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Tag: recipe

RECIPES

Easy & Delicious Thai Peanut Stir Fry

April 13, 2018December 13, 2018by Kirsten BSN RNLeave a Comment on Easy & Delicious Thai Peanut Stir Fry
Easy & Delicious Thai Peanut Stir Fry

This is a super easy Thai recipe that can be made in under 30 minutes!  It can be made quickly and has all the complex flavors of acid, sweetness, peanut butter, and spice! Ingredients 2 handfuls of rice noodles 3 tablespoons soy sauce 1/2 cup creamy Trader Joe's Almond Butter 2 tablespoons honey 2 teaspoons [...]

RECIPES

Easy Taco Tuesday with Yellowfin Tuna Fish

February 22, 2018December 13, 2018by Kirsten BSN RNLeave a Comment on Easy Taco Tuesday with Yellowfin Tuna Fish
Easy Taco Tuesday with Yellowfin Tuna Fish

Fish Tacos are one of my favorite things to have for dinner.  They can easily be made with whatever ingredients you already have at home, which is exactly what I want after a long shift at work! For these fish tacos I used the Siete tortillas as the base.  I love these tortillas because they [...]

About Me

 

Welcome to The Emergency Nurse, a nursing and lifestyle blog!  My name is Kirsten and this blog is a personal insight as I explore working in a busy level 1 trauma center: coffee, codes, and 12h shifts.  Please feel free to contact me!  I love hearing from you!

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I survived my first pharm test 🙌🏼😭 and am on shift 3/3! I keep getting excited for my day off but that really means watching 6h of lectures and writing papers 😂 Please tell me your weekend plans are more exciting!
I’ve been struggling to stay motivated this week, but studying at the cutest Juicery definitely helps ☺️
Happy #medicationmonday! I hope everyone had a great weekend and is ready for the week ahead! Todays medications are Etomidate and Succinylcholine! These two medications are most commonly used in conjunction during rapid sequence intubation (RSI). RSI is an airway management technique that produces induces immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent) and is the fastest and most effective means of controlling the airway in an emergency situation. Etomidate is a short acting anaestestic, typically dosed at 0.2-0.3 mg/kg IV during emergency use, with an onset of 30 seconds and lasting 4-10 minutes. Main contraindication for using this on a patient would be sepsis and seizures, due to edomidates tendency to cause adrenal insufficiency in these patients which may lead to death. Succinylcholine is a paralytic agent, typically dosed at 0.5-1 mg/kg, onset of 45 seconds, and duration of 6-10 minutes. Main contraindication is using this medication with a patient that has known malignant hyperthermia and those with hyperkalemia One of the most important things to remember when giving RSI medications is to sedate first! Never push paralytics until the patient is sedated, imagine being paralyzed while awake, so how do you remember what medication to push first? The one that always has stuck with me, is “always date (etomidate) before you suck (succinylocholine)” 🤣. Anyone else have a saying of how they remember the order of these medications or other RSI meds? Comment 👇🏼 Lastly, when giving these medications always have a crash cart near by and have supplies ready for a difficult airaway, extra blades, cricothyrotomy/tracheotomy kit, bougie etc.
Why would you want to inject a patient full of bubbles? For a bubble study of course! This test reveals information about your heart's structure and function. During an echocardiogram, the bubble study is performed using saline that is mixed with a small amount of air to create tiny bubbles and then injected into your vein. This fluid then circulates up to the right side of your heart, normally, your lungs will simply filter out the bubbles. But if you have a tiny opening between your heart's upper chambers (the right and left atria), some bubbles will move through that hole and appear on the left side of the heart. This study can reveal an atrial septal defect or a defect called a patent foramen ovale (PFO), this opening is present in everyone at birth but fails to close in some individuals. These defects puts them at an increased risk of stroke, and heart failure. Have you ever seen or performed the bubble test? Comment 👇🏼
Happy Friday friends! So the second semester of my DNP program is officially underway. For those of you that don’t know, I currently am working full time and am a full time student getting my DNP in adult-gerontology acute care. This semester I am taking pharmacology, epidemiology, and policy. Pharm is definitely going to be my hardest 😵 think normal pharm on steroids haha what classes are y’all taking this semester? Comment 👇🏼
💉Happy #medicationmonday! Talking about propofol or diprivan today!💉 This is an IV sedative agent used in the initiation and maintenance of anesthesia or sedation It works by increasing GABA-mediated inhibitory tone in the CNS, with typical onset of 30-45 seconds and a duration of 3-10 minutes (dose dependent) In the ER it is used commonly for moderate sedations and during rapid sequence intubation and management Advantages of propofol include rapid induction of anesthesia, rapid recovery times, minimal residual effects on the CNS, and a decreased incidence of postoperative nausea and vomiting Disadvantages of propofol include hypotension and apnea, so make sure your patient has a stable blood pressure before titrating or increasing your dose! & there are no reversal agents! There are many states that restrict nurses from pushing propofol depending on the circumstances. In my state RNs may administer propofol to intubated, ventilated patients, or those patients who are being prepared for intubation and it is not in the scope of practice for RNs to provide deep sedation or anesthesia, or administer it for moderate sedation. & one last fun fact about propofol is that Michael Jackson is said to have died of an acute propofol and benzodiaspine overdose! Have you given or titrated propofol before? Comment 👇🏼

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