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For those who have been struggling with staying se For those who have been struggling with staying serious about COVID, wearing a mask, limiting gatherings, then this is for you. I’ve seen this trending, and it’s to show awareness of how COVID has affected so many people. 
⠀⠀⠀⠀⠀⠀⠀⠀⠀
I’ve talked to lots of my coworkers, and we can all agree that it’s hard for people to believe in something unless they have been affected by it. The goal of this post is to visually represent everyone that has been affected by this virus.
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Post the hearts that relate to you:
⠀⠀⠀⠀⠀⠀⠀⠀⠀
❤️ Lost a loved one or friend to COVID.
🧡 Know someone who has lost a loved one or friend to COVID. 
💛 Have taken care of a patient with COVID.
💚 Have personally suffered from COVID. 
💙 Have a loved one or friend who has suffered from COVID.
💜 Have been an essential worker on the frontlines of this pandemic.
🤍 Have had a loved one, friend, or personally lost a job due to COVID. 
⠀⠀⠀⠀⠀⠀⠀⠀⠀
Here’s mine: 🧡💛💙💜🤍
⠀⠀⠀⠀⠀⠀⠀⠀⠀
What’s yours? Comment below and share, or repost to see how your followers have been impacted too. 💕
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⠀⠀⠀⠀⠀⠀⠀⠀⠀
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#frontliners #frontliners #nurseonduty #crnaschool #srna #srnalife #anesthesiaschool #nurseanesthesia #nursingschoolprobs #wearfigs #awesomehumans #frontlineheroes #frontlines #frontlineworker #essentialworker #covidicu #nursesofig #nursesareheroes
Santa Klogs are comin’ to town 🎅🏼 Comment Santa Klogs are comin’ to town 🎅🏼

Comment if you’re working > 8 hours/day?

> 3 shifts a week?

> You’ve developed back problems from working bedside?

Haven’t worn Klogs in a few years and definitely forgot how comfortable they are. Perfect for these COVID days - wipeable, anti-microbial, non-slip. These shoes are great for all of you awesome healthcare providers working long hours and need the extra arch support for better posture. @zappos offers 365-day returns on these shoes and tons of other styles too 👟👠👢

Check out my latest blog post for the full review!

#sponsored #zappos #zapposxklogs #klogsfootwear #walkwithus @zappos @klogsfootwear
💙🚨CODE BLUE 🚨💙
Do you remember your H’s & T’s?

🚨A PEA Arrest stands for Pulseless Electrical Activity. If the patient is on a monitor, you can see electrical activity on their EKG. But, if you feel for a pulse they’re pulseless. This can sometimes last a couple of minutes before they flatline. 

🚨This is really important to catch early. If I know my patient is circling the drain and I’m expecting a code... my fingers are feeling for a pulse nonstop, even if I see a normal EKG on the monitor. You want to catch them in cardiac arrest ASAP for the best outcome, and start compressions the second you lose a pulse, not wait for the monitor to show you. 

🚨Even if you’re not in the ICU with a monitor, if your patient codes it is still so important to run through possible causes of the code. These are your H’s & T’s!

🚨Codes are chaos, we all know this. It’s so easy to let the adrenaline kick in and be the first to grab the meds or start compressions. OBVI this is important but don’t get too caught up in the process that you forget to assess what caused the code in the first place. You can do compressions on an acidotic patient all night long, and they’re not gonna come back unless you treat the cause of that acidosis (push an amp of bicarb, treat the K etc). 

🚨It’s extremely important for the code team to communicate. Be the one to shout out possible causes and run through them with others. All of the interventions listed in this diagram can be life saving ✨

#acls #codeblue #icunursing #futurecrna #nursingeducation #criticalcarenurse #nursingschoolprobs #srnalife #srnaproblems #srnatocrna
HOW TO REMEMBER DRUG CLASSES BY SUFFIX 💊 ⠀⠀ HOW TO REMEMBER DRUG CLASSES BY SUFFIX 💊
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🩸Anticoagulant: -arin
ex. heparin, warfarin
⠀⠀⠀⠀⠀⠀⠀⠀⠀
🤧Antihistamine: -ine
ex. diphenhydramine (Benadryl), loratadine (Claritin)
⠀⠀⠀⠀⠀⠀⠀⠀⠀
🤢Antiemetic: -azine
ex. promethazine (Phenergan)
⠀⠀⠀⠀⠀⠀⠀⠀⠀
💥Antiulcer: -tidine
ex. famotidine (Pepcid), ranitidine (Zantac)
⠀⠀⠀⠀⠀⠀⠀⠀⠀
✖️Proton Pump Inhibitors (✖️gastric acid): -prazole
ex. lansoprozole (Prevacid), omeprazole (Prilosec)
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🦠Antiviral: -vir
ex. acyclovir
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🧫 Antibiotics:
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Aminoglycoside: -mycin
ex. vancomycin
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Fluoroquinolones: -floxaxin
ex. ciprofloxacin
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Tetracyclines: -cycline
ex. doxycycline, tetracycline
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😞Antidepressants/Anti-anxiety
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Tricyclic: -triptyline
ex. amitiptyline (Elavil)
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SSRIs: -pram/-ine
ex. citalopram (Celexa), ecitalopram (Lexapro)
 fluoxetine (Prozac), sertraline (Zoloft)
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🗃 SAVE for reference & SHARE with your friends!
Feeling very thankful this year. 🦃 ⁣ I am tha Feeling very thankful this year. 🦃
⁣
I am thankful for all of you here. Not only for following along my crazy journey, but for all you have done this year on the frontlines. We couldn’t have gotten through this year without eachother. Through the literal sweat, blood, and so many tears that were shed from COVID-19. 
⁣
We needed eachother this year, and I am so grateful:
⁣
For the people who physically worked together to manually prone so many
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For the respiratory therapists working tirelessly, changing vent settings and pulling ABGs nonstop.
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For the doctors who kept up on the evolution of an ever-changing virus, to make sure care was the most up to date.
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For the students who had to keep so mentally strong to adapt to a different way of learning, and still so eager so they too, can be on the frontlines 
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For those of you who had to hold the phone bedside, as family members said goodbye to their loved one for the last time over FaceTime. 
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And then having to go home and still be a support to your families. 
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Like everyone has said, this Thanksgiving is in fact different. While lots of us get to be incredibly thankful to be alive and celebrate our blessings, there are a lot of you wondering why a loved one has been taken from you this year, and this thanksgiving is really hard. 
⁣
If you have lost someone special this year, drop their name below, so everyone who sees this post can pause and send you lots of positive energy for your difficult holiday 💘
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I wish you all a very happy Thanksgiving. Be safe, and keep on smiling the best you can 😌🍁
HOW TO BE THAT NURSE THAT EVERYONE WANTS REPORT FR HOW TO BE THAT NURSE THAT EVERYONE WANTS REPORT FROM 📋🩺👩🏻‍⚕️
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• Be PREPARED. Don’t be that nurse that’s scrambling in a panic when you see the next shift walking in - because YOU didn’t have time management. Obvi this is putting those crazy shifts aside, but if it’s a typical patient assignment, get your shift together (see what I did there 😜).
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•Your rooms better be spotless & ready for the next nurse. This includes:
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•Grabbing supplies for the day/nightshift nurse and put them in the room. 
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•If there’s a foley empty it, chart it right at end of your shift. While you’re giving report it will start on the hour, & you can tell them whatever’s in there now is theirs to chart for this hour. 
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•Making sure their medications are available. If needing to come from pharmacy, that can take time to request & receive.
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•If they’re on a critical drip (pressors, etc) have a backup bag in the room ready to hang. You’re about to get a major eye roll if the nurse you’re giving report to walks in to start their shift, the pressor bag runs dry, patient gets hypotensive, & there’s no backup bag in the room. Just, no. 
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•If they’re on sedation and you see it running low before report, grab the extra bottle of propofol etc. Again, eye roll comin’ for ya if you’re giving report and your patient starts waking up. You interrupt report to go in the room and up your sedation. Then your sedation runs dry, so you have to go get a new bottle/syringe, double-nurse verify it like no.
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• Wiping down the counters, clean up clutter. If there’s patient-specific hygiene products in there, go grab a wash basin & organize it all in one spot. If there’s wound dressing supplies stocked in there, again, put it in a separate basin. I can’t stand lined up clutter. 
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What do you guys do to prepare your room? I ran out of space 😅
WHAT SHOULD BE HELD FOR SURGERY? 😷 ⠀⠀⠀⠀ WHAT SHOULD BE HELD FOR SURGERY? 😷
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🩸Anticoagulants
-Plavix & Coumadin d/c 5-7 days before
-Low molecular weight heparin 💉 d/c 12 hrs before
-IV heparin d/c 6 hours before
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🧄 3 G’s
-Garlic, Ginkgo, & Ginseng ⬆️ bleeding risk. D/c a week before
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🍬 Oral hypoglycemics
-All you need is a long-acting hypoglycemic to cause life-threatening hypoglycemia in the OR, which can go unrecognized under anesthesia. These patients will be managed via insulin drip to be more carefully titrated & blood sugars checked every hour. 
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💧Diuretics 
-The patient will have already been NPO for some time, we don’t want to make them even more dehydrated for possible hemodynamic instability.
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DO NOT HOLD:
🫀 Beta Blockers
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-You’re probably thinking well, I wouldn’t want to give a BB before surgery, & drop their HR/BP. But for patients on a daily BB, it is especially important for them to take their medication to prevent possible MI or even acute heart failure in the OR. Why? 
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Their body’s beta receptors are “up-regulated.” 
AKA: their body is “used to” the drug being in their system regularly. When this happens longer term, their receptors are not as... receptive? 😉 This is the reason why people have to “up their dose” when they’ve been on the same med for awhile. So if you were to abruptly stop a beta blocker.. you wouldn’t be blocking those sympathetic beta receptors. You could have a HUGE “fight or flight” response. 👎🏼 That, combined with painful surgery and a tube in your throat, puts the pt at extreme risk for heart attack. These patients were already susceptible to MI at baseline...that’s why they were on a beta blocker 😬
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💊 Patients on opioids should continue to take them. By holding them for chronic users, think about how much harder pain mgmt will be post-op. ☹️
A simple explanation of the mechanics of breathing A simple explanation of the mechanics of breathing 🌬
⁣
In a healthy person, our drive to breathe is based off of the amount of carbon dioxide in our blood. We have these lil things called chemoreceptors that sit in the carotid artery. 
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These chemoreceptors are basically takin’ ABGs nonstop, and constantly taking those samples of blood to titrate breathing to effect. 🩸
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An increase in carbon dioxide is sensed by the chemoreceptors, and they tell the body to take a breath. Remember that taking a breath in means exhaling a breath out. That breath out is exhaling the Co2 that came from gas exchange at the alveoli (swappin’ oxygen from the air for the “waste” in our body) that was building up. 🗑
⁣
But why is Co2 “waste” and where does that even come from? Obvi we need oxygen to live but why is that? The body uses the oxygen we breathe in to actually break down the sugar(carbs) we eat. 🍞 Say whaaaat? Ya. Breaking down that sugar = energy that we need to basically exist. So. When that sugar is broken down by oxygen, Co2 is produced. 
⁣
High levels of this waste product leads to a million different problems as you know. Some side effects include respiratory acidosis, tachycardia, dizziness, seizures, and loss of consciousness ☠️
⁣
Phew! Now take a deep breath and let me know if this was helpful! 😃
I was told by my clinical instructor that I wouldn I was told by my clinical instructor that I wouldn’t make it in the ICU as a new grad. 

I ended up getting hired before I graduated. I was one of 3, out of over 800 applicants. 

When I was applying to take the NCLEX, my ATT (approval to test) date was delayed due to my school submitting it late. I had landed my dream job, and I couldn’t start if I didn’t get my license in time. I emailed the assistant dean asking if there was anything I could do. She replied with, “maybe this job wasn’t meant for you.” 

Her and I had been bumping heads since I began the program. She didn’t like me. I challenged her, and I stood up to her when everyone else was too afraid to. My nursing program was one of a punitive environment - my teachers had their years of experience. Now it was our turn to be mentally broken down like they were as a new nurse. It was a breeding ground for future nurse bullies - I opposed it, and I opposed her. 

So I ended up being able to test in time (no help from her btw), I passed, and began my new grad ICU job. 

Years later, on the same unit, I saw her visiting her mom who had just had surgery. She saw me standing in the hallway. And I smiled at her, said nothing, and I walked away. 

Don’t EVER let anyone tell you that you can’t.
Never realized how Italian I was until someone rec Never realized how Italian I was until someone recorded my hand gestures 😂 teach with enthusiasm right? 🤓🇮🇹
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Sassy Anesthesia

Wedding

Vegas Bachelorette

October 5, 2020October 5, 2020

I decided on the oh-so-typical location for my bachelorette party – Las Vegas. This was for several reasons, one being the rising cost of bachelorette parties these days being absolutely ridiculous. Vegas can be relatively affordable for a group of girls. And two, I didn’t want to have to plan activities and make a schedule in addition to planning a very detailed and annoyingly extra bachelorette. I’ll keep this short and sweet – I just wanted to share some decor, gifts, outfits, and some aesthetic inspo.

I booked us two rooms at The Cosmopolitan Hotel – the “wraparound terrace fountain view suite,” and then the additional “terrace 1 bedroom with fountain view”. This way, we were able to conjoin all the rooms and be together and comfortable in a larger group. The view was absolutely worth the price!

 

 

For the weekend’s vibe, I wanted to theme it classic Las Vegas (obviously), with light pink, silver and iridescent accents. I was able to find a lot of budget-friendly decor from Walmart for streamers, balloons, helium tanks, plates etc, and then also splurged on a few super cute and trendy pieces from Etsy and Party City. I’ll link everything as I go!

 

Dollar tree picture frames, pink poker chips and dice from Amazon.

 

 

 

I did a themed candy bar with pink treats and these super awesome custom M&Ms my MOH ordered for me! I went to the dollar tree to get the various glass containers and then found the cute giant martini glass from Hobby Lobby! Hobby Lobby has soooo many different types of glassware you can use for any event, and it’s even better when they have them 50% off. Plan in advance so you can wait out their sales that change every week, you’ll save a crap-ton of money!

 

 

I had a hangover station set up cause let’s be real. Vegas is no joke. We included Tums, pedialyte, OTC nauzene, pepto-bismol, band-aids (super handy for heel blisters), bobby pins, gum, hair ties, Tide To-Go pen, and individually packaged makeup remover wipes.

On the contrary, here’s the drink bar in the kitchen. I wanted the drinks/mixers to go with my aesthetic so I bought pink La Croix, light pink Cranberry juice, pink margarita mix, pink lemonade, pink energy drinks (I know I’m so annoying). But then had to have Veuve so that threw off my scheme a bit. Damnit champagne why do you have to be so good?

 

 

My MOH came up with the cutest idea to have a cotton candy prosecco set-up you can see below. Then I found this local custom cookie decorator, and I had her design the freaking cutest cookies ever to go along with my color scheme. Also these cookies taste SO GOOD like you know normally cookies this beautiful never taste good well, these do. You can pick them up in Vegas or have them delivered to you for a charge. Click here to check out her website.

 

 

Next I put together super cute tote bags for each girl as a thank you. They turned out amazing! The seller was super awesome too, I was OCD and wanted my name to be in pink inside of red, so she helped me customize the bag. Inside, I put in a weekend itinerary, face mask, hand sanitizer, coordinating pink pedialyte, mascara, and a kylie lip kit. Also how cute is this custom Mrs bag?! I ordered this off of Etsy and it’s cheap! I linked everything below.

Tote bags

Itinerary

White Mrs bag

 

 

Okay so night 1. I themed this as pink night which everyone hated me for but its okay. Everyone ended up looking super cute whether they’ll admit to it or not. I got a cute bridal veil to wear, linked here, and I wore hot pink Kendra Scott earrings to match my girls.

 

 

We look so good right. Here’s the secret. Ring light baby. Hotel rooms are dark and annoying for photos. I brought my ring light and our pics turned out amazingggg. All my friends loved it. I linked one here.

 

Here’s the view from our balcony.

 

Day 2. Pool party day. We ended up going to the pool party at the Cosmo (Marquee) cause I didn’t want it to be difficult for people to go back to the room if they were done…so glad I did this cause some of us ended up leaving early just to chill at the hotel room before going out again that night. I didn’t want my group getting too split up/lost in Vegas if we had gone to another day club. We all wore coordinating bathing suits which turned out so freaking cute. My recommendation for any Vegas pool party is to GO EARLY. Like 10am early. We got there a little late and by that point it was super full and hard to find a table. Bachelorette parties can be hard to accommodate since the group is so big and uh, they can tell you’re not interested in the single guys no more. I also designed a snapchat geotag beforehand and I had this available at the pool party. SO FUN. And then my sister picked the most awkward photo of my husband and made it into an obnoxiously giant face sign which was quite the hit.

 

 

That night we had sequin night. We got so many compliments from everyone on how cute we looked! Such a cute Vegas vibe.

 

 

The morning after we wore these super cute t-shirts to our hangover brunch before we all took off home. Mine said “Wife of the Party” and the girls’ all said “The Party.” I’ll link them here.

 

 

Another detail I included but not pictured:

Vegas before Vows banner

 

Well that’s it! I hope this was helpful to you if you’re planning a bachelorette party in Vegas!

 

 

 

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Hi, I'm Marissa.

I'm a first year SRNA. Here you can find some education & motivation, along with a touch of sass to keep you sane in a difficult but rewarding career path. Thank you for stopping by!
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For those who have been struggling with staying se For those who have been struggling with staying serious about COVID, wearing a mask, limiting gatherings, then this is for you. I’ve seen this trending, and it’s to show awareness of how COVID has affected so many people. 
⠀⠀⠀⠀⠀⠀⠀⠀⠀
I’ve talked to lots of my coworkers, and we can all agree that it’s hard for people to believe in something unless they have been affected by it. The goal of this post is to visually represent everyone that has been affected by this virus.
⠀⠀⠀⠀⠀⠀⠀⠀⠀
Post the hearts that relate to you:
⠀⠀⠀⠀⠀⠀⠀⠀⠀
❤️ Lost a loved one or friend to COVID.
🧡 Know someone who has lost a loved one or friend to COVID. 
💛 Have taken care of a patient with COVID.
💚 Have personally suffered from COVID. 
💙 Have a loved one or friend who has suffered from COVID.
💜 Have been an essential worker on the frontlines of this pandemic.
🤍 Have had a loved one, friend, or personally lost a job due to COVID. 
⠀⠀⠀⠀⠀⠀⠀⠀⠀
Here’s mine: 🧡💛💙💜🤍
⠀⠀⠀⠀⠀⠀⠀⠀⠀
What’s yours? Comment below and share, or repost to see how your followers have been impacted too. 💕
⠀⠀⠀⠀⠀⠀⠀⠀⠀
⠀⠀⠀⠀⠀⠀⠀⠀⠀
⠀⠀⠀⠀⠀⠀⠀⠀⠀
⠀⠀⠀⠀⠀⠀⠀⠀⠀
#frontliners #frontliners #nurseonduty #crnaschool #srna #srnalife #anesthesiaschool #nurseanesthesia #nursingschoolprobs #wearfigs #awesomehumans #frontlineheroes #frontlines #frontlineworker #essentialworker #covidicu #nursesofig #nursesareheroes
Santa Klogs are comin’ to town 🎅🏼 Comment Santa Klogs are comin’ to town 🎅🏼

Comment if you’re working > 8 hours/day?

> 3 shifts a week?

> You’ve developed back problems from working bedside?

Haven’t worn Klogs in a few years and definitely forgot how comfortable they are. Perfect for these COVID days - wipeable, anti-microbial, non-slip. These shoes are great for all of you awesome healthcare providers working long hours and need the extra arch support for better posture. @zappos offers 365-day returns on these shoes and tons of other styles too 👟👠👢

Check out my latest blog post for the full review!

#sponsored #zappos #zapposxklogs #klogsfootwear #walkwithus @zappos @klogsfootwear
💙🚨CODE BLUE 🚨💙
Do you remember your H’s & T’s?

🚨A PEA Arrest stands for Pulseless Electrical Activity. If the patient is on a monitor, you can see electrical activity on their EKG. But, if you feel for a pulse they’re pulseless. This can sometimes last a couple of minutes before they flatline. 

🚨This is really important to catch early. If I know my patient is circling the drain and I’m expecting a code... my fingers are feeling for a pulse nonstop, even if I see a normal EKG on the monitor. You want to catch them in cardiac arrest ASAP for the best outcome, and start compressions the second you lose a pulse, not wait for the monitor to show you. 

🚨Even if you’re not in the ICU with a monitor, if your patient codes it is still so important to run through possible causes of the code. These are your H’s & T’s!

🚨Codes are chaos, we all know this. It’s so easy to let the adrenaline kick in and be the first to grab the meds or start compressions. OBVI this is important but don’t get too caught up in the process that you forget to assess what caused the code in the first place. You can do compressions on an acidotic patient all night long, and they’re not gonna come back unless you treat the cause of that acidosis (push an amp of bicarb, treat the K etc). 

🚨It’s extremely important for the code team to communicate. Be the one to shout out possible causes and run through them with others. All of the interventions listed in this diagram can be life saving ✨

#acls #codeblue #icunursing #futurecrna #nursingeducation #criticalcarenurse #nursingschoolprobs #srnalife #srnaproblems #srnatocrna
HOW TO REMEMBER DRUG CLASSES BY SUFFIX 💊 ⠀⠀ HOW TO REMEMBER DRUG CLASSES BY SUFFIX 💊
⠀⠀⠀⠀⠀⠀⠀⠀⠀
🩸Anticoagulant: -arin
ex. heparin, warfarin
⠀⠀⠀⠀⠀⠀⠀⠀⠀
🤧Antihistamine: -ine
ex. diphenhydramine (Benadryl), loratadine (Claritin)
⠀⠀⠀⠀⠀⠀⠀⠀⠀
🤢Antiemetic: -azine
ex. promethazine (Phenergan)
⠀⠀⠀⠀⠀⠀⠀⠀⠀
💥Antiulcer: -tidine
ex. famotidine (Pepcid), ranitidine (Zantac)
⠀⠀⠀⠀⠀⠀⠀⠀⠀
✖️Proton Pump Inhibitors (✖️gastric acid): -prazole
ex. lansoprozole (Prevacid), omeprazole (Prilosec)
⠀⠀⠀⠀⠀⠀⠀⠀⠀
🦠Antiviral: -vir
ex. acyclovir
⠀⠀⠀⠀⠀⠀⠀⠀⠀
🧫 Antibiotics:
⠀⠀⠀⠀⠀⠀⠀⠀⠀
Aminoglycoside: -mycin
ex. vancomycin
⠀⠀⠀⠀⠀⠀⠀⠀⠀
Fluoroquinolones: -floxaxin
ex. ciprofloxacin
⠀⠀⠀⠀⠀⠀⠀⠀⠀
Tetracyclines: -cycline
ex. doxycycline, tetracycline
⠀⠀⠀⠀⠀⠀⠀⠀⠀
😞Antidepressants/Anti-anxiety
⠀⠀⠀⠀⠀⠀⠀⠀⠀
Tricyclic: -triptyline
ex. amitiptyline (Elavil)
⠀⠀⠀⠀⠀⠀⠀⠀⠀
SSRIs: -pram/-ine
ex. citalopram (Celexa), ecitalopram (Lexapro)
 fluoxetine (Prozac), sertraline (Zoloft)
⠀⠀⠀⠀⠀⠀⠀⠀⠀
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