During my second year of nursing school our professor gave us a quiz. I breezed through the questions until I read the last one: What is the name of the...
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Code blue: Defibrillation
Defibrillation is defined as the process wherein an electric shock is sent to the heart to stop an arrhythmia with the use of an electrical device called a defibrillator, resulting in the return of a productive heart rhythm.
Defibrillation is often used in emergency cases for the purpose of correcting life-threatening arrhythmias such as countering the onset of ventricular fibrillation or pulseless ventricular tachycardia, which is a common cause of/ and cardiac arrest.
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How to measure CVP (Central Venous Pressure)
It can be measured using an indwelling central venous catheter and either manually using a pressure manometer or electronically using a transducer. Usually, the manometer is used especially in wards. But in both ways, it must be ‘zeroed’ at the level of the right atrium. You may do this by taking it at level of the 4th intercostal space in the mid-axillary line while the patient is lying supine, each time at the same zero position.
Nurses are being scorned for being late with medicine, and yet they are holding their bladder because they don’t have time to use the restroom, and starving because they missed...
Yup, we are all familiar with ECG also known as the representation of the electrical activity of the heart muscle as it changes with time. While, we may derive some advantages from it especially in taking a peek at a cardiac patient’s current status, ECG interpretation could be one of the most annoying and difficult things nurses face in the clinical setting. Some would think it requires real hard work to understand those tracings and they need not add it to the long list of to do things they already have, while there are others who want to learn how to interpret stuff like those yet find it difficult to do so. Here are some pointers to learn how to interpret ECG tracings like a boss.
The Kleihauer-Betke (KB) test is a blood test that measures the amount of fetal hemoglobin transferred from a fetus to the mother’s bloodstream. It is usually done for the purpose of determining the RhoGam dose. This test is used to predict certain types of pregnancy complications, particularly after a mother has suffered a traumatic injury. Kleihauer-Betke Test is usually performed on Rhesus-negative mothers to determine the required dose of Rho (D) Immnuglobulin (RhIg) to inhibit the formation of Rh antibodies in the mother and prevent Rh disease in future Rh-positive children.
From the moment we stepped forth the path of nursing, we have envisioned a career which involves helping people and dealing with the sick. Along our journey towards becoming a...
ABG’s: What about them?
Arterial blood gas (ABG) analysis and interpretation can give you a view about a patient’s oxygenation, acid-base balance, pulmonary function, and metabolic status as by interpreting such, you may be able to assess and monitor critically ill patients in the clinical area, especially in the ICU and other critical care settings.
Usually, ABG’s are ordered for patients with the following cases: Respiratory compromise, which may then lead to hypoxia or diminished ventilation, those with Peri/postcardiopulmonary arrest or collapse; patients with medical conditions that cause significant metabolic derangement (sepsis, diabetic ketoacidosis, renal failure, heart failure, toxic substance ingestion, drug overdose, trauma, or burns); to evaluate the efficiency of therapies, and monitor the patient’s clinical status, as well as to determine treatment needs of the patient. An example of this scenario is a physician, titrating oxygenation therapy such as adjusting the level of ventilator support (FiO2, BUR, TV and PF), and make decisions about fluid and electrolyte therapy basing on ABG results. ABGs may also be indicated during the perioperative phase of major surgeries (preoperative, intraoperative, and postoperative care of the patient).
Tick tock tick tock. I stare at my reflection at the mirror as I get ready to face the challenge that await me. Tick tock. I pick my best superhero...