICU faqs website, at http://www.icufaqs.org - let us know what you think? As usual, free of access, and all comments are welcome. Also dog pictures, we like th...
  12. "Labs" has been updated on the MICU FAQs website...

    Hello - our article on "Labs" has been updated on the MICU FAQs website, at http://www.icufaqs.org - let us know what you think?
  13. "Labs" has been updated on the MICU FAQs website...

    Hi all - our article on "Labs" has been updated, on the MICU FAQs website, at http://www.icufaqs.org - let us know what you think?
  14. TWO new files are up on the MICU faqs website... :)

    Hi all. Two new files are up on the MICU faqs website, at http://www.icufaqs.org: "Peripheral IV's for Beginners", and "Blind Suctioning" for beginners... two topics we'd had some requests for from the newbies... as usual, please let us know what you...
  15. TWO new files are up on the MICU faqs website... :)

    Hi all. Two new files are up on the MICU faqs website, at http://www.icufaqs.org: "Peripheral IV's for Beginners", and "Blind Suctioning" for beginners... two topics we'd had some requests for from the newbies... as usual, please let us know what you...