Been a Neuro ICU nurse for 2 years now and you literally clarified so many things for me in such a simple way! Thank you thank you thank you! You ROCK!
I was diagnosed with LOVA hydrocephalus last year. In April I had an ETV. I ended up with life threatening post op complications with acute kidney injury stage 2 and cerebral salt wasting syndrome with salt level at 103. I was in HDU
That's unavoidable, unfortunately. You've got to flush regularly or the tubing will likely clog (especially if it's at a lower rate) because of the high fat content of Propofol. However, it's a small amount that's in the tubing that you would be flushing. You can minimize this by flushing in the port closest to the patient. Or, if it's appropriate, at that time you can disconnect the tubing entirely and flush at the lumen. But you wouldn't want to disconnect your tubing every time you flush just to avoid this, as you're opening up a closed system and increasing the risk for infection. So, minimizing the amount of times you disconnect and reconnect your IV tubing is important.
I'm about to start on a Neuro ICU after being in Neuro step down for a year, and your videos have been a life saver!!
i have been working in neuro ICU for the last 6+ years and must say your video is great. very informative .
Been a Neuro ICU nurse for 2 years now and you literally clarified so many things for me in such a simple way! Thank you thank you thank you! You ROCK!
I'm so glad!!!!
your videos could not have come at a better time! Thank you so much!
So glad!!
I was diagnosed with LOVA hydrocephalus last year. In April I had an ETV. I ended up with life threatening post op complications with acute kidney injury stage 2 and cerebral salt wasting syndrome with salt level at 103. I was in HDU
Your videos are so so helpful and straight to the point! Thank You!!
So glad!
thank you so much for explaining everything so clearly! i've always wanted to know why quickly increasing sodium was so dangerous!
Oh! That does sound good. The beer. You speak fine. You do you!
Thanks for the helpful info...
Good stuff !!!!
how do you flush the propofol without 'bolus'-ing the patient with propofol
That's unavoidable, unfortunately. You've got to flush regularly or the tubing will likely clog (especially if it's at a lower rate) because of the high fat content of Propofol. However, it's a small amount that's in the tubing that you would be flushing. You can minimize this by flushing in the port closest to the patient. Or, if it's appropriate, at that time you can disconnect the tubing entirely and flush at the lumen. But you wouldn't want to disconnect your tubing every time you flush just to avoid this, as you're opening up a closed system and increasing the risk for infection. So, minimizing the amount of times you disconnect and reconnect your IV tubing is important.
what comments ?? where in appropriate
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