nurseabc123

nurseabc123

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All Content by nurseabc123

  1. Open Heart Nurses I need your help!

    nurseabc123 replied to mummer43's topic in CCU, Coronary, Cardiac

    Take a few minutes before giving report to organize your thoughts. Make a quick list of things you must tell the oncoming nurse. I did this for a couple weeks when I first started, it seemed to help....

  2. Milrinone vs Dobutamine

    nurseabc123 replied to mark2climb's topic in CCU, Coronary, Cardiac

    If the patient needs to sit on an inotrope for a few days, our CV surgeons almost always prefer Dobutamine 2.5 mcg /5 mcg (not to titrate). Dobutamine is less arrythamogenic (sp?) than

  3. Is there form on how to give shift report in ICU ?

    nurseabc123 replied to gigi13RN's topic in MICU, SICU

    And two more important questions... Are they stooling? And are you back

  4. ? about coding the post Open Heart pt???

    nurseabc123 replied to rickard's topic in CCU, Coronary, Cardiac

    huh? your does prohibit it? that was hard to

  5. (Vent) Busy night...unsafe?

    nurseabc123 replied to jbp0529's topic in CCU, Coronary, Cardiac

    Sounds like some days/nights on our unit. Did they think it would be a reasonable assignment since both patients had propofol running? I know that often plays a role where I

  6. Any new grads regret starting in the ICU?

    nurseabc123 replied to CrazyPremed's topic in MICU, SICU

    Nope would do it again. I have had a few pretty rough days when I feel like when will I be able to do all of this on my own. But thinking back, when your patient goes bad (as they did on my few rough...

  7. ? about coding the post Open Heart pt???

    nurseabc123 replied to rickard's topic in CCU, Coronary, Cardiac

    Compressions (push hard, push fast!) for patients with closed chests. You're not going to open the chest at the bedside every time. No compressions for patients whose chests are already

  8. management of digital (toe) necrosis due to levophed

    nurseabc123 replied to ccyoung's topic in MICU, SICU

    Happens all of the time. Necrotic toes, fingers, even tongues. Honestly, most of these patients die (that I have seen) and the management of necrotic digits really never becomes an issue. edit: yeah,...

  9. Is ICU Stepdown considered experience

    nurseabc123 replied to kwalrn's topic in Student Registered Nurse Anesthetist

    I agree, from what I've seen, as in when our patients become 'step-down' worthy, having 4-5 of them- must be crazy. I just said this the other day to a co-worker step-down nurses must be

  10. help plz

    nurseabc123 replied to fatoma's topic in CCU, Coronary, Cardiac

    Often CV surgons/ICU's have a specific protocol for their hearts. Ie. They can receive so many plasmanates/albumin based on filling pressures (PA, CVP), bp, u/o etc. at the RN's discretion. The RN's...

  11. Responsibilities re. removing from life support

    nurseabc123 replied to Mahage's topic in MICU, SICU

    Withdrawing supporting/terminal weans are rather common. Your role primarily will be to provide comfort care to the patient and to the family. I actually had to do this last night. It's difficult each...

  12. MICU/SICU - HIGHEST PEEP you've seen?

    nurseabc123 replied to poppy07's topic in General Nursing

    To everyone: I guess I'm just wondering then -- Is APRV not being used by your facilities? Highest PEEP theoretically one can use on APRV is 35 cm H20. No concerns of pneumo. It has done wonders for...

  13. MICU/SICU - HIGHEST PEEP you've seen?

    nurseabc123 replied to poppy07's topic in MICU, SICU

    To everyone: I guess I'm just wondering then -- Is APRV not being used by your facilities? Highest PEEP theoretically one can use on APRV is 35 cm H20. No concerns of pneumo. It has done wonders for...

  14. application of organic and biochemistry in nursing

    nurseabc123 replied to chisie_29's topic in Nursing Student Assistance

    You can't fully understand physiology or pharmacology without at least having a brief understanding of organic/biochemistry. Organic chemistry was of the most beneficial classes of my undergraduate...

  15. END of ICU Orientation

    nurseabc123 replied to poppy07's topic in MICU, SICU

    Did you have a checklist that you were supposed to complete before ending orientation? Have you been exposed to swans? You should be familiar with CPR carts, defibrillator, intubation box, emergency...

  16. 50/50 Day-Night Rotation

    nurseabc123 replied to mrod's topic in CCU, Coronary, Cardiac

    I do it now. 6 weeks days/6 weeks nights. It's not something to do for the

  17. LEVO or VASO--which to wean first?

    nurseabc123 replied to poppy07's topic in MICU, SICU

    Were you maxed out on your levo? MD's preference? Any hemodynamics- CO/CI/SVR/SVRI? Hard to say with such little

  18. IV compatability again

    nurseabc123 replied to raindrop's topic in General Nursing

    Most IV incompatabilities refer to physical incompatabilities, ones that are going be more so extra work the nurse to fix than actually harm a patient. For instance, insulin and hydralazine are...

  19. Post OH Surgery activity advice

    nurseabc123 replied to TXRN85's topic in CCU, Coronary, Cardiac

    I don't think I've seen a patient that could move like

  20. Negative CVP?

    nurseabc123 replied to RN92's topic in MICU, SICU

    Although volume deficit will often measure as a low CVP it will not cause a negative CVP, inspiration (negative pressure in the thoracic cavity), as mentioned, will cause a negative CVP reading. Just...

  21. nasal trumpet for fecal incontinence

    nurseabc123 replied to wkeith's topic in MICU, SICU

    We used them in the unit where I worked as a tech, they worked great - however, can damage the rectum and rectal tone. We use FMS's where I work now - expensive, I think $150

  22. Are PCU's common?

    nurseabc123 replied to Suninmyheart's topic in CCU, Coronary, Cardiac

    I'm assuming PCU means Progressive Care Unit. Often, progressive care is synonymous with 'step-down'. They take patients that are not critical enough for ICU, but too sick for med-surg ratios. We...

  23. Swan Line

    nurseabc123 replied to longhorn3333's topic in MICU, SICU

    We try to them out as soon as possible, usually it's around 24-30 hours for a routine heart. If a patient is only one 1 pressor/inotrope (i.e. say levo or dobutamine), swan will usually get pulled...

  24. Milrinone vs Dobutamine

    nurseabc123 replied to mark2climb's topic in CCU, Coronary, Cardiac

    Any experiences with using both at the same time? Last night, I had a heart - I had levo, epi, vaso, milrinone running. And near my end of my shift, we added dob because we still couldn't couldn't get...

  25. why did potassium level rise?

    nurseabc123 replied to utahliz's topic in CCU, Coronary, Cardiac

    The range of K in PRBCs can range from 5.4 to 18.4 mEq/L depending on how fresh it is. The older the packed cells, the more