ICU

Worst Case Scenario 3: Chest Tubes!

Chest tubes are not as scary as they sound. If the chest tube is already in place and there are no immediate problems, chances are your 12 hour shift is going to be ok. If not, we’ll teach you exactly what to do. Chest tubes can be placed in a pleural space or a mediastinal […]

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Death in the ICU

Download the related podcast about Death in the ICU! When physicians have decided there is nothing more they can do for a patient, they will often speak with the families and encourage them to withdraw care. Our facility actually says “Comfort Measures Only (CMO)” instead of “Withdrawing Care” because withdrawing care implies that we will […]

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Worse Case Scenario 2: Intubation

Download to learn more about respiratory failure, and what the nurse does before, during, and after intubation. Causes of Respiratory Failure Sepsis, Pneumonia (aspiration), COPD Exacerbation, Trauma, Pulmonary Embolism, Pneumothorax, and Pleural Effusion What is a pleural effusion? A pleural effusion is an abnormal collection of fluid in the pleural lining which disrupts oxygen exchange […]

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Random Thing I Learned about Low CO2

This is very random, but last night I learned something new.  When your patient in on a ventilator and their CO2 levels are running low, one of the options to help normalize CO2 levels (besides decreasing the respiratory rate) is to add DEAD SPACE to the ventilator circuit.  The order in the chart literally read […]

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Worst Case Scenario: Head and Neck

Download! What to do if your patient has a seizure, vomits blood or self-extubates, etc. In this crazy job called nursing, everything that can go wrong WILL go wrong at some point in your career.  I am dedicating this post to some worst case scenarios. WORST CASE SCENARIOS: HEAD AND NECK 1.  Your patient begins […]

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ABG’s and Vents for Dummies

Download! This AUDIO only version will cover the following topics: ABG interpretation made easy! ABG in the real world: the ICU What do you NEED to know about Ventillator Settings? great link for practice ABG’s: http://www.realnurseed.com/abg.htm

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Songs and Dance to help you Learn Dysrhythmias

Two great videos that are entertaining and informative! Learn about 2nd Degree AV Block: Type 1 (Mobitz 1)/Wenckebach Living Arrythmias I love this next video too. There are versions of this on youtube that play music over the video but I like the soundless version better…have you ever wondered what it would look like if […]

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Packed Red Blood Cells and Ionized Calcium

The Preservatives in Packed Red Blood Cells eat our Calcium! This post is pertinent for patients receiving multiple units of Packed Red Blood Cells (PRBC’s). Some examples are cardiac surgery patients, trauma patients who are hemorrhaging and patients with GI bleeds. Packed Red Blood Cells contain a preservative called citrate. The citrate binds to calcium […]

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ICU for Dummies!

Download! What every new nurse wishes he/she knew. In this AUDIO ONLY version, I will blow your mind and tell you everything you need to know about: ICU Dayshift vs ICU Nightshift Traveling with your patients to CT/MRI Lab results, CBC, BMP & Coags: what is really important?

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Podcast News!

Great news fans!  New Nuse Blog just added a podcast.  Now you can listen to some of your favorite blog posts in Audio format. Click on the Audio Header above to view posts that have optional audio downloads. Coming soon to iTunes as well!  Keep an eye out for an iTunes Header. Now remember, I […]

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