HyperTension

HyperTension

ED (Level 1, Pediatric), ICU/CCU/STICU

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All Content by HyperTension

  1. ACLS requires a doctor's order?

    HyperTension replied to BUNightingale's topic in Critical Care

    I just can't help myself on this... ::sorry people:: ACLS has successfully recovered this post... Granted, pupils are F&D, no gag, no blink, maxed pressors, and just started epi......

  2. Really bad day

    HyperTension replied to Zaphod's topic in CCU, Coronary, Cardiac

    Leaning towards just bad timing IMO. With regards to the variance between pausing the pacer vs. slow decrease in rate to see what the underlying rhythm, I have seen a difference in the hearts being...

  3. Legal/ethical question

    HyperTension replied to NewnurseNYC's topic in General Nursing

    Where to begin... Ethically, I'm not sure. From a personal standpoint, you need to make it very clear to him that this behavior needs to stop. There is no excuse / justification for stealing a...

  4. Advice on pt with open chest Please!

    HyperTension replied to sweetart4988's topic in CCU, Coronary, Cardiac

    No.. And no... You have an air leak. (Give myself the Captain Obvious award for that statement alone). Causes for such are many, compounded with the fact your patient has an open chest...

  5. Help for lovely 87 y/o Male with Cdiff

    HyperTension replied to muffin7's topic in Critical Care

    Chuckles and shudders at the thought of a stool

  6. if i finished L.V.N course what degree would that be??

    HyperTension replied to princess007's topic in General Nursing

    certificate

  7. everyone is stumped

    HyperTension replied to **LaurelRN's topic in MICU, SICU

    I'd have to echo organophosphates, or some sub-component of the bug spray. More often than not people don't read the directions on the bottle, and have the philosphy of "if one is good, 4 is better"....

  8. Who Draws blood from a-lines??

    HyperTension replied to bran1101's topic in MICU, SICU

    Absolutly... As their primary RN, I am ultimately responsible and accountable for events that happen to the patient. By no means do I desire this next statement to be negative / degrading.......

  9. What is a good sedative for a hypotensive patient?

    HyperTension replied to nursingdude78's topic in CCU, Coronary, Cardiac

    I absolutely echo previous the responses regarding etiology of the hypotension at hand. As a general statement, sedation is not a "one size fits all" type of therapy (not much is in critical care,...

  10. Pharmacology question.

    HyperTension replied to omaharn's topic in CCU, Coronary, Cardiac

    Here is a pretty detailed explanation of these... http://en.wikipedia.org/wiki/Receptors,_adrenergic,_alpha The problem you will run into is there really isn't a "simple explantion". Well.. there...

  11. How does blood flow through the heart? Do you know?

    HyperTension replied to FocusRN's topic in General Nursing

    I'll start it with this... Oh, Oh, Oh, To Touch And Feel...... First year ED residents are good for something.. :) On a different note... thats what keeps me involved in medicine and nursing...

  12. Are we not allowed to discuss patient cases at all?

    HyperTension replied to ChristyRN2009's topic in General Nursing

    My opinion only..... Use common sense. If your discussing something rather graphic / unusual, be very aware of the environment around you, and to who you are talking too. Heck, just do that...

  13. Need Help with Critical Care Topic for Class Presentation

    HyperTension replied to RN Mel's topic in CCU, Coronary, Cardiac

    Another trendy subject is early initiation of antidepressive therapy on patients in the ICU. This is something that is all to frequently missed for both providers and nurses alike to address. Intra...

  14. GE wireless dash 4000 NIBP monitors

    HyperTension replied to herring_RN's topic in CCU, Coronary, Cardiac

    Curious: Whats your / unit's definition of "hypotensive". I know that seems like a short-bus question, but you would be amazed at the variety of answers given. If this is something new / change in...

  15. Need Advice From Emergency Nurses!

    HyperTension replied to Team Player's topic in General Nursing

    Couple of things that are really important... especially with rotating from ICU #1) The ability to adapt / change gears in a very, very short time (like walking from one room to another) You can...

  16. How often do nurses have sex in the hospital?

    HyperTension replied to curiousstudent5's topic in General Nursing

    You mean MRSA and C-Diff is not a turn

  17. Is this common at your facility?

    HyperTension replied to missnurse01's topic in CCU, Coronary, Cardiac

    I definitely agree with what you posted, especially regarding greater autonomy for CC transport teams. My frustration evolves from the posting that this individual can and has placed central...

  18. Is this common at your facility?

    HyperTension replied to missnurse01's topic in CCU, Coronary, Cardiac

    His license is just one litigation away from from gone, and thats the best case senario. All that "glory" about playing doctor will cease to exist with a single adverse outcome, and then the attempt...

  19. Is this common at your facility?

    HyperTension replied to missnurse01's topic in CCU, Coronary, Cardiac

    I'm calling "shens", with a high degree of horse manure. IF (and I do mean "IF") there is an institution that allows this, stay far, far, far, far, far away. Common sense tells you that this is unsafe...

  20. ER to ICU....

    HyperTension replied to GTChick01's topic in CCU, Coronary, Cardiac

    As somebody to bounces back and forth from ED to ICU / Open Heart Recovery, I do remember that first transition. Yuppers, it's a bit overwhelming at first. I was used to the philosphy of "Either...

  21. Rectal aspirin

    HyperTension replied to RNcDreams's topic in Patient Medications

    The active compound in an ASA suppository will be exactly the same as PO. The difference (besides shape and final destination oriface) is that in the suppository, the base is ethelene glycol (hence,...

  22. most controversial medications

    HyperTension replied to defeatedcreek's topic in Patient Medications

    Unfortunatly, whatever is in the media spotlight for the moment... While the OP has a good topic / thought, your responses can / will be as diffuse as the individuals posting and whatever aspect of...

  23. So, who's been hauled into court?

    HyperTension replied to megananne7's topic in General Nursing

    QTF Couldn't agree

  24. Non anesthesia provider providing anesthesia

    HyperTension replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    As an ICU / ED RN, I have used Diprivan in both settings. Interestingly enough (and a bit older / wiser), I'm more hesitant to use diprivan in the ED setting, but with training / exposure / COMMON...

  25. Bought their BSN?!?!?!

    HyperTension posted a topic in General Nursing

    Alrighty... We have a new nurse in our ICU/CCU that over the past month has been leading up to telling us that she "bought / achieved" her BSN in 1 month. She readily admits to having her ADN for...