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Search Results Type: Posts; User: queenjulie

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  1. Magnesium for oxygen absorption?
    I got an ER admit today who has COPD exacerbation. The ER nurse reported that she was given 2 g of magnesium IV to help with her oxygenation. I'd never heard of such a thing, and neither had the most...
    Jul 4
    Forum: Cardiac Nursing
  2. Bleedind at PIV insertion site
    SummitRN is quite right--it's incredibly common to have a little blood leaking around a heparin or Integrilin drip, because they are anticoagulants. Now, if it's bleeding a lot, or the IV won't flush...
    Sep 15, '13
    Forum: Cardiac Nursing
  3. Coumadin therapy
    I'm on a primarily cardiac, high acuity step-down unit. Our Coumadin patients generally get a PT/INR every day or every other day, and if they're new to Coumadin, we refer them to our local Coumadin...
    Sep 14, '13
    Forum: Nursing and Patient Medications
  4. Lexiscan vs. stress echo
    I'm on a Step-Down tele unit, primarily cardiac, and I just realized that I don't know the difference between a Lexiscan and a stress echocardiogram. Can anyone explain? It seems to be the difference...
    Sep 14, '13
    Forum: Cardiac Nursing
  5. Pushing a Cardizem bolus
    Thank you! I thought I was going crazy when she said that!! I'm wondering if maybe she was thinking of Primacore. That makes me feel so much better!
    Jul 3, '13
    Forum: Cardiac Nursing
  6. Pushing a Cardizem bolus
    How slowly do you push a 20 mg Cardizem bolus on a person with afib with RVR? My patient was an elderly woman with stable BP but HR up to 150 BPM. I pushed her Cardizem bolus over four minutes and...
    Jul 2, '13
    Forum: Cardiac Nursing
  7. PCCN--is it worth it?
    Is getting a Progressive Care certification worth it? If you have one, did it help your career at all? I'm a relatively new nurse on a Step Down unit; I've been an RN for a year, so I'm just now...
    May 31, '13
    Forum: Cardiac Nursing
  8. petechia/purpura during dying
    I had a patient recently who was actively dying, and during her last few days, she developed petechiae and purpura essentially all over her entire body. It was more than usual, but I know that...
    Apr 3, '13
    Forum: Hospice Nursing
  9. Any ADN-BSN programs without ridiculous papers?
    Why would a college *not* require you to write papers? Learning to do research and write critical papers is a vital part of a college education--one of the most fundamental parts, in my opinion.
    Mar 14, '13
    Forum: Nursing Online Distance Learning
  10. Med/Surg Experience
    Honestly, our local psych facility is so understaffed that they definitely don't require anything but an RN after your name to work there. I'm sure they prefer med/surg experience or other psych...
    Mar 14, '13
    Forum: General Nursing Discussion
  11. Accuracy of Automatic BP machines?
    We used to have that kind of BP cuff, but our hospital got rid of them because of concerns about infection, so now we have disposable cuffs that come sealed, and we give each patient one on admission...
    Mar 11, '13
    Forum: General Nursing Discussion
  12. Accuracy of Automatic BP machines?
    How do you handle infection prevention doing it manually? Do you just constantly scrub them with wipes? I also work on a cardiac floor, and we have disposable BP cuffs for each patient for our...
    Mar 11, '13
    Forum: General Nursing Discussion
  13. blowing veins during IV starts
    How do you hold the skin taut, hold the needle, and release the tourniquet at the same time? I'd need three hands! ;) Seriously, though, I usually try to advance the cath with the tourniquet on or...
    Feb 18, '13
    Forum: General Nursing Discussion
  14. blowing veins during IV starts
    Thank you all for all your advice! This is great. A phenomenal IV starter at work told me yesterday something interesting--she said she always goes in the side of the vein, not down on the top of it....
    Feb 18, '13
    Forum: General Nursing Discussion
  15. blowing veins during IV starts
    Actually, at our hospital, we aren't allowed to start IVs in the legs or feet without a physician's order, because of the hazards of diabetic foot ulcers and circulation problems. I figured that was...
    Feb 18, '13
    Forum: General Nursing Discussion
  16. blowing veins during IV starts
    Thank you, everyone, for your advice! Yes, I'm getting the vein, getting flashback, but then when I go to advance the cannula, it just goes in a tiny bit and then sort of sticks, and the flashback...
    Feb 16, '13
    Forum: General Nursing Discussion
  17. blowing veins during IV starts
    I've been a nurse for seven months, and I'm doing well, except that I suck at starting IVs. In school I was almost completely unable to do them, and I've improved to the point that now I virtually...
    Feb 15, '13
    Forum: General Nursing Discussion
  18. cold compression after cardiac catheterization
    I'm a relatively new nurse, but I've been on a cardiac unit for seven months and have post-cardiac cath patients nearly every day. I've never heard of cold compression on a cath site--we mostly use...
    Feb 14, '13
    Forum: Cardiac Nursing
  19. Asking all nurses...need a consensus!
    I'm still a fairly new RN, but I don't think I've ever seen a PRN scheduled as BID or TID for exactly this reason--they are always Q8H or Q12H or whatever, so there is no question about the spacing...
    Jan 24, '13
    Forum: Nursing and Patient Medications
  20. Drinks at nurses station/desk
    Why on earth is it 80 degrees in your facility? Maybe you should ask maintenance to adjust the A/C. :) Seriously, though, drinks and food have never been allowed anyplace other than the nurses'...
    Dec 18, '12
    Forum: Nursing and Professionalism
  21. The most outrageous excuses from patients.
    How about, "I don't do cocaine! My girlfriend was snorting it off our coffee table, and I slipped and fell, and my face landed in a pile of it." Seriously.
    Nov 26, '12
    Forum: Nurses Rock
  22. V-fib refractory to an initial/second shock
    Oh, now it makes so much more sense! I have never heard anyone say "refractory to" when they mean "wasn't fixed by"--that's really odd. Thank you so much for clearing that up!!
    Oct 29, '12
    Forum: Cardiac Nursing
  23. V-fib refractory to an initial/second shock
    I'm a new grad who has been on a step-down floor for a few months now, and I'm getting ready to take ACLS. I've come across something I'm totally not familiar with, and I'm freaking out because I...
    Oct 29, '12
    Forum: Cardiac Nursing
  24. Would certain experience disqualify me from future employment opportunities?
    I would think that yes, some religious facilities would have a problem with that. On the other hand, do you want to work for a place that would not provide medical care that you believe is important...
    Oct 18, '12
    Forum: First Year After Nursing Licensure
  25. starting a nursing career in late 30's
    Don't worry! You certainly won't be the only one. I became an RN in June at age 34 with no previous medical experience except for some time as a hospital volunteer (I had a previous career in another...
    Oct 18, '12
    Forum: Nursing Career Advice


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