2210485

2210485

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All Content by 2210485

  1. Baby Nurse in Progressive Care Unit

    Yep acls manual, followed by critical csre nursing made incredibly easy and hemodynamic monitoring made incredibly easy. EKG skills need to be on point, get a good practice workbook and get started! Lastly consensus statements! 1 per day, everything ...
  2. First time CVICU traveler

    How in depth do you want to go? If you wanna get into the weeds and don't mind some intense reading, I found this book for only $18! I cant vouch for the distributer/source however, it just came up on my shopping results. I own a copy and it goes dee...
  3. EKG workbook

    If you're still looking for this stuff I would recommend 2 books for you, a workbook with practice strips and an instructional book: I found a copy of this first books last edition for only $6! Ill post a link, along with a link to the newer edition!...
  4. EP Nurses

    I don't know the intricacies of Nursing, or how ya'll go about transfering. I do know what sort of expectations exist in the EP Lab however, and I don't see anything about that situation that would take away from your ability to perform in the EP lab...
  5. Good Samaritan Law: Do you feel protected?

    Same here... I frankly don't care who comes after me or what they have to say about it. In an Emergency I'll do my best to render aid. I answer to a higher authority at the end of the day. As a more spiritual person I am amply convinced that if somet...
  6. AF RVR + levophed

    Dang.. Old school. I actually had to review the HRS consensus on this, another thing we don't do here. Do you ever actually see these? It would seem only the cox-maze 4 with accompanying ablation is the way to go. Big stigma with Maze in general due ...
  7. AF RVR + levophed

    Nope, sounds about right. If the docs familiar with the patient, confident in the anticoagulation strategy and familiar with the burden and onset of the afib they should know if TEE is necessary. Those at greatest risk for embolism are people who go ...
  8. cath lab-angiomax

    Is it routine for you guys to use Bival at your labs? Going through school they hammered it into us.. Haven't seen it used since... What sort of protocol to you use to select appropriate patients for bival vs the run of the mill Heparin strategy? Or...
  9. Paced and Vtach

    Yeah what?! Agreed with offlabel.. Theres numerous problems that could be going on. Paced patients are supoosed to have suppressed ventricles when they're being paced, not VT. Even if they have an ICD, burst pacing and shocks are ALERTS.. Events tha...
  10. confused.. Non-conducted PAC vs Type II AV block?

    Well, of course 8- 10- 8ms would be virtually impossible to determine in a 12 lead or even an intracardiac electrogram. Even a diagnostic ep catheter has a margin of error and at least some degree of limitation. If however you see like.. 80ms, 100ms,...
  11. Pacemaker and irregularity?

    Different strokes for different folks. Some,management strategies opt for rate control ithers are more heavy on rhythm control. For the rate control folks pacemakers are great for when you wanna ablate the AV Node (cause a 3rd degres Block) and just ...
  12. ekg fun...or not

    I got 7 boxes on that qt personally, maybe 8. That's 280 ms, at a 240 ms coupling interval. I still land at 525 ms. Theres not even 10 boxes in that qt.. If the true uncorrected Qt was that long there would already be r on t occuring, assuming we're...
  13. Online college

    Madness lol.. It astounds me that such a program exists. Not that its bad, just sort of unfair.. Theres alot of folks in the medical community who are deprived of degree completion or bridge opportunities. I may be one of the few here thats not actua...
  14. ekg fun...or not

    Second ekg is 100% afib though.. I opened it and said sss within like.. 2 seconds.. I'd be pretty stunned if proven otherwise.
  15. ekg fun...or not

    So in terms of QTc his actual QTc based off the complexes i measured (the scary looking ones) is hanging out at roughly 520 ms. The key here is to actually determine the slope of the terminal t with a straight object, and meticulously identify the is...
  16. LVAD Implantation

    Yeah lol, not gonna be pausing any lvads. At some point when i have more time ill probably wind up researching some more information from the manufacturers. Im sure they have a manual or a powerpoint or something to utilize. They probably have reps a...
  17. Cath Lab or ICU for new grad

    I can definately see icu as a great background in terms of how to handle a code, and for being able to rapidly mix and administer meds. You dont necessarily get the same kind of case load when it comes to cardiac arrest in the lab. At the lab where i...
  18. Cath Lab or ICU for new grad

    Cath lab if you can. I dont necessarily understand the benefit of working in icu first and i dont entirely understand why its a requirement. Aside from getting alot of code blue experience.. The skills learned in the icu hardly transfer... Care durin...
  19. AF or AFL or Artifact

    Edit: ok so i downloaded it and was able to expand it a bit. 100% not flutter at any point. The cycle length is too short, basically it takes an electrical impulse a specific amount of time to travel from 1 area of the atria to another, if that time ...
  20. Is this considered Tele experience?

    If you reguarly looked at and interpreted ecg's then yeah why not? If youre comfortable lookong at telemetry and the prior job gave you that comfort you're fine.
  21. PVC's, APC's No Treatment?

    Of course! My clinical background is that of a tech not a nurse, currently studying and working in the EP lab. Prior to this my background was in intensive care, where i took a liking to Cardiac Pacing and decided to go back to hitting the books. In ...
  22. PVC's, APC's No Treatment?

    Respectfully disagree.. Aside from the elevated PVC burden that sustained Bigeminy can create, and subsequent risk for Electrically mediated cardiomyopathies down the line, Bigeminy alongside its cousins, couplets, triples, trigemini and quadrigeminy...
  23. LVAD Implantation

    Thanks for your reply dirpifan! As for mentioning pacers, i brought it up because one of our responsibilities here is pacemaker programming in the absence of the rep. We also handle outpatient programming for all the major brands. This is the setting...
  24. LVAD Implantation

    Hate to be 'that guy' but is it cool to backtrack to an even more basic level: From what I understand these devices are primarily bridges to transplant correct? I see these on extremely rare conditions... Mostly im only aware of them when they get in...
  25. What field should I go into?

    Id recommend taking an anatomy and physiology class.. Whatever section of a&p you enjoy the most and get a really high score in is probably the field for you to be honest. Give everything a fair chance and you might find youre actually really wel...