miamiheatrn BSN

miamiheatrn has 9 years experience as a BSN and specializes in CEN, CCRN.

Latest Activity

1. FIU ACUTE CARE NP PROGRAM

   miamiheatrn posted a topic in NP Students

   Hi, I wondering if anyone knew anything about FIU (florida international university) rolling out with an AGACNP program somet time in the near future. This would be a great addition for them and the students as well. I have called and spoke to the di...

2. Best sedation med

   miamiheatrn replied to miamiheatrn's topic in General Specialties

   For example, just basic management of your intubated ICU patient. Particularly, the ones who are hemodynamically unstable with low BP's? In my ER we use Etomidate for pretty much all RSI's. Even sepsis which supposedly is contraindicated because of ...

3. Best sedation med

   miamiheatrn posted a topic in General Specialties

   Propofol? Versed? Ketamine? Precedex? Fentanyl? Etomidate? And why?

4. Chest tube (water seal chamber)

   miamiheatrn replied to miamiheatrn's topic in General Specialties

   So some bubbling can be expected in the presence of pneumothorax with or without wall suction?

5. Chest tube (water seal chamber)

   miamiheatrn posted a topic in General Specialties

   When dealing with pleuro-vac's is it true you wont have any intermittent bubbling in the water seal chamber when there is wall suction present? I understand gentle or intermittent bubbling in this chamber may be seen in the presence of pneumothorax. ...

6. Cardioversion without ECG leads

   miamiheatrn replied to miamiheatrn's topic in Emergency

   Correct, such as the new zoll defibrillators. But for most other like the phillips heartstart and likepacks I gguess you so need to connect the limp leads

7. Cardioversion without ECG leads

   miamiheatrn posted a topic in Emergency

   Question, can one cardiovert a patient with just the handsfree pads on the patient? Does the monitor's leads absolutely need to be on the patient also? I understand for pacing they need to be. What about for cardioversion?

8. Anterior vs. Inferior MI

   miamiheatrn posted a topic in General Specialties

   Hi guys, just wanted to refresh up on these. What are the differences in clinical presentation between an Inferior vs. Anterior MI?? Also, how does treatment differ before cath lab? Thanks!

9. University of Miami FNP Fall 2017

   miamiheatrn replied to RN2611's topic in NP Students

   Hey guys, I am also interested in starting in 2017 to the FNP track. Does anyone have any valuable insight on the program? It would be a dream come true for me to go to UM, but it is just soo expensive. I currently work at Memorial which partially pa...

10. University of Miami FNP 2016

    miamiheatrn replied to Laurenrobertson's topic in NP Students

    Hi Guys, for those of you in the part time NP program at UM. About how much do you guys pay per semester for tuition? Or fee per credit?

11. O2 while cardioverting?

    miamiheatrn replied to miamiheatrn's topic in General Nursing

    Got it , so it's safe

12. O2 while cardioverting?

    miamiheatrn posted a topic in General Nursing

    Hi guys, quick question I recently took ACLS not too long ago and wanted to ask a question. I was taught to remove oxygen sources from the patient while they are being defibrillated because of potential burn or electrical injury.. Is this the same fo...

13. Bradycardic STEMI

    miamiheatrn replied to miamiheatrn's topic in Emergency

    I work in a small ER just 16 beds so we only have a PA and an MD. This pt is still intubated in the ICU with cariogenic shock and low prognosis. Currently on levophed drip. Had this been a LV MI and pt was hypertensive could beta blockers/ ACE inhibi...

14. Inferior vs anterior wall MI's

    miamiheatrn posted a topic in Emergency

    Hey there! I need help understanding the course of treatment for when a pt has a right sided or verntricular MI vs. a left ventricular MI. Right sided you want to increase pressures and preload, while in left you want to decrease?

15. Bradycardic STEMI

    miamiheatrn replied to miamiheatrn's topic in Emergency

    Had this been a left ventricular MI, the pt would have had hypertension and tachyarythmias right? So the course of that treatment would have been NTG, ASA, morphine and beta blockers? No fluids in this case correct? Please excuse my ignorance.. Only ...