haji

haji

Member

  • Content

    51

  • Visitors

    2,666

  • Followers

    0

  • Likes

    0

All Content by haji

  1. Ativan IVP vs Propofol gtt

    haji replied to General E. Speaking, RN's topic in MICU, SICU

    Propofol is a great drug for quick weaning. It has an extremely short half life. There is absolutely no reason to leave a patient on psv overnight when they are clearly failing. With a respiratory...

  2. Vasopressor and Inotrope Titration Orders

    haji replied to RN Nick's topic in MICU, SICU

    This just came up in my unit recently. Its absurd. I guess next time I start norepi on a crashing patient I will start at 0.5mike and then wait 5 min to increase by another 0.5 ARRRRGGGG stop the...

  3. Respiratory Therapists Stingy with o2?

    haji posted a topic in MICU, SICU

    This has happened to me twice recently. I have had some very sick patients on bipap (DNR) who were near death. When the patients desaturated, and I suggested to the respiratory therapist (both times...

  4. Respiratory Therapists Stingy with o2?

    haji replied to haji's topic in MICU, SICU

    My belief system? The cascade of the dying process? Is this about nursing theory? Are any of you icu

  5. Critical care book help

    haji replied to monkey2008's topic in MICU, SICU

    This isn't a nursing book, but I liked it better than all the critical care books I read. It covers lots of physiology that's relevant to icu work. Clinical Anesthesiology by Morgan/Mikhail/Murray...

  6. Respiratory Therapists Stingy with o2?

    haji replied to haji's topic in MICU, SICU

    Wow, I guess I should just start a morphine drip the next time I respond to an Rapid Response call on the floor for a DNR or Limited code patient. Or maybe just refuse to treat them and go back to the...

  7. Respiratory Therapists Stingy with o2?

    haji replied to haji's topic in MICU, SICU

    One patient was DNR but we were trying to keep him going until his family got there. The next was a meds only code. So in both cases I had an intensivist in the room and we were giving pressors and...

  8. Titrating Multiple Pressors

    haji replied to NSJodi's topic in MICU, SICU

    I agree that more volume (dry?) and maybe blood (low hct?) might be good options when you are on multiple pressors. Steroids might help also. Lots of people think bicarb helps, but after reading lots...

  9. Trouble with understanding pH-related death

    haji replied to mlbdestined's topic in MICU, SICU

    I think you would need to know a lot about physiology to understand why a low pH kills patients. I don't understand it really, but from what I've read at some point your body cannot carry out the...

  10. CCRN testing help

    haji replied to scorpionrn's topic in MICU, SICU

    Do the Pass CCRN practice questions like crazy and if you can do well on the practice test you're good to go for the real

  11. Cardiac gtts???

    haji replied to Deb123j's topic in MICU, SICU

    wow i have never heard or read anywhere that levophed dilates the coronary arteries. it might increase coronary perfusion by increasing diastolic arterial pressure. maybe you are thinking of...

  12. What do you want in a set up of a new room for an incoming patient?

    haji replied to meghan91's topic in MICU, SICU

    yeah i agree don't bring a bunch of stuff into the room. if the patient is sick the last thing you want is a bunch of cleaning supplies getting in the way. you can get that stuff when you need it.. i...

  13. Not feeling it...

    haji replied to LostN's topic in MICU, SICU

    I think experience is the best teacher but here are some good resources for learning outside of the icu: Pass CCRN (throw the book out but do the practice questions on the cd) Emergency Management of...

  14. Great Podcasts

    haji posted a topic in MICU, SICU

    I just want to recommend to everybody to check out some of the great resources on the internet, especially if you are relatively new to the icu. Some of the info is over my pay grade (c-spine...

  15. Studying for CCRN... question regarding test plan

    haji replied to RNcairo's topic in MICU, SICU

    I studied for several months before I took ccrn and passed. I read a lot of medical stuff on my own (especially relevant topics in Anesthesia books like physiology and meds). I watched the gasparis...

  16. bloodgases

    haji replied to Iowa RN2006's topic in CCU, Coronary, Cardiac

    i think the last couple posts are really useful. also you want to see the o2sat and the pao2. the sat on the abg and the spo2 on the monitor will be pretty close. you want the sat>90%. sat is the...

  17. What CCRN book do you recommend?

    haji replied to montinurse's topic in MICU, SICU

    PASS CCRN - the book comes with a cd of practice questions, if you can pass the practice test you should be fine on the ccrn. that's the best resource. i thought the other stuff mentioned was ok but...

  18. "If I Knew Then What I know Now" -Med/surg-to-CCU

    haji replied to webmansx's topic in CCU, Coronary, Cardiac

    when i was brand new in icu i asked some more experienced (20-30+ years) nurses about the ccrn test and they told me i had no business studying for it. the test isn't that hard and studying for it...

  19. "If I Knew Then What I know Now" -Med/surg-to-CCU

    haji replied to webmansx's topic in CCU, Coronary, Cardiac

    I say study and pass the CCRN. The only resource I think you need is the Pass CCRN book (throw the book away and use the cd of computer questions its just like the test). Also check out these...

  20. In flight Emergency with the proper equipment

    haji replied to Robublind's topic in Emergency

    i guess this isn't the point of your thread, but... there is some research which shows that morphine is not great for MI patients.

  21. How to start an IV

    haji replied to LisaRN1105's topic in General Nursing

    one thing i think is important that is not usually mentioned: after you get a flashback, you actually need to advance a few more millimeters and then stop the needle and advance the catheter. once i...

  22. Exper. Nashville RN Pay Scale

    haji replied to nursienurse_81's topic in Tennessee Nursing

    For what its worth- I worked at my first RN job in 2005 at Vanderbilt on 9North surgical stepdown. I think my base pay was $18/hr, night shift differential was a few dollars then there was also a...

  23. CVP through PowerPort?

    haji replied to RNx2's topic in MICU, SICU

    why not just hook it up to a transducer and see what kind of waveform you

  24. Central Line Insertion

    haji posted a topic in MICU, SICU

    I need some help with assisting with line insertion. It seems like half the time i assist with this procedure the md gets ****** off because I screw something up. So I thought I would list the steps...

  25. Need advice: I have bad anxiety before I go to work.

    haji replied to funnygirl01's topic in Neuro Intensive Care, ICU

    I feel your pain. seriously, its a difficult job and it causes a lot of anxiety. its a painful learning process sometimes but i think it just takes time. My first couple years in icu were tough but I...