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donotenter

donotenter

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  1. donotenter

    new onset afib

    that's why i called the pharmacy. to see if there was any medication on his profile for the afib. i didn't see anything "hear rate" or "blood" related. he was aox4 and says i don't know what afib is. i told my charge and she said "just watch him. wait until his heart rate goes above 120." anyway. thanks for all the replies.
  2. donotenter

    new onset afib

    i work night-shift and we have 1 provider for the entire hospital. however that isn't an excuse because the charge nurse tells me make phone calls for suppositories and medication to sedate confused loud patients or bed jumpers. sometimes, i wonder if it causes the charge nurses more work if i do my job properly. i am not a new nurse (7 years). just somewhat new at this location. my charge doesn't like to be challenged and i believe her ego (med surg 20+ years) gets the best of her. i think i rub her the wrong way when i ask questions. thing is, i am just trying to due diligence for my patients. this isn't the first time something like this has happened. ironically, she admitted a new onset seizures for observation. the md came up to the floor 15 minutes later and said the patient probably was syncopic and didn't seize. we need to send him to tele. i was the nurse, again. i swear she is trying to set me up to kill somebody. and i probably might if this keeps up. i am just trying to do my job and not create any animosity with anybody.
  3. donotenter

    new onset afib

    we've had afib patients on our floor before, but controlled with whatever medication they were prescribed. the admitting MD (not ER) wrote RRR on the CV assessment which makes me think he missed it? i called the pharmacy to see if the aspirin was enough as a "thinner" (anti platelet/coagulant) and and what medication is usually prescribed for afib. i didn't get a clear answer, except i should be asking the doctor. he probably slipped, is what i heard. he didn't display any signs of anything. my charge nurse said nothing is wrong with him. and we will call the doctor if the heart rate goes higher. so i sat outside of his room with a vitals monitor with the pulse ox attached my entire shift. bp was ok at 140s/90s
  4. donotenter

    new onset afib

    I admitted a patient for observation because he fell and couldn’t get up. Patient was obese (54.1 BMI). I am on a non monitored med/surg floor. History of congestive heart failure, diabetes 2, hypertension, hyperlipidemia, obstructive sleep apnea. Patient also developed new onset a-fib in the ER, from what I read in the EKG and ER doctor notes. I did not know this until he showed up to the floor. Heart rate 70s-110s, asymptomatic, for the most part. +2 Bilateral lower extremities edema we’re treating with lasix 20mg iv. Also ordered, aspirin 325 mg tab, and 50 mg of lopressor. I am not a cardiac nurse. What should I be doing about this new onset afib?
  5. This is my experience working at the California Medical Facility in Vacaville. I am in the process of looking for a new job. **** this place.
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