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#RNLife πŸ©πŸ’‰πŸ’•

Another day of helping out with an emergent thoracotomy procedure at the bedside.

Indications for an emergent thoracotomy in the ICU typically include:
--Thoracoabdominal trauma patients with persistent SBP <70 despite vigorous resuscitation
--Evidence of cardiac tamponade or progressively increasing hemothorax
--Chest tube drainage
* >20 ml/kg initially (>1500 ml in adults)
* 3 ml/kg/he for 2-4 hours (>200 ml/hr for 2-4 hours in adults)
* Persistent bleeding (>7 ml/kg/hr)
* Persistent air leak (bronchopleural fistula)

The primary goals of emergent thoracotomy include the following:
--Hemorrhage control
--Release of cardiac tamponade
--Facilitation of internal/open cardiac massage
--Prevention of air embolism
--Exposure of the descending thoracic aorta for cross-clamping
--Repair cardiac or pulmonary injury

Complications typically include:
--Lacerations of the heart, coronary arteries, aorta, phrenic nerves, esophagus, and lungs
--Recurrent chest bleeding
--Infection of the pericardium, pleural spaces, sternum, and chest wall
--Post-pericardiotomy syndrome

Friend: How much sleep are you getting?
Me: Sometimes when I sneeze, my eyes close for a second.
#nurse #nightnurse #rn #rnlife πŸ’‰πŸ’ŠπŸ₯

Has anyone ever finished their charting on time?...

It was brought to my attention that I don't know how to follow directions. #rn #rnlife #forevercharting #butnothere

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After a long day at work, a nice Glass of wine is needed.
#rnlife #musclebear #beardlife #lovewine #menwithlocs

I hope you had a blessed SundayπŸ™πŸΎ. πŸ‘©πŸΎβ€βš•οΈπŸ’‰πŸ©

Ah, a homemade filipino meal 😀πŸ’ͺπŸ’¨πŸ’¨πŸ’¨πŸ’¨ #chickencurry #butterfish #filipino #postlifting #workout #fish #chicken #oolong #oolongtea #olives #RNlife

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This describes my day off after working 4 in a row....
#RNlife #NurseLifeAintEasy #NurseGoneWild

Just hours before her life was changed forever #rnotready #rnlife #otlife #comfortzone #october2016❀️

Baes for lifeπŸ’–πŸ’– I chose you and you chose me... Purpose; to love hard and be grateful for it all!

πŸ’–πŸ’–

The heart...outside the body lower half of heart... My big boy still has the top halfπŸ’–πŸ’–

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