heartrn4duke

heartrn4duke has 8 years experience and specializes in cardiac intensive care.

Latest Activity

1. Milrinone vs Dobutamine

   heartrn4duke replied to mark2climb's topic in CCU, Coronary, Cardiac

   Which one is used is based on renal function and should be used that way. Milrinone should never be used on someone with a creatinine > 2.5. It has a long half life and if not excreted by the...

2. Milranone and B/P

   heartrn4duke replied to MacNurse's topic in CCU, Coronary, Cardiac

   Tha fact that she didnt know that hypotension is the number on side effect that any competent cardiac nurse should know and if she had looked it up she wouldn't be asking. So thank you for for your...

3. Milranone and B/P

   heartrn4duke replied to MacNurse's topic in CCU, Coronary, Cardiac

   Milrinone vasodilates so yeah it lowers

4. iabp

   heartrn4duke replied to Feldner's topic in CCU, Coronary, Cardiac

   I depends on how the pt is. If he has IABP, vent, cvvhd etc he is singled. If the pt is a stable IABP then 2:1. It depends on the stability of the pt for assignments in our

5. Which pressor to use???

   heartrn4duke replied to cardiacRN2006's topic in MICU, SICU

   Sounds like an RV infarct in that case fluids and dobutamine for fill and squeeze. Intubate if needed. RV infarcts need fluid. Dopamine for quick response. Dopamine has some alpha effects too and is...

6. Is this common knowledge that I missed?

   heartrn4duke replied to USAstudent's topic in CCU, Coronary, Cardiac

   Levaquin isn't even on our formulary because of this common reaction. Levaquin has alot of interactions with alot of meds. We have system of which a pharmacist reviews every non emergency med ordered...

7. Easter considered holiday at your facility?

   heartrn4duke replied to Purdue_Nurse's topic in General Nursing

   Its not a holiday at my facility which is ironic because the university started as a divinity school and still has one of the largest divinity schools. Go

8. Criminal Record

   heartrn4duke replied to girtster1979's topic in Licensure: Criminal History

   Why do you move so much? This looks worse than a criminal record. This and your criminal record are what may be holding you back. Someone that moves alot looks "unstable " to an employer and state...

9. Question for the cardiac gurus

   heartrn4duke replied to Nurse1966's topic in CCU, Coronary, Cardiac

   Well these types of patients ballon up then in a few days when the RV begins to pump a little better they begin to auto diurese. Lots of times we monitor CVP to help monitor fluid

10. North Carolina Roll Call

    heartrn4duke replied to RNPATL's topic in North Carolina Nursing

    Hello I am a RN . I have been an RN for 8 years. I live in Lee County and work at Duke. I work in cardiac intensive care. I love it most days.

11. Iabp...

    heartrn4duke replied to BSN_DEC_2006's topic in CCU, Coronary, Cardiac

    Our policy is not because of the risks of clots. We have done it in emergent situations but it is frowned upon due to the increased risks of clotting ot air in aorta.

12. Question for the cardiac gurus

    heartrn4duke replied to Nurse1966's topic in CCU, Coronary, Cardiac

    If you think about a right sided Mi can incule the Rv. Which affects preload and forward flow. So the tank needs to be filled to push the blood flow forward. The right side is damaged due to the MI so...

13. Views on New Grads Entering Critical Care

    heartrn4duke replied to ICUNurse11's topic in CCU, Coronary, Cardiac

    Some new grads do well some don't. I come from the school of thought that you should work on a floor or step down unit for a year. With the shortage though new grads will be taken into the units. I...

14. "Too unstable for transport"..........WHAT?!?!?

    heartrn4duke replied to TazziRN's topic in General Nursing

    His trop was elevated because he laid on the floor for 3 hours. He is probably in rhabdo and does need to be transported for workup. I work at a large university cardiac intensive care unit and its...

15. dobutamine

    heartrn4duke replied to samaletta's topic in Cardiac

    I am a CCU nurse and CVP is not an indicator of cardiac output. Many patients with heart failure have elevated cvp's , which is normal for them. The have large hearts. Heart rate, bp, urine output...