hrtprncss

hrtprncss

ICUs, Tele, etc.

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  1. Please walk me through a code blue

    hrtprncss replied to blackIrish's topic in General Nursing

    Oh an Siri I have a question for you since you also teach ACLS...How extensive do you have them do Megacode...Do you make them go through each antiarrhythmic in that particular algorhythm, or do you...

  2. Please walk me through a code blue

    hrtprncss replied to blackIrish's topic in General Nursing

    Pulses Vtach needs to be shocked asynchronously just like Vfib and follows the same algo as Vfib, and yes you shock first before any meds are given. I teach ACLS and this has been phased out but when...

  3. Please walk me through a code blue

    hrtprncss replied to blackIrish's topic in General Nursing

    I guess I should be more specific in regards to when you place the monitor. The answer is as soon as you can when it is available. When a patient develops sudden cardiac death, most likely culprit...

  4. Please walk me through a code blue

    hrtprncss replied to blackIrish's topic in General Nursing

    During Primary Survey.....You determine to shock if the rhythm is shockable and the patient is pulseless, synchronized is done when a patient is unstable and medications are not working, an R wave is...

  5. carriers for drips

    hrtprncss replied to avado's topic in MICU, SICU

    sorry i misread that, i mean 0.5mcg/kg/min not 0.5mg/kg/min, though that's still a very low dose even if it is for the ''supposed'' renal

  6. carriers for drips

    hrtprncss replied to avado's topic in MICU, SICU

    .5mg/kg/min is not a right dose. 0.5 mcg/kg/min would not suffice as a start up point for bp control, maybe 5mcg/kg/min. but i agree with carriers...unless you know no one is going to be hanging a...

  7. How do I get into the ICU?

    hrtprncss replied to intothemoon's topic in First Year After Licensure

    Frankly speaking...Not much,even wheny they say they ''prefer'' 1 year of telemetry or floor experience, most of your training would be when you're in. New grads are hired in the ICU now all the...

  8. Three withdrawals on my transcript...how bad is this?

    hrtprncss replied to onehusbandsevenkids's topic in General Students

    I dont think withdrawals, those that are done in time affects your GPA therefore it won't make a difference on your

  9. vancomycin

    hrtprncss replied to sweetieann's topic in General Nursing

    No it's not true....Vancomycin's given usually in 250cc q 12h, and alot of the population that get it are elderly. if you flush with 100 cc before and after that's 450 cc per dose or almost a liter a...

  10. Any Difference?

    hrtprncss replied to VickyRN's topic in Cardiac

    i should say tachyarrhythmia before someone says av blocks also come from the av nodal pathways lol

  11. Any Difference?

    hrtprncss replied to VickyRN's topic in Cardiac

    I think what siri's just trying to say is all atrial tachy's are svt's but not all svt's are atrial tachy's......svt is in umbrella term of any arrythmia that originates in the atrium or av...

  12. physician abuse in PACU

    hrtprncss replied to lulu220's topic in PACU

    Administration owes you a personal apology, better yet in writing. A writing you can post in the break room so it doesn't happen

  13. what is expected of a trainee by this time?

    hrtprncss replied to purplecotton's topic in First Year After Licensure

    Yes if she's observing you, it's good

  14. alcohol site prep

    hrtprncss replied to blufoxtrot's topic in Infusion, Intravenous

    One of the reasons why we have a standing protocol to replace field-placed IV's as soon as the patient gets in the

  15. Stupid question

    hrtprncss replied to confusionabounds's topic in Certified Registered Nurse Anesthetist, CRNA

    there u go some kind of permissive hypercapnia lol increasing the cathecolamines and increasing the icp thus leading to the body's compensatory

  16. Stupid question

    hrtprncss replied to confusionabounds's topic in Certified Registered Nurse Anesthetist, CRNA

    besides watching the peak pressures to prevent hypotension not really sure, decreasing rr will lead to an increase in the icp which would lead to the body compensating by increasing the map to keep...

  17. Stupid question

    hrtprncss replied to confusionabounds's topic in Certified Registered Nurse Anesthetist, CRNA

    back off on the

  18. Hyper vagal response?

    hrtprncss replied to arcticnurse82's topic in General Nursing

    I think what they're trying to say is to not get this guy up because if a patient has a hypervagal response and he's bradycardic and hypotensive, and is quite alert but symptomatic, getting them up...

  19. My son has SVT Questions

    hrtprncss replied to PegRNBSN's topic in Cardiac

    Hi i guess since most cases of psvt in young people are harmless and sometimes occur once in awhile leading to symptoms, maybe learning how to ''stop'' they cycle would be a good idea. I get psvt...

  20. CVVH and the 1:1 assignment

    hrtprncss replied to SnowymtnRN's topic in MICU, SICU

    2 nurses to 1 patient!!! where in shangrila lol that'd be the day in most

  21. Is Indiana RN allowed to give Ketamine for procedural sedation ??

    hrtprncss replied to samaritan's topic in Emergency

    Then if everything is sub par in your eyes, bag the patient, administer your own anesthetics, intubate and push ur own ventilator to sicu. God forbid I push something on the vent button and...

  22. ER Nurses Treated Different in my Hospital!

    hrtprncss replied to Jen2's topic in Emergency

    I just think that whatever specialty you do decide to go and practice at you do so because it is what interests you. That's why there are alot of different specialties. Me personally, I am not cut...

  23. ER Nurses Treated Different in my Hospital!

    hrtprncss replied to Jen2's topic in Emergency

    the easiest way to know where you're going is to know where you came

  24. ER Nurses Treated Different in my Hospital!

    hrtprncss replied to Jen2's topic in Emergency

    I saw that LOL and decided to just let it go and not

  25. ER Nurses Treated Different in my Hospital!

    hrtprncss replied to Jen2's topic in Emergency

    I'm an SICU nurse, open heart/trauma ICU....personally I wouldn't wanna be an ER nurse....It's not jealousy because ICU nurses are not jealous of ER nurses because if they are they would be down there...