What is intra-cranial pressure monitoring?
What is the ICP?
What is the Modified Monro-Kellie Doctrine?
Why does ICP rise or fall?
What is the normal range for ICP?
Why is elevated ICP so bad?
What does a pa
Drugs that alter
Brush up on your knowledge of these potentially
By Amy M. Karch, RN, MS
VASCULAR SYSTEM delivers
oxygen and nutrients to all body
cells and removes waste products
The more you know,
the easier it gets
Caring for patients with chest tubes can be daunting.
This article helps make it less intimidating.
By Mark Bauman, MS, RN, CCRN, and Claudia Handley, MS, RN, MBA
MANY NURSES find chest-tube care
Helping patients survive
In its early stages, sepsis can be difficult to detect.
Learn about the sometimes-subtle signs and symptoms.
By Meg Bernstein, MSN, RN, and Shari J. Lynn, MSN, RN
COMMON and devastating condition, sepsis has significant healthca
What is intubation?
What are some reasons why a patient might need to be intubated?
What is an endotracheal tube?
What is the balloon thing at the end of the tube?
What is the thing that hangs out of the patients mo
Intra-Aortic Balloon Pump Review
Hello all heres the latest topic FAQ. As usual, please remember that these documents are not
meant to replace reference texts, and they are certainly not meant to be the last word on
anything! The idea here is to pr
This is the second article of a series that we hope to bring out, on subjects for new grads in the
ICU - topics that seem simple, but which actually arent. Lots of things in the ICU will suddenly sit
up and bite your head rig
Reading EKGs, II a scary situation, and a big save.
The usual disclaimer goes here: this article is not meant to be an authoritative reference in any
way instead, its supposed to reflect the thinking and experience of a couple of rather overexperi
Defibrillation and Cardioversion
Hi all. Another one! As usual, please remember that this is not an official reference in any way at
all its what a preceptor would teach to a new orientee at the shop-floor level. Please let me
know when you find mi
1- What are chest tubes used for?
2- Where exactly is a chest placed?
3- How does the three-chamber system work?
4- Can suction be bad for the patient?
5- What is the difference between exudate and transudate, and why do we care?
Central Venous Lines
Hi all another one! As usual, please remember that these articles are not a final reference of
any kind. They are supposed to represent information given by a preceptor to a new orientee, and
reflect my own understanding, which
I must be out of my mind. Am I confused? Would I know? Who in their right mind sits down and
writes things like this for the fun of it? Did I get all my meds for today? Can I at least have one
This one took a while to put toge
Hi all. Yet another one, which occurred to me that I should do about two weeks ago, when a
patient was doing some pretty strange things on the monitor. As usual, please remember that this
is not meant to be an official reference, but
Hello all. Heres the latest idea: a list of commonly used drugs, with comments on them
by ICU RNs, from novice to experienced. Not a drug reference in any official way
theres certainly lots of those around but personal experiences and perspectiv
Vents and ABGs
Hi all heres an update of the article on vents, etc. As usual, please remember that this material
is not supposed to be the final word on anything instead, its supposed to represent what gets
passed from a preceptor to a new orien
Reading 12- Lead EKGs
3 / 04
Im not sure if updating these articles is such a good idea - they just get bigger and bigger, and
we throw more and more stuff in, and they just get monstrous and probably scary for the new
kids. Its fun to a point but were
As usual,pleaserememberthatthesearticlesarenot meantto bethefinal wordon anything instead,
theyresupposedto representthekind of informationpassedon by a preceptorto a newICU nurse.When
(notif) you find mistakes,let us know, andwell fix themrightaway
Pressors and Vasoactives
Hi all heres a new update of our first-ever article. As usual, please remember that these articles
do not mean to be the final opinion on anything! They are only meant to reflect our own
experience and knowledge, which is sca
Hi all: heres another Frequently Asked Question file. As usual, please remember that this is not
meant to be any kind of final reference its supposed to be a collection of answers that a
preceptor might give to a newer ICU nurse, based on
1-What is a pacemaker?
2- What does intrinsic mean?
3- How exactly do pacemakers work on the heart?
4- What are the parts of a pacemaker?
5- Are there different kinds of pacemakers?
6- What is the advantage of two wires over one?
7- How a
How important is nutrition for patients in the MICU?
When should I start thinking about nutrition for my patient?
What kinds of nutrition are available for MICU patients?
How do we figure out what kind of nutrition my patient shou
NG Tubes for Beginners
Weve started seeing new grad nurses in the MICU in recent years, and its seemed that they
might need a hand with some of the basic tools things that in times past they mightve spent
time working with on the floors, but
Somebody asked me the other day why we were expected to take ACLS to work staff in the unit.
She meant: we nurses werent going to be intubating anybody anytime soon, or putting in central
lines, or running codes, or anything like that.
What is an a-line?
What are the parts of an a-line?
Does it matter if the flush setup is made with saline or heparin?
What are a-lines used for?
What do I have to think about before th
Hi all heres another one this one took a while, but it was a lot of fun to hunt around for strips
and images. As usual, please remember that this file is not meant to be a final medical reference
of any kind, but is meant to re
How to detect and correct acid-base disorders
By Michelle Fournier, MN, RN, CCRN
WHEN IT COMES TO ACIDS AND
BASES, the difference between life
and death is balance. The bodys
acid-base balance depends on some
Be prepared to stop
By Rose M. Coughlin, MSN, RN, APRN-BC
SUDDEN CARDIAC DEATH kills
350,000 to 400,000 Americans a
year. That accounts for half of all