Catticus11

Catticus11 has 3 years experience.

Latest Activity

1. 6 Month Road Trip: What are my job options?

   Catticus11 posted a topic in Career Support

   I'm a critical care nurse at this time, with a total of 3 years of bedside experience. My boyfriend and I want to take a roadtrip around the country. Maybe spending a week or two in different cities. We don't plan to take this trip for a year, so I...

2. Myoclonus From Sedation

   Catticus11 replied to Catticus11's topic in Critical

   No, he originally came in c/o dizziness, so he went to a cardiac telemetry unit where he fell and hit his head. He was transferred to CCU after that, where he began to become Apneic and developed a respiratory acidosis per ABG, so he was intubated. ...

3. PPM and Magnets during Cardiac Arrest

   Catticus11 posted a topic in CCU

   I responded to a code blue, MD was already at the bedside because he was responding for new symptomatic hypotension. Patient was admitted two days prior for NSTEMI, and there was plan for cardiac catherization but Cr was elevated so plan to cath whe...

4. IABP waveform clarification

   Catticus11 replied to Catticus11's topic in CCU

   I'm sorry, I forgot to include that his EF per the cath was 50%. Per the CXR the IABP looked like it was in the right place. But waveform could also be affected by inappropriate position? When I put it in a 1:2 it did change, his unassissted pressu...

5. Treating Bipap Induced Hypotension

   Catticus11 replied to Catticus11's topic in Critical

   Hi! I love that an RT is on here. So yeah, when I was speaking with the cardiologist I asked the same thing, and he said his concern was from the fact that he has no history of COPD and that though compensated his CO2 was too high to just leave as i...

6. Treating Bipap Induced Hypotension

   Catticus11 replied to Catticus11's topic in Critical

   Yay, I'm so glad! You're always learning in this field, and this website's a great resource for new nurses like myself to discuss things with the more experienced RN, NPs, etc. Best of luck! :)

7. GIB s/p Cardiac Cath with Effient and Plavix

   Catticus11 posted a topic in CCU

   Patient was admitted to cardiac telemetry unit s/p cardiac cath, 1 DES was placed and apparently she was Effient loaded in CCL, and on Plavix cath lab. No baseline CBC or BMP collected per the records, but a recent previous admission showed a Hgb wa...

8. Myoclonus From Sedation

   Catticus11 replied to Catticus11's topic in Critical

   Thank you so much for the response. Would I treat seizures vs. diprivan induced myoclonus the same?

9. IABP waveform clarification

   Catticus11 replied to Catticus11's topic in CCU

   Thank you so much for your response! So a low diastolic pressure would merit the balloon pump sheerly for coronary perfusion? Is there a particular DBP value that they decide for that? Does the type and grade of lesion have anything to do for an IA...

10. IABP waveform clarification

    Catticus11 replied to Catticus11's topic in CCU

    So an equal assisted and unassisted diastolic is an indicator of poor offloading, in the setting of hypertension? Also, no I haven't tried manually timing. It was briefly reviewed to me by an older nurse (who also probably learned it in 1983 lol) bu...

11. ST depression morphology

    Catticus11 posted a topic in CCU

    So I had a patient who was awaiting CABG after an outpatient cath revealed 95% Left main lesions, 90% RCA, and 60% LAD. He was on a Nitroglcyerin gtt and IABP. He started to complaining of chest pain and it revealed 0.7mm ST depression in lateral le...

12. IABP waveform clarification

    Catticus11 posted a topic in CCU

    I had an IABP the other night on a patient awaiting CABG. 3VD, significant RCA and LMain involvement. The patient was slightly hypertensive on the IABP, he normally is on Lisinopril but they discontinued it prior to surgery. His pressures ranged f...

13. Understanding Inotrope Indications

    Catticus11 posted a topic in CCU

    So I've had patients who have CHF and receive weekly Milrinone infusions. I've also had patients who are awaiting Heart Transplants but weren't on any inotrope, but did have lower-ish BP. I've had patients with new cardiogenic shock who were placed...

14. Treating Bipap Induced Hypotension

    Catticus11 replied to Catticus11's topic in Critical

    Perfect, thank you so much!!

15. Treating Bipap Induced Hypotension

    Catticus11 replied to Catticus11's topic in Critical

    When I asked the nurse about the BP following Bipap placement, she said the BP remained normal. I don't think she was measuring the BP more frequently than q30min at the time, so I'm not sure how fast the BP dropped. So when the BP decreased, I sh...