Carolyn. BSN, RN.
Pediatric Cardiovascular ICU.
Former Disney Cast Member.

Sometimes believer in magic.
Let's be friends!

Que sera sera
Sine qua non

People in this ICU class are such know-it-alls. I just wanna be like “hey guys I don’t know anything about ICU! That’s why I’m in an ICU class!” I KNOW everyone is in the same boat, but no one will admit it and it’s so annoying. Like this one girl was just doing CPR totally wrong and goes “Well I think this technique is more appropriate for children.” Bitch, no you do not. No one has ever taught you that your messed up technique is “better” so don’t even play. You can even blame it on the dummy being difficult to compress (it is), but don’t act like you know a better way than everyone else when you clearly do not.

Anyway, instead of being an open environment for learning it’s turning into a make-everyone-else-feel-stupider contest.

Hypokalemia is associated with flattened P waves or U waves.

Hyperkalemia is associated with peaked T waves, wide QRS or prolonged PR interval.

Fluid Replacements in DKA

Fluid deficit + maintenance + replacement of ongoing urinary losses of >5ml/kg/hour

Dehydration percent = (weight loss / pre-illness weight) 100

Fluid deficit: 
5% dehydration = 30 to 50 ml/kg/24-48 hours 
10% dehydration = 60 to 100 ml/kg/24-48 hours 
15% dehydration = 90 to 150 ml/kg/24-48 hours 

1-10kg = 100ml/kg/24 hours
10-20kg = 1000ml + 50ml/kg for each kg above 10kg/24 hours
>20kg = 1500ml + 20ml/kg for each kg above 20kg/24 hours
>70kg = maximum of 2500ml/24 hours

If It Weren't For You (I'd Be Sued) from Justine Cooper on Vimeo.



Just watch.


noreasterly said: Hey there! I was wondering if you have any advise from personal experience or anecdotal experience what entering medicine is like for those with chronic illness? I've got a few limits with mine but I really, above anything, want to be a doctor, I just fear it's not feasible for someone with my illnesses. Thank you!

Honestly, I have no idea. I’m not a doctor and I don’t have chronic illness. Any of my followers wanna jump in?

When I’m trying to listen to my patient’s lungs but their family member wants to know what I’m doing, and when is the doctor coming, and how long have I been a nurse, and what’s for breakfast, and why aren’t you answering my questions, young lady?



We have a teenage patient who keeps hitting on the nurses. Our one female cardiologist pulled him into a room and gave him a talk about how his behavior is inappropriate and he needs to be respectful to women. Later during rounds she said, “I gotta watch out for my nurses!” Awwwwwww yea.

Anonymous said: I got offered two jobs and I can't decide if I should do PICU (it includes cardiac) or pediatric bone marrow transplant. I really like both! Do you have any suggestions or ideas for me to see which would be a better fit for my personality? Or how to pick? I eventually want to be an acute care PNP so I don't have a lot of time to work in both.

If your goal is to be a PNP, I’d probably go with PICU. You’ll see a bigger variety of diagnoses. I’m sure BMT is very rewarding, but it’s highly specialized.






Best lesson from a Disney movie

This is an underrated movie

This is a grossly underrated movie.

Can I take a minute to rant? Good. Cuz I’m gonna.

I FLOVE this movie. And I HATE all the stupid hatred it gets. For a long time the buzz was “finally a black princess yay!” and now everyone is like “Fuck this movie, first black princess and she spends the whole movie a frog.”

You know what? Fuck that. Because Ariel spent a good majority of the movie not talking. Mulan spent the majority of the move pretending to be a man. Aurora and Snow White? Asleep (Hardly in the movie at all). They’re all just plot devices, not designed to take away from the traits of the women. 

And you know what else? Unlike some of the other princesses, Tiana is in control of her destiny every step of the way. When she turns into the frog does she lose hope and need rescuing? Hell naw. She busts Naveen over the head and gets the job done. She is consistently responsible and capable even after having her dreams crushed and turning into a freaking frog. 

So don’t tell me that Tiana is “less than” just because she gets turned into a frog. She’s still one of the most hardworking, badass, and capable chicks in animated history and I love her like crazy cakes. 

the end. 

Also? She’s based on a real person. A real woman who is 91 and is still cooking in her kitchen. She’s still widely respected in the culinary community, she’s fed presidents, she’s had songs written about her and her restaurants. She’s 91, and she still wakes up every morning to run things, because she still believes in hard work and good food. And if you don’t think that’s truly fantastic, then you can just fuck right off.


OSU, who created this lecture? I need them to come to our next set of grand rounds. Please.

(Source: gincarlo)

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