surferbettycrocker

surferbettycrocker

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  1. Coreg, dig, bradycardia

    would wonder if the doctor wants to check blood levelsof digoxin? sounds like you work as a VNA unlessyou are a lurker wanting medical advice:ninja:
  2. guidelines for BP

    always always obtain a 12 lead ekg with any CP FIRST. i would not blindly treat that CP without an EKG with active chest pain and post treatment to compare. as another poster said the patient could be having a right sided MI in which case you would n...
  3. honestly, how soon will you leave bedside nursing...

    ASAP! kudos to those who love bedside nursing it means i will be well taken care of from all the nurses who absolutely love it cant picture life without itifg*dforbid i should need to be in a gross hospital bed someday in my twilight years (which a...
  4. i agree with always checkin the 5 (or 6 ) rights . i truly hope that when its the elevenhundreth time you are slapped by the MRDD( as u referred) during the tenhundreth shift in a row you are working short with nary a supply you need in sight and and...
  5. You make the decisions on YOUR shift and I'll make the decisions on MINE

    i think alot of nurses think they will accidentally od the patient and maybe the apprehension is a guise for anxiety over potentially overdosing the pain med seeker (although how opiate naive would many 'fakers' be really). but overdosing a patient i...
  6. Electrophysiology RN??

    are you lookking to transition into working in EP lab? you could take a course on pacemakers and pacemaker concepts but did you work in cardiovascular surgical ICU? then you must have a good understanding of pacing concepts already iwould think?
  7. bp in heart failure

    ACEs and ARBs arent necessarily simply to control 'blood pressure' for HF patients per se sure the pills can reduce afterload but that's not primarily what these medications are 'good for'in HF. I would think a SBP of 90-100 is pretty good depending...
  8. Depression After Graduation...

    i dont think it was graduation that got you feelin depressed and restless i think it was quitting smoking!
  9. Nursing New Grad - Feeling Stressed and Discouraged

    as cliche as it sounds take it one shift at a time and if thats too much take one shift 4 hour blocks at a time. it sounds like the stress and anxiety you are feeling are actually fueling you to work hard just watch out for overworking youself too. ...
  10. help please! morphine side effects!

    the order for .01 ml should come with either a) magnifying glass to dispense .01 ML or b) clarification of said order to mgs. was she supposed to get 0.1 mg of morphine for ....? i suspect if you looked at it twice and mistook the 1ml for .01 ml ...
  11. Need Advice on Metoprolol

    i think more information of the patient condition is needed here (like who wrote the incident report a medical resident or a cardiologist:uhoh3:) before we ride away on the 'beta blocker overdose train'. sounds like something funky was going on bey...
  12. PCCN?

    i am using the ANCC book to study from anyone have any input/luck with these publications for studying for PCCN?
  13. HR drop/rhythm change during sleep..Would you call Doc?

    to the OP- iwould not have called at 3am for 'sinus' arrhythmia 40-50 which is not crazy for a sleeping person at all. again i know let's get the background and the whole story first./ for the person who replied that they "once had a lady brady to th...
  14. EKG strip help

    i would guess ths owner of this heart rhythm has history of af. does this person have a history of afib? you have a sinus with 1st degree av block and a bundle branch block then a burst of afib. you can have 'discordant' T waves in bundle (and left...
  15. Need some advice

    was this pacemaker really put in the patient in the OR? i would think that it highly unlikely. i would think holding plavix for a procedure and not an 'operation' is NOT standard. i would hedge a bet it was the lovenox that did it. would you give ...