Archive for ICU

080813 | Keep the Beat

Posted in Nursing Adventure with tags , , , , , , on October 10, 2013 by nursemihoko

I glanced at the wall clock as I finish off my breakfast with the last sip of coffee at 5:10 am. I arrived 15 minutes before the devotional prayer had started. After that, I warmed up and whispered to myself, “I can do this” as I get ready to face anything that may happen within my 8-hour duty shift. I grabbed the assignment notebook first and tried to read through my assigned buddy and patient’s names. I was surprised to know that instead of having my duty in the medical ward, I was assigned to the ICU, perhaps. tadaa!

The ICU is where seriously sick persons are admitted and are cared for by specially trained nurses. They need a higher level of care compared to those patients admitted in wards. They should be monitored intensively and are closely monitored. Even though the ratio of patients and nurses is 1:1, some still consider it stressful being an ICU nurse. Since nurses are assigned to one patient each, each is expected to render comprehensive care to the clientele. Vital signs and GCS monitoring is needed every 15minutes, measuring the urine output every hour too is required, due meds should be given on time, etc.
My 8-hour shift is now over. I feel fulfilled to know that today, I learned many things about ICU and about my patient’s case.

Moral Lesson: One never knows what will come through the door next.

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071913 | Asystole

Posted in Nursing Adventure with tags , , , , , , , , , on July 20, 2013 by nursemihoko

 

When do you use a defibrillator?

 

Answer:

A defibrillator is primarily used for two conditions, Ventricular Fibrillation (V-Fib) and Ventricular Tachycardia (V-Tach). V-Fib is when the heart basically twitches and V-Tach is when it beats too fast to actually move blood. A defibrillator will NOT work if there is no electrical rhythm. If the heart is not beating and has no electrical activity at all (Asystole) then contrary to what happens in the movies, using a defibrillator would be pointless. In this situation, the only thing that can possibly “bring the patient back” is full life-support and cardiac drugs.SOURCE: http://wiki.answers.com/Q/When_do_you_use_a_defibrillator

I was assigned in the ICU last night, PM shift. We had one patient admitted at exactly 11am in the E.R yesterday and was transferred to the ICU at 12noon. A code blue responded at exactly 3:00pm when the patient’s in cardiac arrest. Unfortunately, the patient died at 3:53pm with the final diagnosis of Cardiogenic Shock.