Tag Archives: advanced

What the heck is the P/F Ratio: Episode 33

PF ratio

In this podcast we talk about one of the MOST useful and EASIEST, QUICKEST calculations you can do to determine just how sick your respiratory-compromised patient is…the PF ratio! Check out some of the amazing things you’ll learn:

  • What the P and F stand for; what is PaO2 and what is FiO2?
  • Difference between PaO2 and SaO2
  • Optimal PaO2 ranges and levels of hypoxemia
  • How to calculate the PF ratio and what the heck it means
  • What the numbers tell us and how it applies to the overall clinical picture

For more information on ARDS, check out this post, this awesome podcast episode or this SUPER awesome reference sheet. (if your podcast platform does not support links, please visit the website for total linkage at www.straightanursingstudent.com)

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Ventilator weaning starts at intubation: Episode 32

ventilator weaning

In this episode of the Straight A Nursing podcast, we talk about ventilator weaning, which is actually a process that starts the moment the patient is intubated. If you are entering your advanced Med/Surg clinical rotation or are new to the ICU, this podcast will provide you with the basic knowledge you need to advocate for your patient and help guide them toward extubation.

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Trauma case study: Episode 31

trauma case study

As I’ve said many times before, nursing is all about solving problems. You SEE something, you DO something…it’s so simple. But, at the same time, putting it into practice can be quite complex. The patient problems you start out with at the beginning of your shift, are not always going to be the same problems you’re dealing with a few hours in. As a nurse, your ability to adapt, reprioritize and reevaluate is the MOST ESSENTIAL thing you can do.

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The basics of prone positioning for ARDS

prone positioning

Prone positioning is likely to be one of the most intimidating things you’ll encounter in the ICU…the beds are big, they don’t provide instant access to your patient and the risk for complications is higher than in a standard bed. But, with excellent nursing care you can keep your patient safe without biting your fingernails down to the quick!

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Arrhythmia Basics: Podcast Episode 15

arrhythmia basics

Let’s review basic arrhythmias, what causes them, how to identify them AND what you are going to do about them. Ready?

In this podcast, we cover loads of goodies:

  • PACs
  • Atrial Flutter
  • Atrial Fibrillation
  • SVT
  • V-Tach
  • V-Fib
  • Idioventricular rhythms
  • Pulseless rhythms

This episode is a great review if you’re in Advanced Med/Surg, heading into your 4th semester preceptorship or starting out as a new nurse. For even more information about arrhythymias, check out this post or this one on heart blocks. 

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Blood thinners – what you need to know

blood thinners

Blood clots are a serious business. They can restrict or even completely block blood flow to organs and extremities, causing things like pulmonary embolism, heart attack, stroke, ischemic bowel and even loss of limbs. So, it makes perfect sense that we want to prevent blood clots AND treat them when they occur. How do we do this?

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Clinical calculations

clinical calculations

As an RN, you’ll find that you need these four basic calculations almost every single shift you work. In this post we’ll cover what they are and why they matter.

Anion Gap

The anion gap will usually come into play when you are taking care of a patient in diabetic ketoacidosis. However, to be totally accurate, it is actually used to alert us that the patient is in ANY kind of metabolic acidosis and can even help us differentiate what caused it.

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Why the QT interval matters

QT interval

When you begin taking care of patients who are on cardiac monitoring (AKA “tele monitoring”) you’ll need to chart a few key ECG measurements once per shift and any time there is a change in the rhythm. These are the PR interval, the QRS, the QT and the QTc. You probably are already very familiar with the PR interval and QRS measurements…but what is a QT and why do you need to measure it?

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Podcast Episode 5: ICP Management

ICP MANAGEMENT

Managing ICP (intracranial pressure) is a complex balancing act. In this podcast you’ll learn the basics of ICP monitoring and management, what to watch for, when to intervene and HOW to intervene.

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