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How to get the most out of this site!

WELCOME! Please read this post if it’s your first time here…there’s so much here and I want to make sure you get ALL of it!

At the top of the page, you see a menu bar with some headers…explore your heart out because this is where you’ll find notes related to nursing school, printable reference sheets, study aids, goodies to buy that will keep you organized and on top of your game, a link to my e-book and loads more.

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ECMO: hardcore support for the lungs & heart

ECMO

ECMO (otherwise known as extracorporeal membraneous oxygenation) is essentially a life support measure used when the lungs or both heart and lungs cannot function adequately with traditional mechanical ventilation support.  In ECMO, blood is drained from the body, diverted to an oxygenator where gas exchange takes place, then returned to the patient. There! Now you know everything you need to know about ECMO. Just kidding! Let’s start at the very beginning.

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Trauma nursing case study

trauma nursing

It’s your first shift of four-in-a-row and little do you know that you are in for a tough stretch! Your shift starts out calmly enough, but at 0200 you take report on a 23-yr old post-surgical trauma patient who came in through the ED due to a pedestrian vs auto incident. The patient was crossing the road on a dark, rainy night when she was struck by a vehicle at approximately 30 mph. Her injuries are:

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Dealing with difficult docs using SBAR

SBAR

Before I start an “us” vs. “them” war, let me start off by saying that I cannot imagine the pressure that physicians are under these days. They go for long stretches with no days off, work very long hours, have tremendous responsibility and, basically, have a job that I would never ever ever want. So, with that said, it is understandable that you will, at times, deal with a difficult or demanding physician. These tips about SBAR and effective communication should help!

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Emergency or Not?

Is that patient's blood pressure an emergency or can you let it ride for a little bit? What are you going to do about a heart rate of 45? Well...it depends! While some situations need action right now, it really depends on a lot of factors. Find out how to tell if it's an emergency or not!

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Managing intracranial pressure (ICP)

ICP

Taking care of patients with neurological injury means managing their intracranial pressure, or as it’s commonly called, ICP. And when we say neurological injury, keep in mind that we’re not just talking about people getting bonked on the head with a 2 x 4. We’re talking about space-occupying lesions, hydrocephalus, intracranial hemorrhage, subdural/epidural hematoma, even severe hyponatremia…basically anything that’s a key player in (drum roll please….) the Monro-Kellie doctrine.

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