CRIMSON

avail: 2mg/ml & order: 30ml/hr a. mg/hr=2mg/250ml x 30ml/hr=60/250 = 0.24mg/hr b. mcg/hr=1000mcg/1mg x 2mg/250ml x 30ml/1hr = 60000/250 = 240mcg/hr c. mcg/min=1000mcg/1mg x 2mg/250ml x 30ml/1hr x 1hr/60min = 60000/15000 = 4mcg/min *****dimensional analysis, learn it and you can work out most any dosage! apply to next q: a. mcg/hr = 600mcg/hr b. mcg/min = 10mcg/min

ICU experience is an awesome choice. They help you learn great amounts of information that school never really touched upon and hone your assessment skills to a science!

Always had post CABG, usually pulled by 3am if patient stable.

Up to 500 often and usually >1000's post cath.

Keep a close eye on them and if it does not relieve call the on call cardi to report. Had one of these guys much like yours. Young (38ish), no initial ekg changes, Morphine prn, and BP good. However, still c/o CP. Called my on call cardi and I guess he was afraid I would call him back at 3am :) (hehe) so he swung over and said "lets take him for an investigational cath". Well what do you know he was rolling back through the doors asap and prepping for emergency CABG x 3. So just b/c there is no initial change, does not mean there is not something going on! If the pain does not stop, be vigilant in reassessment and report it!

Just put in my RN-BSN via academic partnership online for hopefully Jan-Feb start. Got just a few pre's I need for the BSN that I didn't need for the ADN. Hopefully, this school will fit the bill!

Always advocate for your patient. Insist the RN assess the patient fully. A patient has a right to pain management. Unfortunately, society and a fracked up legal system has allowed too many frivolous law suits which has painted a terrible stigmata on pain treatment. Unless giving a pain med would endanger the patient (respiratory depression in an already struggling patient) pain should be treated and even then a medication can be found to treat at least some level of pain. I cannot stand nurses who have the audacity to determine a patient is not in pain just by glancing at them. It shows laziness and a serious lack of empathy. This should always be addressed. Patients and families need to address it to a supervisor as well. If a nurse cannot understand and treat pain then they need to find another profession. That being said the other side of this is LVN's should not work floors where they cannot give the needed meds. Unfortunately, this limits them to Dr's offices which is now days pretty much all medical assistants. For this reason I believe they should do away with LVN's in all acute settings and require RN's for all hospital/acute type care. These situations put the RN at risk b/c she would need to totally assess the patient and at least the most recent history ect,, and then give the med and followup with in minutes/hours depending on how meds are administered to be able to document appropriately. This puts her behind in her own patient care and places an additional patient on her load for the shift. Hence, one of the main reasons I believe all acute care should be RN only so they may tend to all needs of their patients. In today's society an RN holds an independent license and is responsible for every decision she makes with every patient and is expected to be perfect and never make mistakes and is almost always overloaded with patients that hinders the safety of the patients. Until the whole system is restructured lowering patient/nurse ratios and appropriate support staff be available at all times we will continue to see such terrible flaws in healthcare. But that is a whole other long story.

Would like to know what your best references for when you started your Open Heart Recovery training? In our unit you "heart train" after about a year. I am looking for the best information that helped you get the best grasp on this particular skill. All info is appreciated. Thank you. :redbeathe

The nurses on our CVICU use a very simular process. Everyone has their own "report" form they like to use. I use one I designed for myself and keep it for as long as patient on the unit in cases I need a quick reference. Also, our flowsheet carries over an acute history of why patient here and what procedures/treatments have been performed since admission. We fill these in each night for the next day.

LOL, first BREATHE! Yes, it will get easier with study and practice just like everything else. Like the first time you tried anything and maybe you got it but it was akward but each time you tried it got easier. Clinical practice is the same. You study for the knowledge and practice to get better and more efficient.

Littman great and hi dollar. If you need a lesser dollar, Kila.

Kila is a great alternative, I have Littman Cardiology III and Master Cardiology but also have the single master Cardiology from Kila and it works really well. Kila new $70, used with new eartips and diaphram (so is new everywhere) Approx $40. I am selling one off myself. Hope this helps.

I could hook you up with a Kila used but with new eartips and diaphram cover for cheap if you interested message me.

I have the Cardiology III, the master Cardiology both in Littman and the master Cardiology in Kila. My personal fave is the Cardiology III. BUT for school where the poor thing gets thrown everywhere and in locker, backpack and ect. Get a less expensive Kila new $70 and used approx $40 and when someone tries to lift it or doc/nurse "accidently" takes it home it is not as big a deal.

The flumist is a live virus vaccine which increases risk.

Look specifically for New Grad internship to get some experience.

I am soon to start studying for this exam and plan on getting the "Pass CCRN". Glad to hear it is helpful. If anyone is interested in gettting rid of their books/cd PM me. Congrats to all who have passed so far!

Usually with Levo a little fluid is not a bad thing. It doesn't help to "tighten everything up" if there is not sufficient "fluid" in lines.

I do not like Precedex as it usually does not work well at all. The patients are mostly too awake and still agitated. Also, the hypotension issue.

PH and volume both sound as though they may have been a contributing factor. If there is no volume, you can squeeze the Levo all you want but it will not help if there is nothing there. (Csection loss of fluids and blood) A bicarb drip may have been a better option than just bolus'.

Alegria Shoes and $59 Closeout Alegria Shoes from the Original Alegria Shoes Shop These shoes rock, period! They come in the "mary jane" option which is the closed back. They are the only shoes that do not kill me on a 12 hr ICU shift.

Alegria Shoes and $59 Closeout Alegria Shoes from the Original Alegria Shoes Shop These shoes rock, period! They come in the "mary jane" option which is the closed back. They are the only shoes that do not kill me on a 12 hr ICU shift.

Alegria Shoes and $59 Closeout Alegria Shoes from the Original Alegria Shoes Shop Here is a great site if you cannot find them near you. They run European sizes. Like an 8.5 = 39, ect.

I can say I have tried a ton of different shoes. My heels used to kill and legs tired and I have high arches. I used insoles in several ect. I can say ONLY 1 shoe I have bought does not hurt my feet on a 12 hour ICU shift. They are Allegria shoes. The come in a clog or mary jane and the soles mold to your feet. They rock and you should try them. They run about $100 a pair regular price and on sale about $60. Give them a try I would bet you will like them.

Usually main concentrations: The classes, their major side effects and/or interactions, and the nursing implications. Also, out of each class did they discuss a specific drug? or the 3 most commons. Know any big things about the drug/class. Ex: Rocephin - cephalasporin - possible cross reaction is PCN allergy, SE:______. Nsg Implications: ______________. The DAVIS drug book breaks these sections out very well and is an excellent resource.