Byron In Exile
Frederick Fucking Chopin
- Joined
- May 3, 2002
- Posts
- 66,591
It's alright.I won't put your heart in a chemical jar. I like hearts and all, I prefer them beating.
I'd just be happy if it meant something to someone.
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It's alright.I won't put your heart in a chemical jar. I like hearts and all, I prefer them beating.
Yes! And torsades does look ugly! I think it is rare anyway, but the risk is still there! Haldol IV also prolongs the QT interval.Between 4 and 5. That's the goal.
Some things always means some thing to someone. There is always a rationale.It's alright.
I'd just be happy if it meant something to someone.
Sure ya do! I hear it all the time! Hell, I bet 10% of our patients aren't even on the monitor!Yes! And torsades does look ugly! I think it is rare anyway, but the risk is still there! Haldol IV also prolongs the QT interval.
Things you won't hear in a telemetry nurse to nurse report: Regular Sinus Rhythm with no ectopy! Hahahahaha that would be the funniest.
Me too! Oh yes, STAT respiratory. BTW, that cute RT is married. I noticed his wedding band. Oh well.OMFG! Laughing my ass off over here! Respiratory, STAT! We need a breathing treatment!
That's one hell of a slow gtt gtt gtt when you're waiting on the Leave-em-dead, I mean Levophed, too, isn't it?
That's a comforting thought.Some things always means some thing to someone. There is always a rationale.
Well how about when you get a transfer into a telemetry bed just for Haldol IV? They used to do that to us all the time.Sure ya do! I hear it all the time! Hell, I bet 10% of our patients aren't even on the monitor!
The question remains - and we ask it daily - what the FUCK are those patients doing taking up our beds and tele space?
When we get a reasonable answer, I'll share it with you.
Janey, I just love you!Me too! Oh yes, STAT respiratory. BTW, that cute RT is married. I noticed his wedding band. Oh well.
Lev-O-Dead, stuff is nasty but it works. Hey, it could be worse than levo! It could be: maxed out on 3 pressors (stressors), and that's when you switch to 1:1 nursing. Or, the PH is 6.9 and my hand hurts from pushing amps of HCO3.
I LOVE BICARB! I am not sure how it works. I will have to go back to chemistry for that answer but for some reason: when the patient is acidotic and the drugs aren't working, and we start dumping in the bicarbonate, the medications start working again!
My mentor used to tell me: I got your Love-A-Phed drip right here, you want it wide open? Oh yes please.
We are all about the comfort at this popsicle stand, but if it's gonna hurt we will let you know in advance.That's a comforting thought.
I haven't had the honor of the IV Haldol situation - yet. We get everybody who's ever had any kind of cardiac issue at all - psych, ortho, neuro, anything - even OB. The cardiac issue might be stable and the patient has cardiac clearance, but tele is just a dumping ground.Well how about when you get a transfer into a telemetry bed just for Haldol IV? They used to do that to us all the time.
Not on the monitor! How about when you get report that the patient is sinus tachycardia when really it's a rapid A fib! Huh? Say what?
I got so tired of saying: Rapid A Fib, I started making up new names: The patient is in a fast atrial fibrillation. The patient is in atrial fibrillation with quick ventricular response!
It is an atrial fibrillation with a ventricular trying to play catch up rate.
Hehehehe
womp womp! love me love me. I got your back, come to ICU! I won't let them haze you so bad. Orientation was a pretty humbling experience for me. My nurse manager said to me: These nurses are strong, and they will make you strong.Janey, I just love you!
It's the RT's loss. Our RT is married too. I wouldn't do him, but I love bantering with him and admiring the view. Is it an admission requirement for respiratory programs that they be cute? It must be.
Yeah, there are things worse than Levo; I don't have to worry about them. Yet. I always <sarcasm> loved </sarcasm> doing bedside surgical procedures on pts with a Levo gtt running. That always makes the CRNA just a little more nervous than usual. OK, a lot more nervous. They just wanted us to hurry up, do what we had to do, and get that scope the hell out of there so they could wake the patient up again. When anesthesia is nervous, they tend to pass that on. We like anesthesia to be happy; when anesthesia is happy, EVERYBODY is happy.
I haven't had to push HCO3 yet. I've given a lot of HCO3 gtts, but I haven't pushed it yet.
I do a lot of ortho in trauma now but one time on telemetry a little old lady with a broken hip was sent to our floor for cardiac history and clearance pre-operative. I freaked out cause the orders read: Bucks Traction!I haven't had the honor of the IV Haldol situation - yet. We get everybody who's ever had any kind of cardiac issue at all - psych, ortho, neuro, anything - even OB. The cardiac issue might be stable and the patient has cardiac clearance, but tele is just a dumping ground.
To be fair, it can be a little hard to differentiate between uncontrolled A fib and ST. I'm a stickler for details; I'll stand there and stare at the monitor for a while to watch for irregular heartbeats. If it's really A fib, I'll usually catch it.
Ventricular catch up. Nice. LOL
I've heard of Bucks Traction, but if I had an order to set it up.... LOLI do a lot of ortho in trauma now but one time on telemetry a little old lady with a broken hip was sent to our floor for cardiac history and clearance pre-operative. I freaked out cause the orders read: Bucks Traction!
I freaked! I called the ortho floor and the nurse came down and set it up. It wasn't so bad, and it even relieved some pain.
It's not a dumping ground it's just that all Attendings know that on telemetry the patient will be seen frequently, so they will use any excuse to get their patient on a telemetry bed.
Yeah if it's really fast it's hard to tell the difference, but if it's that fast well hell...
Ohhhh! That's where I used to work. LOL I've just never heard them called Minors before.Ah don't worry, you will push amp after amp once you come to ICU. Then you'll be like so happy when the first year Resident wants to push it, cause your hand is cramping.
I guess it's a lot of work to go bedside. We call them the Minor OR-- you know the place where they do the bronchs, upper gi, TEE, and those kinds of procedures. If the patient is vented, they usually come to us. At bedside we are the PACU LOL.
It's easier for them to come to ICU, get it done and leave. If there is a problem they are still able to be out, we are the trauma unit and major OR is very close.
The bleeders! We have massive transfusion protocols and even an awesome rapid infuser. The blood bank will send us all the product at once in a cooler. It's pretty wild.
I was so scared at first giving so much product even just a few units. One time I had a unit going in at 125ml/hour, the usual. The trauma surgeon told me: It's a transfusion not an infusion. Take it off the pump and get a pressure bag on it.
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Yeah, I know what you mean about the ever lasting effects of degradation! Those night nurses made me cry, but I won't forget. It keeps us accountable, and we learn.