Jlucasrn92

Latest Activity

1. Admission Process in ICU

   Jlucasrn92 posted a topic in Critical

   Hi all, I work in a MICU/CICU. Currently, when a new patients gets admitted, it's pretty chaotic. People come in to help, but it's all a free for all. It can be pretty confusing with people standing around not knowing what needs done or everyone tryi...

2. SOFA Scoring

   Jlucasrn92 replied to Jlucasrn92's topic in Critical

   AngelRN27- In Feb 2016 a committee was formed to review the current Sepsis definitions and protocols. In this paper, the committee recommended no longer using the SIRS criteria as it is too easily triggered by non-septic patients. The SOFA (or seque...

3. SOFA Scoring

   Jlucasrn92 posted a topic in Critical

   With the new definition of sepsis published in Sepsis 3.0, it was recommended to lose the SIRS criteria and assess patients using the SOFA score. In my MICU, we have begun assessing EVERY patient using the SOFA score. However, there seems to be a lot...

4. Abset/Flat T-wave

   Jlucasrn92 posted a topic in CCU

   Hi all, I had a patient and their EKG showed t-waves in some leads, however absent/flat t-waves in other leads. I can't remember all the leads, however I am sure that lead II did not have a T wave. It also looked like there might be a LBBB in a coupl...

5. Elevated Troponin in presence of Renal Failure

   Jlucasrn92 posted a topic in Urology

   Hi, I am working in a Critical Cardiac unit that also takes MICU patients as overflow. There have been a few times that I have found that my patient (who is in some phase of renal failure) has elevated troponin however show no signs of an MI. I have ...

6. Chooses fluid for MIV/Bolus

   Jlucasrn92 posted a topic in Critical

   Hello, I'm a new grad starting in an ICU through an extended preceptorship program. I was wondering what the thought process is when a Dr/NP are choosing what fluids to use for MIV as well as when giving a Bolus. For example, my pt had liver failure ...

7. New to ICU- Need Resources

   Jlucasrn92 posted a topic in Critical

   Hello, I'm new to the ICU and I'm trying to learn as much as I can! Specifically I'm hoping to sharpen my skills and understanding with patho and pharm. I would like some sort of text book to be able to reference and study as I go through training/or...