cardiacnurse05

cardiacnurse05

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About cardiacnurse05

Latest Activity

  1. night shift & sleep

    Thanks for all your responses. At least I feel like I'm not alone in this!
  2. night shift & sleep

    I have been working nights for almost 8 months now & feel like I sleep pretty well during the day for the most part. My problem is when the weekend comes around I am asleep more than I am awake. I will often take a "long nap" on Friday mornings s...
  3. Aquapheresis

    So here I am a couple years later to talk about aquapheresis. Myself, I have had 3 experiences with it & only 1 has really worked. What I mean by worked is the IV access. In 1, the extended length catheter worked, but failed in the other 2. We di...
  4. Staff Communication

    This is an issue on our unit too. We have stuff posted in the bathroom, breakroom bulletin boards, break room door, at the nurses station in 2 different spots and in our dictation/work rooms. The big problem that I see is that same thing is being pos...
  5. Intergrillin Gtts & activity levels

    We do not limit activity for people on integrillin gtts. We do not have a specific protocol, but we have an integrillin order set that outlines the care. Only limitations are no iv sticks.
  6. Rate your favorite Iowa hospitals

    Have you had any experience in the larger hospitals such as in Des Moines?
  7. nursing student/help/why still chest pain

    The risks of frequent PVC's is the increased likelihoood that the patient will develop V-tach. PVC's tend to become prevalent with ischemia. The lidocaine is given to stop the pvc's and is standard treatment. Nitroglycerin is a vasodilator which will...
  8. Aquapheresis

    Our unit will soon be performing aquapheresis for treatment of Heart Failure. It was trialed in our CCU and will be coming to the floor. I was wondering if any other non-critical care units are doing this and how it is going.
  9. Chest tubes

    The answer is D. A patient can go to x-ray as long as the chest tube is hooked to suctioning. You should never clamp the chest tube (unless changing the drainage container or when anticipating pulling it when the pneumo has essentially resolved) and ...
  10. Natracor and low bp

    I am surprised at the idea that many of the people that responded think the bnp in the 4000's is extremely high. We see patients all the time with bnp's that are in the 20,000+ range. I am also surprised to hear of natrecor being used in new chf. We ...
  11. Bnp

    I work on a cardiac floor that specializes in CHF. After attending a class on CHF taught by one of the cardiologists that is director of our heart failure clinic, I have learned that it tends to be more of a tool to measure heart failure over a lengt...
  12. What De-Stress technique works for you?

    I have been trying to do things to pamper myself lately. Whether it be a massage, a manicure or pedicure, exercise or shopping. Even though sometimes it is a financial burden, I have learned that taking care of me is what is most important. I have fo...
  13. Does your facility use PBDS testing?

    I work at Mercy Medical Center in Des Moines, Iowa and they use PBDS with all new hires.