ark-two

Latest Activity

1. Acute Fatty Liver Syndrome of Pregnancy

   ark-two posted a topic in Ob/Gyn

   Hello, I recently took care of a pt w/ this diagnosis. She was 26 and her 4th pregnancy. She was healthy up until her 36th week. N/v set in, but her other children were sick, so she thought nothing of it. She did have the edema, but it was in all ...

2. pericardicentesis trays (HELP)

   ark-two posted a topic in CCU

   I've been put on a clinical practice council and a request is for us to change our pericardicentesis trays. A doc complained about the bulb drain. Our trays now have what looks like an oversized JP drain. Our old trays contained accordian-type dra...

3. Crash cart items

   ark-two posted a topic in CCU

   Hello, my fellow nurses have volunteered me to try to change some things in our crash cart. We have Rapid response team, which has been great, but we are finding some things missing for code blue situations. We are trying to get versed and Diprovan...

4. Last night...

   ark-two replied to zacarias's topic in Cardiac

   The cardioversion helped for about a week and then he converted back to afib, but it was more rate controlled. Guess they are going to coagulate him. Don't know what happened, since he left and went to rehab. What ever happened with your patient?

5. Last night...

   ark-two replied to zacarias's topic in Cardiac

   Had a gut who's hr was around 150 on amio @ 33 ml/hr. Tried dig IV and cardioversion. He was also a-fib. Had COPD. Amio did not touch his hr except around noon he would slow to the 80's afib and slowly rebound to the 140-150 throughout the day. W...

6. Alternative meds? You'll never believe this one!!

   ark-two replied to darla80's topic in Humor

   I've been told to place a cut onion on a burn to reduce the sting and swelling. Can't get near an onion without crying so never tried it myself. An old nurse told me to take a string and cut it in half. Tie one half to the wart and bury the other ...

7. Inventions we'd love to see....

   ark-two replied to Nurse-o-Matic's topic in General Nursing

   There is a silent pulse ox. We use them. I'm not sure of the brand, but they are out there.

8. RN to pt ratio @ your hospital?

   ark-two replied to plumrn's topic in Safety

   I work on TCU and generally have me the RN and 2 LPN (1 TCU the other Float). Oh yeah & 23 patients on monitors. Fortunately, I trust my TCU LPN's. The hospital has been working so that there are 2 RN's and 1 LPN all TCU. Unfortunately, the n...

9. Cardiology vs Amplified Stethoscopes

   ark-two replied to ItalianRN's topic in Cardiac

   I'm hearing impaired and have a Cardionics and the Litmann 4000. The Litmann 4000 is actually a really good stethoscope with the bell, diaphram and an awesome extended option. I can record heart tones and it counts the heart rate so I can concentra...

10. Charting Bloopers

    ark-two replied to AHarri66's topic in Humor

    had a nurse who signed off an order for IV Flonase. I went up to him with the Flonase bottle and asked how to inject and if one puff or two was sufficient. He got really mad! The order was for IV Furosemide. BIG DIFFERENCE. OH YEAH, he was our c...

11. Natracor and low bp

    ark-two replied to ark-two's topic in Cardiac

    I got the Starling's law and now it makes more sense. It was a complicated case and it was hard to watch a patient you have taken care of several times before be made a DNR for a condition you have treated him for before. I've been watching several...

12. Hearing Impaired Nurses

    ark-two replied to ark-two's topic in General Nursing

    I have a lot of trouble with background noise. I've found the in-the-ear canal digital hearing aids work wonders. They are adjusted according to your hearing loss. Therefore, only the tones that are weak are amplified and not all sounds. I do find...

13. Natracor and low bp

    ark-two replied to ark-two's topic in Cardiac

    No Swan's was done. He was in his 80's and a frequent flyer with CHF. No sepsis was involved because Blood cultures were neg, stool cult were neg, and sputum culture was wnl, along with ua nml. I understand the reason's for dopamine, dobutamine, L...

14. Hearing Impaired Nurses

    ark-two replied to ark-two's topic in General Nursing

    The Cardionics is rather pricey, but you do get a 3 yr warrantee on it. It has the headphones. You can find it at http://www.cardionics.com . The littman I purchased on ebay. Look up electronic stethoscopes on ebay and there are several to choo...

15. Natracor and low bp

    ark-two replied to ark-two's topic in Cardiac

    Appreciate the input. I didn't get to look any farther as far as lab wise or so forth, he was sent home with hospice. Thanks!! Just tryin' to learn!