ICU

Chest Pains in an ICU Patient: What the Nurse Should Know

This is just a very light touch on the topic of an ICU patient complaining of Chest Pain…I want to emphasize that while it may sound scary to think your patient is having a heart attack…unless it is a massive MI (in which most cases end in death and there is not much you can […]

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Staying Awake as a Night Shift Nurse

As a new nurse you will likely be asked to work the night shift at some point in your career. When you are brand new, however, it is more beneficial to work days because there are usually more orders and procedures so you gain experience more quickly. I have worked nights for the majority of […]

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End-Stage Idiopathic Pulmonary Fibrosis

What I learned and what you might be able to learn from my 4/10 and 4/11 nightshift in the ICU. Room 1: 82 year old male with pneumonia that had been extubated 3 days prior to my shift and he had transfer orders to move out of the ICU. He waited for a bed all […]

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Pneumonia and Symptoms & Antiphospholipid Syndrome

What I learned and what you might be able to learn from 4/3/11 in a nutshell. Room 1: 43 y/0 female with Antiphospholipid syndrome (APS), which is apparently quite rare and can cause clots to form in your arteries and veins secondary to your body attacking its own phospholipids; a component in cell membranes.   […]

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Pulses Really are Important!

Download! Our documentation requires us to chart pulses and whether they have been confirmed by palpation, Doppler, or if they are absent.  I usually check pulses while I’m assessing neurological status in an awake patient but every RN has their own “flow”. Until I rotated through the Vascular ICU, I very rarely had to doppler […]

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The Neuro ICU for Beginners

Download! There are a lot of abbreviations in the Neuroscience ICU and you will almost never hear the layman’s term stroke.  That is what confused me when I began.  I was listening to report and hearing SAH, IVH, ICP, CPP, SDH, DAI, blah blah blah.  Basically, I had no idea what was going on with […]

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Topic Suggestions?

If there is anything out there I can research and blog for you, please do not hesitate to register and leave a comment below!

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Code Blue!

Are you afraid of your patient coding? Here is the best advice, take ACLS (Advanced Care Life Support) and take it early! You can take ACLS while you’re still in nursing school although if wait until you are employed, your organization will likely cover the cost for you. Don’t want to take the course yet? […]

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The Best Textbook for Cardiothoracic Critical Care Nurses- Hands Down!

The Cardiothoracic ICU (Cardiac Surgery Unit) can be an intimidating unit for new nurses.  Post-op cardiac surgery patients can have a myriad of issues that make maintaining hemodynamic stability a huge challenge.  You will be titrating drips, giving volume expanders like albumin and PRBC’s, monitoring chest tube output, observing for signs of cardiac tamponade and […]

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The Down and Dirty of GI Bleeds

Signs and Symptoms on Admission Patients with a GI bleed often present with any combination of abdominal pain, bloody stools, nausea, and bloody emesis. If the patient is throwing up blood, they will likely get an NGT/OGT and lavage to see if the bleeding clears and this procedure can help the provider estimate how much […]

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