Okay,..maybe I'm just loosing my mind,...been on a cardiac/step down unit almost 8 years,..recently transfered to ER (which I love BTW),.every shift I learn something that I couldn't do on my unit that I will now do alot in the ER or many things that are just done way different in ER than on my unit,..this is good,....but Adenocard,...I've pushed Adenocard probably 100's of times on the unit,..not really even afraid of it anymore,.BUT,..unless I've gone crazy and am mixing up my meds here,..we ALWAYS check a Mg level,..or many times just give a 1gm mg bolus then push the Adenocard,...to prevent Torsades,....when I questioned other ER nurses about this they all looked at me like I was crazy,..might see not waiting for the Mg w/"unstable" pt,..but this guy was healthy,.BP 140/60, no SOB, O2 sats 98% ORA,.his heart rate was 200ish,...have I lost my mind??
