HyperTension

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... "just because".. OH, and the floor just called......

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 "more able to tolerate" a gradual transition vs. ab...

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 patients medications. If one needs to be on something...

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 (retracted open, or just not sutured?). Is this leak rela...

Chuckles and shudders at the thought of a stool transplant.......

certificate

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". Pesticide.... isn't that what they sprayed in th...

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.... Techs do not have a need to be accessing arterial lin...

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, minus celestial transfer). Lately I'm finding that ...

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 is, but it's really not worth it especially if yo...

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 (focal to Critical Care / ED for me). There is alw...

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 anyways'. It has a tendency to keep things much simpler-e...

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 Abd. HTN is another nice subject gaining attention....

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 trends, I absolutely would say get a manual BP to c...

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 literally have an infant with an URI / getting nebs...

You mean MRSA and C-Diff is not a turn on?????

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 lines (TLC, Cordis), and dialysis cath's. within the inst...

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 to cover it up by said individual / facility will...

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 practice at best, and that's minimizing that stat...

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 way, they leave the ER (Upstairs, out the door, or d...

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, the need to keep it cold). A pre-warmed supposito...

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 nursing they practice in. In reality, any medication...

QTF Couldn't agree more.

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 SENSE, I find that those ideals minimize the possibl...

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 "over 7 years", and that she really didn't want to...