Tag Archives: ICU

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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Focus on Pharm: Haloperidol (Haldol)

haldol

The last time I gave Haldol I was in a room with five other nurses trying to get an extremely agitated patient to calm down before he became a serious danger to himself and my colleagues. This particular patient had come up from the emergency room in full drug-induced psychosis related to methamphetamine use. He was in four-point restraints and STILL required an entire gaggle of RNs to keep him (and ourselves) safe.

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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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Podcast Episode 3: ARDS

ARDS

In this episode we talk about the basics of ARDS – Acute Respiratory Distress Syndrome. It is the most severe form of acute lung injury and is something we see pretty regularly in the MICU. Learn about the different stages that occur as ARDS develops, what you’re going to assess and how the patient is going to be treated in this episode of the Straight A Nursing Podcast.

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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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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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