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Search Results Type: Posts; User: TakeBack

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  1. Are NPs and PAs "Interchangeable"
    Thanks for all your feedback. I'm eager to hear more examples if you have them.
    May 16
    Forum: Nurse Practitioners (NP)
  2. Are NPs and PAs "Interchangeable"
    This is a great example. I agree that out of the box an NP with this specialty focus in training and RN experience wins hands down. I still feel that I wouldn't NOT recruit a position excluding...
    May 16
    Forum: Nurse Practitioners (NP)
  3. Are NPs and PAs "Interchangeable"
    The question for me is how to recruit. Is it appropriate to recruit for a position SOLELY to one or the other. Do you post the Surgical job ONLY to PAs, the Family Practice SOLELY to an FNP, etc.
    May 12
    Forum: Nurse Practitioners (NP)
  4. Are NPs and PAs "Interchangeable"
    Hello all, I am a PA and would like your feedback. When recruiting for any given position, do you feel that the hiring practice should have a preference for one credential over the other? E.g.,...
    May 12
    Forum: Nurse Practitioners (NP)
  5. Albumin/fluids and svr
    I think we're getting at the same idea from different sides.It's impossible to predict the result of one intervention (say, volume loading/increased SV) when the other variables are not fixed. It...
    Feb 27, '13
    Forum: CCU Nursing / Coronary / Cardiac
  6. Albumin/fluids and svr
    It is really difficult to say that volume loading will have any absolute effect on SVR. Resistance results from the interplay of flow (CO) and vascular tone. With fixed tone and CO the SVR would...
    Feb 26, '13
    Forum: CCU Nursing / Coronary / Cardiac
  7. Albumin/fluids and svr
    The main reason they require volume is due to the massive third spacing from cardiopulmonary bypass/inflammatory response, and the use of vasodilating agents for anesthesia and postoperative...
    Feb 26, '13
    Forum: CCU Nursing / Coronary / Cardiac
  8. Amiodarone help!
    why was the pt unresposive w/ a SBP 180? 300 amio IVP is usually given w/ VF/unstable VT. This sounds like hemodynamically stable VT if I'm reading you right.
    Oct 2, '12
    Forum: CCU Nursing / Coronary / Cardiac
  9. Another question about Amiodarone
    The pacer will protect the pt from bradycardia caused by dual therapy, but NOT from potential ventricular arrhythmia 2/2 dig toxicity. Levels should be monitored.
    Sep 21, '12
    Forum: CCU Nursing / Coronary / Cardiac
  10. PA's make more $$ than NP's?!
    Here's the latest comparison, PA-NP head to head per specialty In some the difference is marginal, in others, significant. National Salary Report 2011 on ADVANCE for NPs & PAs
    Aug 16, '12
    Forum: Nurse Practitioners (NP)
  11. Nitro vs Morphine
    noncardiac chest pain- musculoskeletal pain esophageal spasm pneumonia/pleuritis PTX abd source etc
    Dec 12, '11
    Forum: CCU Nursing / Coronary / Cardiac
  12. static electricity & temporary pacers/cvc's
    I've never seen it happen. A central line would be essentially impossible since the line material is nonconductive. There is a theory that exposed temp pacer leads can deliver static discharge. ...
    Nov 29, '11
    Forum: CCU Nursing / Coronary / Cardiac
  13. tachycardia, left pneumonectomy
    Bengin in spectrum of postoperative complications, overall arrhythmias, and epidemiologic data on liklihood of acute decompensation. Numbers are numbers.
    Oct 24, '11
    Forum: CCU Nursing / Coronary / Cardiac
  14. tachycardia, left pneumonectomy
    certainly- just sharing my clinical experience. My Masters specialization was in AF and I have taken care of easily >1000 AF pts. Most tolerate it, FWIW. Instability is rare and the most common...
    Oct 23, '11
    Forum: CCU Nursing / Coronary / Cardiac
  15. tachycardia, left pneumonectomy
    AF in and of itself is benign. Having dealt with easily >1000 pts with AF, most tolerate it very well. I have had to cardiovert pts for instability but it is rare. As I said above the greater risks...
    Oct 23, '11
    Forum: CCU Nursing / Coronary / Cardiac
  16. tachycardia, left pneumonectomy
    There will typically be some shift after pneumonectomy. The concern for shift is with a tension situation- pneumo or hemo. Tension effects re assessed with echo, invasive monitoring numbers (swan)...
    Oct 23, '11
    Forum: CCU Nursing / Coronary / Cardiac
  17. Question about BP control in your ICU
    Cardiac Surgical ICU acute control, target < 150 SBP IVP- hydralazine, metoprolol/labetalol gtt- NTG, nicardipine, fenoldopam, esmolol
    Oct 22, '11
    Forum: MICU / SICU Nursing
  18. tachycardia, left pneumonectomy
    I'm thinking you meant A fib, not V fib? Your initial rhythm was likely AF, flutter, or an SVT. AF is extremely common after thoracic procedures- cardiac, pulmonary, esophageal. The numbers for...
    Oct 21, '11
    Forum: CCU Nursing / Coronary / Cardiac
  19. Nitro vs Morphine
    I appreciate that- my point is that it's not a blanket statement. The OP posits a specific scenario- a pt with initial ECG changes and unreleived CP, refractory to initial medical therapy. The...
    Oct 14, '11
    Forum: CCU Nursing / Coronary / Cardiac
  20. Nitro vs Morphine
    the OP was discussing patients admitted to a coronary care unit...which means they have made it there on the basis of CP PLUS one of the following- ECG changes, enzymes, angina hx, family hx, or risk...
    Oct 13, '11
    Forum: CCU Nursing / Coronary / Cardiac
  21. Nitro vs Morphine
    Not everyone with CP. But patients with unremitting CP despite NTG and antiplatelet/anticoagulation, yes. Unless they are not a PCI/CABG candidate.
    Oct 5, '11
    Forum: CCU Nursing / Coronary / Cardiac
  22. Nitro vs Morphine
    Unremitting CP gets a NTG gtt and intermittent MS. And a trip to the cath lab.
    Oct 4, '11
    Forum: CCU Nursing / Coronary / Cardiac
  23. Albumin/fluids and svr
    -I've had one anesthesiologist give lasix in the OR but it is not common in my experience. BUT....every practice differs. Cardiac pts suck up volume so it would be an odd choice to diurese during...
    Sep 25, '11
    Forum: CCU Nursing / Coronary / Cardiac
  24. Can a nurse with associate degree get into physician assistant?
    Keep in mind that for now, you still have the option for the masters NP but you will need the BSN first. Also, NP education is structured such that you can work as an RN during the schooling,...
    Sep 6, '11
    Forum: Nurse Practitioners (NP)
  25. My moms CABG
    That's my point. Most are ready on POD#0. Perfunctory "rest time" is a thing of the past and has proven worse outcomes. All stable pts with adequate gas exchange should get a breathing trial on the...
    Aug 18, '11
    Forum: CCU Nursing / Coronary / Cardiac


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