monkeyman1000 replied to snowchaser1's topic in Oregon
Thought I'd drop in on the conversation. My fiance and I (actually I'm asking her on this trip) are going on a scouting trip this Sept.. We are traveling from Bellingham, WA to Redding, CA. Trying to decide on a place to move next year. I'm an RN...
monkeyman1000 replied to monkeyman1000's topic in MICU
I get that a lot too. It's really annoying when I've already explained to the family about art lines being the most accurate way of measuring the BP then the doc tells me to go by the cuff.
Does anybody do this? I usually try it on my art lines and CVP but when I get a wierd result, either no one knows what I'm talking about or they say ignore it. For instance, the last 2 days one of my patients had an art line and a CVP. I checked b...
monkeyman1000 replied to monkeyman1000's topic in CCU
No I didn't see any labs at that time regarding amiodarone. The standing orders in the chart normally for amio are what you said but the cardio specifically stated to keep him at that rate. Doesn't amio cause fibrosis? Anyway I saw the pt today a...
monkeyman1000 replied to monkeyman1000's topic in CCU
Thanks for the reply. No I didn't see anything like that in the progress notes but a rumor that the pacer settings had been changed during all this was somewhat passed on in report. I think that at the end of this year I'm going to switch to a CVIC...
Allright, I'm a relatively new nurse (2 yrs) and I have spent the whole time on Med/Surg and Trauma/Surg ICU's, no cardiac experience. I've had a patient off and on for the past 4 weeks who came in for cholecystitis with a resulting non ST elevated ...
monkeyman1000 replied to monkeyman1000's topic in Neuro
Sorry, Both patient's are in their early 20's. Both C5-C6 fx's. The resource I found stated that neurogenic shock occurs due to loss of sympathetic control resulting in, among other things, bradycardia. It went on to say to use atropine. My quest...
Hi, my question has to do with SCI's and bradycardia. When do you begin to worry about it? I've had two patient's with SCI's the last few weeks with HR's in the 40's; both had systolic pressure's in the 90's and above and the doc's weren't worried....
monkeyman1000 replied to JUSTYSMOM's topic in Emergency
Also thought this might be funny. During nursing school I did a brief rotation in an ER in a seedy part of town known for seeing all the drug addicts and prostitutes. The nurse I was following was straight out of the 60's and just not quite right, fu...
monkeyman1000 replied to JUSTYSMOM's topic in Emergency
Not sure if this qualifies or not but I'll put it out there. I'm an ICU nurse and we get our share of strange families (although it sounds like you poor guys are weeding out most of them, how do you do it?!!). Anyway had a patient who was in his late...
A PAC told me the same thing the other day. Here I was feeling all proud of myself for 'dumping him on his head'. The last hospital I came from that was what I was taught. If I ever have a raging fever please not the ice in the groin thing. Armp...
monkeyman1000 replied to mangubatmc's topic in Travel
Wow, I'm glad I found this site. Abetta was one of the companies I was looking into. I don't plan on trying to travel until this winter so I can get more experience before I venture out. I'll have 3 years by then. Anyway I'm disappointed, Abetta was ...
monkeyman1000 replied to CardioTrans's topic in CCU
Cardio, sorry about your horrible day. Be proud of yourself for still being human, I'd want you as my nurse. I don't know what your religious convictions are but there is a verse that helps me at times like this. "I will ransom them from the power ...