Father still having fainting spells 2 wks after cath... - page 2

]I have a question......My father is having fainting spells where he is so weak he can't stand alone. He just had 6 stints put in 2 weeks ago. Drs. said this would help the probelm......it hasn't. ... Read More

  1. by   Salty1
    Quote from LButlerRN2007
    PLEASE EXCUSE MY MISSPELLING OF THE WORD STENT!!! I AM GLAD YOU FOUND IT TO BE SO AMUSING THOUGH. AT LEAST YOU GOT YOUR CHANCE TO DOWN SIZE SOMEONE ELSE TODAY. THANK YOU
    I am sorry that you misinterpreted my post. It was not intended to criticize your spelling. If you read the post again you will note that I asked if it was a regional usage as I note that other people responding to your original post also used the word stint. As a matter of fact, if you do a google search you will see several letters (primarily from lay people) utilizing the word stint in place of stent. It is simply that I have never heard the device called anything other than a stent. Upon further research, since I didn't receive any elaboration from anyone on this site, I found that Webster's Unabridged Dictionary indicates that stint is a variation of stent.

    I'm sorry that you took umbrage as it was not my intention, using your phraseology, "to down size someone".

    Salty
  2. by   angelique777
    To Matts mom I know you posted that statement to make sure no one relied on nurses to make decisions vs there own doctors and that information is appreciated since disclaimer are often needed.

    However I would have to say as well to balance things out a little often times persons who ask these questions often view nurses as patient advocates and ask the cardiac nurses questions in order to give a little light on the subject.

    Nurses are critical thinkers and providing information about what a nurse may think if her patient had these symptoms is important to post on a board cause it helps new nurses to process these type questions and information when there own patient have these symptoms.

    I think the person posting does not think that she can make decisions for her dad based on the BB and she is taking her dad to cardiologists but when you do not have family or friends who are knowledgeable on the subject then why not come to the board get some thoughts which will help you converse better with the cardiologist and physicians

    This topics helps new cardio nurses as well b/c it helps us think of our own patients who may get these symptoms and help us think of things we need to bring up to the PA and cardiologist on the units

    So I hope this helps b/c otherwise people would not post and the subject matter is important........these are symptoms that our own patients can get and we need to think about what could be going on and what to ask the cardiologist and who better to add to our list of resources that cardiac nurses.

    I say list of resources cause the nurse should be included in our list of resource material but not our sole source of course

    This is not a complaint post just a comment to balance out the subject a little ...cause we should not be afraid to ask even when it is personal cause we are adults and while important to remind someone and to make a disclaimer b/c that is needed today even for adults ..........we also need to feel free to ask and share with our fellow nurses to share there knowledge base not as a final answer but as simple a way to get you to think of other possibilities so you can ask questions with just a little more knowledge base even when it not your sole resource or final solution .......sometimes many questions can lead to some light to a subject

    Hope and pray that the solution is found and that your fathers cardiologist is on the ball so to speak...........take care and thanks for sharing
  3. by   begalli
    I'm sure they are, but make sure they're checking out his valves as well.
  4. by   tvccrn
    Maybe the problem isn't cardiac in origin. Maybe the fainting spells are caused by narrowed carotid arteries. A simple carotid ultrasound could help check this out. I know you said he had a carotid ECHO about a year ago, but itwouldn't hurt to have it checked again.
    Last edit by tvccrn on Mar 13, '05
  5. by   LButlerRN2007
    Let me first thank you all for offering advice and options my father could check into. He is doing some better. The doctors have taken him off of his blood pressure medicine and that seems to be helping. Thank you again for your posts.

    LButler
  6. by   dianah
    Good to hear that he's doing better. Sometimes it's (thankfully) such a simple thing . . .
  7. by   Hrtnurse14
    Quote from LButlerRN2007
    ]I have a question......My father is having fainting spells where he is so weak he can't stand alone. He just had 6 stints put in 2 weeks ago. Drs. said this would help the probelm......it hasn't. Does anyone have any further suggestions that might explain this. We really thought the stint placement would help but so far it hasn't changed a lot. Please help!!

    Just curious.. Did you find anything more out. I agree that he needs to be followed by a cardiologist and needs labs and an event monitor. He could also be orthostatic and recovered by the time you took vitals. Also, if he goes into a heart rythm that is very fast you might not feel all the beats in his pulse. Some times the heart will not perfuse when it is in a fast irregular rythm. Stents open up his arteries but do nothing for the electrical conduction system of his heart. Hope this helps.

    Hrtnurse
  8. by   Christian_SN
    tilt table test is a great idea... if + then the physician may look into placing a pacemaker or more stent/s
  9. by   Christian_SN
    Quote from Salty1
    I am sorry that you misinterpreted my post. It was not intended to criticize your spelling. If you read the post again you will note that I asked if it was a regional usage as I note that other people responding to your original post also used the word stint. As a matter of fact, if you do a google search you will see several letters (primarily from lay people) utilizing the word stint in place of stent. It is simply that I have never heard the device called anything other than a stent. Upon further research, since I didn't receive any elaboration from anyone on this site, I found that Webster's Unabridged Dictionary indicates that stint is a variation of stent.

    I'm sorry that you took umbrage as it was not my intention, using your phraseology, "to down size someone".

    Salty
    and what school did u (butlerrn2007) graduate from?
    S - I am nothing more than a mere nursing student and I know the word is indeed "STENT"
  10. by   austin heart
    Quote from Christian_SN
    and what school did u (butlerrn2007) graduate from?
    S - I am nothing more than a mere nursing student and I know the word is indeed "STENT"
    If you read her user name, she is a student as well. WHO CARES how she spells stent....That is not what this thread is about!
  11. by   cardiacRN2006
    Yeah, the first thing I thought of was BP meds. 6 stents--we call that a full metal jacket!
  12. by   Teachchildren123
    I agree entirely with you.
    I learned a lot from all the answers and could use all the critical thinking possible.
    Keep them coming. No one was trying to play God here.
    Just to show how brillant and great the quality of nurses participating in these discussions.
    Obvioulsly, one MD had to rectify his classic answer: "Oh! everything is fine!" , when all he had to do is modify the BP meds (If that MD would have been a nurse on tele he would have noticed that something like 90% of your pts with syncope needs readjustement with their meds!).
    :innerconf :flowersfo
    Last edit by Teachchildren123 on Jun 16, '05

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