SEOBowhntr

SEOBowhntr

Cardiac, Post Anesthesia, ICU, ER

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About SEOBowhntr

SEOBowhntr specializes in Cardiac, Post Anesthesia, ICU, ER.


Outdoorsy Redneck RN

Latest Activity

  1. Pulling Sheaths on a Cardiac Stepdown

    Good Post, pretty much sums up my thoughts. Having been pulling sheaths for just over 13yrs, I've seen quite a few go very easy, and I've seen quite a few go terribly wrong. If you're staffed 5-6 pt's to 1 nurse, then I'm not really sure that pulli...
  2. What to expect after CABG

    Mom'o'3, You can expect your Dad to have all of those things you mention, vent, drain tubes, even probably a couple of epicardial pacing wires. But MOST of the time, the ET Tube and Vent will be long gone before MN on the day of surgery. You need ...
  3. A Good CCRN Prep?

    Med-Ed has a pretty good review course that they offer various places. I attended one for my PCCN, and my wife for CCRN, and we both like "Cammy" House-Francher a little better than Laura Gasparis. Personal opinion of course, but we were both quite...
  4. Does your facility aspirate blood before removing a sheath?

    In all honesty, I think it's more likely "Dumb School." I can't imagine what a lot of people are thinking, then there are some I can't imagine are capable of thinking.
  5. elevated troponin cause

    Most people don't really understand Troponin. Troponins can elevate anytime the heart is overstressed and may become mildly hypoxic or poorly perfused. Cocaine use can cause it d/t the extreme elevated HR and BP, hypoxia can cause it such as in a C...
  6. Does your facility aspirate blood before removing a sheath?

    Not really necessary but it's not going to hurt anything to do it. Having someone keep negative pressure with a syringe while another pulls sounds a bit ludicrous to me. I've pulled a BUNCH of them over the last 13yrs (several as a Student working ...
  7. arterial & venous sheath

    Several good suggestions. I always had the NAVY thing as well, but I agree, they can be difficult to determine, especially if the physician sticks them right on top of each other. Most places I've worked, they've kept the arterial line on a transd...
  8. What would you do for this patient?

    and you have your answer here, you just don't realize it!!!! angie, the first thing we should worry about in a patient with prolonged hypovolemia is damage to the kidneys. since this patient really doesn't have kidneys to be too worried about,...
  9. IV cannula size/ overtesting

    I've yet to have a patient that I couldn't sufficiently give whatever I wanted through a 20ga IV, not including trauma or acute hemorrhage type patient. Think about what bore most central line lumens are.
  10. Lasix gtt

    I've checked at both q4 and q6, but always had the option to check more often if rhythm changes occurred.
  11. asthma - cardiovascular effects

    Ditto this, except the LEFT sided effect. Often times with severe COPD, Pulm HTN, the Left side of the heart is without any major problems, but you may start seeing Rt BBB due to the enlargement of the RV, then the RA also becomes enlarged. Sometim...
  12. Question about unresponsive patient.

    Confirm "pulselessness" in two leads???? Me thinks you're a little confused.....
  13. ER nurses taking over Chest Pain Center Duties

    i believe with that much experience you should be fine. you should already know how to read ekg's, and know the s/s of an ami, keep in mind what the ultimate goal for each patient should be, and you should be fine.
  14. New Grad on Cardiac/Stepdown Floor

    this is a very valid point.... i agree that it is nice to have set preceptor so you can get adjusted to things, but capture the opportunity to learn from a variety of staff, and once you've completed your orientation, you may have a little of the goo...
  15. Atrial Bigeminy?

    Atrial Bigeminy is a pretty common arrhythmia in post-CABG or valve replacements, and can often times precipitate into Atrial fibrillation. I've also seen it in quite a few patients in PACU, probably due to some of the hypoxia that they may have due...