ClauICURN

ClauICURN

Critical Care Nursing

Member

  • Content

    27

  • Visitors

    1,112

  • Followers

    0

  • Likes

    1

All Content by ClauICURN

  1. Considering going back to telly

    ClauICURN replied to nugspugsanddrugs's topic in MICU, SICU

    I would start applying to ICU positions somewhere else. This unit is very toxic and you won't be able to change it, so get out with your sanity intact. Good

  2. IABP Alternative

    ClauICURN replied to HeliKel's topic in Critical Care

    If you are just looking to buy the patient some time until you can get an IABP, an inodilator like dobutamine might help. The thing is to figure out what is going to be done longterm, like is the...

  3. Tool needed for restraints in critical care

    ClauICURN replied to Andee137's topic in Critical Care

    We use mittens for ventilator patients (which in our hospital are not considered restraints), and they work pretty well. If the patient is appropriately sedated usually there is no need for...

  4. Would you suggest a different drug brand to a patient?

    ClauICURN replied to MunoRN's topic in Patient Medications

    I would answer questions in a general sense if it came up, or recommend they discuss it with their provider but would never suggest any specific brand to patients be it generic or

  5. NEW RN: Need recommendations

    ClauICURN replied to Emilyyredd's topic in Critical Care

    I recommend The ICU Book by Marino and The Ventilator Book by

  6. ARDS patient, dialysis

    ClauICURN replied to zzyzx's topic in Critical Care

    Yes, true, but a pH of 7.20 requires an intervention unless it's trending up? As for bicarb administration, I still see it used in cases of NAG metabolic acidosis and don't think it's going

  7. Moderate (Concious) Sedation by RT?

    ClauICURN replied to OkieICU_RN's topic in MICU, SICU

    I don't have an issue with it if it's for a respiratory procedure and the physician is at bedside. In practice, however, if it's my patient you better believe I'm the one pushing

  8. Big Trouble

    ClauICURN replied to Bentlysnurse's topic in MICU, SICU

    The only logical explanations I can come up with is that you are either consistently bypassing the scanning step to clear the task before you actually pull the med, that you are scanning some sort of...

  9. Pressure Support Mode VS CPAP/BiPAP

    ClauICURN replied to SterlingArcher's topic in MICU, SICU

    Colleagues have provided very good information on this. To follow up on PressG33's comments, CPAP is generally used for people with OSA. Not only does it provide a continuous positive pressure (like...

  10. Which unit is more manageable for a newbie: MICU or SICU?

    ClauICURN replied to Workinghard123's topic in Critical Care

    "Less stressful" This part made me laugh, haha MICU patients tend to be older with multiple comorbidities, while SICU varies but can have more of a mix or even a higher number of comparatively...

  11. New icu nurse and feeling discouraged

    ClauICURN replied to Audi3181's topic in Critical Care

    Hi there, Sorry to hear that you are going through a difficult time. I've been in the ICU less than two years, so kinda new myself. I can share what helped me when I was starting out, and maybe some...

  12. ARDS patient, dialysis

    ClauICURN replied to zzyzx's topic in Critical Care

    I mean it all depends on the severity of the condition. Pulmonary edema, pneumothorax, pneumonia, ARDS can all cause serious problems with lung compliance. I'd say the worst case of noncompliant lung...

  13. ARDS patient, dialysis

    ClauICURN replied to zzyzx's topic in Critical Care

    OK I think there's a few different things we should consider. OP states that the renal function appeared normal with BUN/creat in range. The patient is in severe respiratory acidosis, which cannot be...

  14. ARDS patient, dialysis

    ClauICURN replied to zzyzx's topic in Critical Care

    Why was the patient hypotensive? Was this a MODS patient, volume down? Was the patient paralyzed? How much sedation was the patient on and what was the patient RR or vent rate? And no, the patient...

  15. Can lungs be clear AND diminished?

    ClauICURN replied to Cvepo's topic in Critical Care

    I get what you mean, but diminished breath sounds are abnormal breath sounds. Let's say a patient has clear lung sounds to the upper fields/lobes but diminished to the bases bilaterally, then that's...

  16. NGT/Intubation

    ClauICURN replied to gonzo1's topic in Critical Care

    Usually yes, intubated patients will have a NGT or OGT unless the patient is expected to be extubated soon. If you think you patient is going to be on the vent for a couple of days, I'd get an order...

  17. My coworker was high and got away with it

    ClauICURN replied to Volley88's topic in General Nursing

    I'd advise you to mind your own business and not go through people's phones. Awful

  18. Is Haloperidol Lactate (short acting) INJECTION administered in ICU

    ClauICURN replied to 2Bee's topic in Critical Care

    Yes, for severe agitation in non-intubated patients, where ativan use is ineffective/inappropriate. IIRC up to 5mg IM/IV q6hrs

  19. lunch break handoffs

    ClauICURN replied to bookel's topic in Critical Care

    Thankfully I work with a very good team, and have never had a situation like this. Usually I just ask another nurse who has patients close to mine to watch over them while I go buy something, but I...

  20. Can you titrate these drips?

    ClauICURN replied to MeganC012's topic in MICU, SICU

    Usually the order will have parameters for titration. Otherwise, I'd contact

  21. CCRN

    ClauICURN replied to FNPhopefull's topic in Critical Care

    I used the AACN website review and didn't find the exam too bad. You should be OK with the sources you are

  22. ICU Drips

    ClauICURN replied to MeganC012's topic in Critical Care

    For vecuronium, have analgesia/sedation in place first usually versed/fentanyl. Off the top of my head, I think it goes like this: 1. Start at 1mcg/kg/min 2. Titrate by 0.1 mcg/kg/min q1hr as needed...

  23. ICU Question about central line infection control

    ClauICURN replied to Benj2610's topic in Critical Care

    In my ICU we do chlorhexidine baths daily am for everybody, and change central line/mid line dressings q7 days or

  24. Hyperosmotic

    ClauICURN replied to russianbear's topic in Critical Care

    If the ABG results show the patient was in compensated metabolic acidosis... then the patient was in compensated metabolic acidosis. I'm a bit

  25. Can nurses have artifical nails?

    ClauICURN replied to MissMiniPink's topic in Nursing Professionalism

    My facility allows nail polish, but I've heard of some department directors not allowing very dark colors like black or dark blue. My unit director is super lax about it, though. As for acrylics, it's...