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Remember it is all about cardiac output. EKGs are no big thing if the patient is perfusing. Treat the patient not the EKG. If the patient is decompensating it is because they are not circulating oxygen so put the nasal canula on at 4 liters, lower head of bed and call for help if a situation arises.
XOXOXO
Don't blindly give medications just because they're scheduled. When I worked a tele floor, I don't know how many times I had a pt hypotensive or bradycardic because the day nurse had given a beta blocker without bothering to check a BP or heart rate. I'll never forget the night I had to call a rapid response on a pt because the previous nurse had given 100 mg metoprolol with a BP in the 90's and HR 50-60.
kkenly
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I am an RN with two years of correctional nursing experience.. I was just offered a position on a tele unit :heartbeat in a nearby hospital. Of course I am elated at this oppurtunity and cannot wait to get started. However, I am very nervous because this is my first hospital position and want to do very well. I want to be overly prepared and was hoping for any pointers that may be out there!! I have my ACLS and I have basic knowledge about EKGs and rhythms..Wish me luck!