2210485

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1. Baby Nurse in Progressive Care Unit

   2210485 replied to nurseg112's topic in CCU

   Yep acls manual, followed by critical csre nursing made incredibly easy and hemodynamic monitoring made incredibly easy. EKG skills need to be on point, get a good practice workbook and get started! Lastly consensus statements! 1 per day, everything ...

2. First time CVICU traveler

   2210485 replied to EllaBella1's topic in CCU

   How in depth do you want to go? If you wanna get into the weeds and don't mind some intense reading, I found this book for only $18! I cant vouch for the distributer/source however, it just came up on my shopping results. I own a copy and it goes dee...

3. EKG workbook

   2210485 replied to rbenoitRN's topic in Cardiac

   If you're still looking for this stuff I would recommend 2 books for you, a workbook with practice strips and an instructional book: I found a copy of this first books last edition for only $6! Ill post a link, along with a link to the newer edition!...

4. EP Nurses

   2210485 replied to SMYSJanie's topic in Cardiac

   I don't know the intricacies of Nursing, or how ya'll go about transfering. I do know what sort of expectations exist in the EP Lab however, and I don't see anything about that situation that would take away from your ability to perform in the EP lab...

5. Good Samaritan Law: Do you feel protected?

   2210485 replied to SouthpawRN's topic in Student Assist

   Same here... I frankly don't care who comes after me or what they have to say about it. In an Emergency I'll do my best to render aid. I answer to a higher authority at the end of the day. As a more spiritual person I am amply convinced that if somet...

6. AF RVR + levophed

   2210485 replied to zzyzx's topic in CCU

   Dang.. Old school. I actually had to review the HRS consensus on this, another thing we don't do here. Do you ever actually see these? It would seem only the cox-maze 4 with accompanying ablation is the way to go. Big stigma with Maze in general due ...

7. AF RVR + levophed

   2210485 replied to zzyzx's topic in CCU

   Nope, sounds about right. If the docs familiar with the patient, confident in the anticoagulation strategy and familiar with the burden and onset of the afib they should know if TEE is necessary. Those at greatest risk for embolism are people who go ...

8. cath lab-angiomax

   2210485 replied to joseph1990's topic in Cardiac

   Is it routine for you guys to use Bival at your labs? Going through school they hammered it into us.. Haven't seen it used since... What sort of protocol to you use to select appropriate patients for bival vs the run of the mill Heparin strategy? Or...

9. Paced and Vtach

   2210485 replied to FWRNCA's topic in Cardiac

   Yeah what?! Agreed with offlabel.. Theres numerous problems that could be going on. Paced patients are supoosed to have suppressed ventricles when they're being paced, not VT. Even if they have an ICD, burst pacing and shocks are ALERTS.. Events tha...

10. confused.. Non-conducted PAC vs Type II AV block?

    2210485 replied to nooneelse's topic in Cardiac

    Well, of course 8- 10- 8ms would be virtually impossible to determine in a 12 lead or even an intracardiac electrogram. Even a diagnostic ep catheter has a margin of error and at least some degree of limitation. If however you see like.. 80ms, 100ms,...

11. Pacemaker and irregularity?

    2210485 replied to brdavis17's topic in CCU

    Different strokes for different folks. Some,management strategies opt for rate control ithers are more heavy on rhythm control. For the rate control folks pacemakers are great for when you wanna ablate the AV Node (cause a 3rd degres Block) and just ...

12. ekg fun...or not

    2210485 replied to zacarias's topic in CCU

    I got 7 boxes on that qt personally, maybe 8. That's 280 ms, at a 240 ms coupling interval. I still land at 525 ms. Theres not even 10 boxes in that qt.. If the true uncorrected Qt was that long there would already be r on t occuring, assuming we're...

13. Online college

    2210485 replied to bemma's topic in Online Learning

    Madness lol.. It astounds me that such a program exists. Not that its bad, just sort of unfair.. Theres alot of folks in the medical community who are deprived of degree completion or bridge opportunities. I may be one of the few here thats not actua...

14. ekg fun...or not

    2210485 replied to zacarias's topic in CCU

    Second ekg is 100% afib though.. I opened it and said sss within like.. 2 seconds.. I'd be pretty stunned if proven otherwise.

15. ekg fun...or not

    2210485 replied to zacarias's topic in CCU

    So in terms of QTc his actual QTc based off the complexes i measured (the scary looking ones) is hanging out at roughly 520 ms. The key here is to actually determine the slope of the terminal t with a straight object, and meticulously identify the is...