ark-two

ark-two

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All Content by ark-two

  1. titrating cardizem

    ark-two posted a topic in Cardiac

    Our TCU floor does not titrated cardizem gtts. What is involved with the titration of a drip. It would be nice if we could and cut down on patient expense. If the cardizem needs to be titrated,...

  2. Acute Fatty Liver Syndrome of Pregnancy

    ark-two posted a topic in Ob/Gyn

    Hello, I recently took care of a pt w/ this diagnosis. She was 26 and her 4th pregnancy. She was healthy up until her 36th week. N/v set in, but her other children were sick, so she thought nothing...

  3. pericardicentesis trays (HELP)

    ark-two posted a topic in CCU, Coronary, Cardiac

    I've been put on a clinical practice council and a request is for us to change our pericardicentesis trays. A doc complained about the bulb drain. Our trays now have what looks like an oversized JP...

  4. Crash cart items

    ark-two posted a topic in CCU, Coronary, Cardiac

    Hello, my fellow nurses have volunteered me to try to change some things in our crash cart. We have Rapid response team, which has been great, but we are finding some things missing for code blue...

  5. Last night...

    ark-two replied to zacarias's topic in Cardiac

    The cardioversion helped for about a week and then he converted back to afib, but it was more rate controlled. Guess they are going to coagulate him. Don't know what happened, since he left and went...

  6. Last night...

    ark-two replied to zacarias's topic in Cardiac

    Had a gut who's hr was around 150 on amio @ 33 ml/hr. Tried dig IV and cardioversion. He was also a-fib. Had COPD. Amio did not touch his hr except around noon he would slow to the 80's afib and...

  7. Alternative meds? You'll never believe this one!!

    ark-two replied to darla80's topic in Nursing Humor

    I've been told to place a cut onion on a burn to reduce the sting and swelling. Can't get near an onion without crying so never tried it myself. An old nurse told me to take a string and cut it in...

  8. Inventions we'd love to see....

    ark-two replied to Nurse-o-Matic's topic in General Nursing

    There is a silent pulse ox. We use them. I'm not sure of the brand, but they are out

  9. Natracor and low bp

    ark-two posted a topic in Cardiac

    I recently had a patient who was started on Natracor gtt. His BNP was 4894!!! Bp in the high 80's and HR up to 200 for and steady in the 120-140. Cardiology was called and before the bolus of...

  10. Thnking of Hemo nursing

    ark-two posted a topic in Dialysis, Renal, Urology

    I am currently working on Tele and on our floor we perform peritoneal dialysis. During school we attended a hemo clinic and I was interested at the time. I am an RN but graduated may '05. I don't...

  11. RN to pt ratio @ your hospital?

    ark-two replied to plumrn's topic in Patient Safety Issues

    I work on TCU and generally have me the RN and 2 LPN (1 TCU the other Float). Oh yeah & 23 patients on monitors. Fortunately, I trust my TCU LPN's. The hospital has been working so that there...

  12. Cardiology vs Amplified Stethoscopes

    ark-two replied to ItalianRN's topic in Cardiac

    I'm hearing impaired and have a Cardionics and the Litmann 4000. The Litmann 4000 is actually a really good stethoscope with the bell, diaphram and an awesome extended option. I can record heart...

  13. Charting Bloopers

    ark-two replied to AHarri66's topic in Nursing Humor

    had a nurse who signed off an order for IV Flonase. I went up to him with the Flonase bottle and asked how to inject and if one puff or two was sufficient. He got really mad! The order was for IV...

  14. Natracor and low bp

    ark-two replied to ark-two's topic in Cardiac

    I got the Starling's law and now it makes more sense. It was a complicated case and it was hard to watch a patient you have taken care of several times before be made a DNR for a condition you have...

  15. Hearing Impaired Nurses

    ark-two posted a topic in General Nursing

    Hello, I'm heariing impaired, born with otosclerosis. I struggled through my first semester of nursing school, unable to hear some bp and heart sounds and breath sounds. I went to my ENT and he...

  16. Hearing Impaired Nurses

    ark-two replied to ark-two's topic in General Nursing

    I have a lot of trouble with background noise. I've found the in-the-ear canal digital hearing aids work wonders. They are adjusted according to your hearing loss. Therefore, only the tones that are...

  17. Natracor and low bp

    ark-two replied to ark-two's topic in Cardiac

    No Swan's was done. He was in his 80's and a frequent flyer with CHF. No sepsis was involved because Blood cultures were neg, stool cult were neg, and sputum culture was wnl, along with ua nml. I...

  18. Hearing Impaired Nurses

    ark-two replied to ark-two's topic in General Nursing

    The Cardionics is rather pricey, but you do get a 3 yr warrantee on it. It has the headphones. You can find it at http://www.cardionics.com . The littman I purchased on ebay. Look up electronic...

  19. Natracor and low bp

    ark-two replied to ark-two's topic in Cardiac

    Appreciate the input. I didn't get to look any farther as far as lab wise or so forth, he was sent home with hospice. Thanks!! Just tryin' to

  20. Natracor and low bp

    ark-two replied to ark-two's topic in Cardiac

    Cardizem gtt would be nice if his bp wasn't so low. A fluid bolus with a BNP That high, BUN and CR, possible Dehydration? A Demadex gtt would pull the fluid off better, or even a Lasix gtt with...

  21. Preceptorship!!

    ark-two replied to JenRN1983's topic in Cardiac

    Knowledge is power to a point. From what I've learned, you are best just to show your preceptor you are willing to learn. Ask questions and perform skills. Let the nurse show you and teach you and...

  22. titrating cardizem

    ark-two replied to ark-two's topic in Cardiac

    Our Tele floor we pull the Cardizem gtt anytime the HR sustains 60 or less and BP of 90 or less. Usually what happens is that the MD gets a call because the nurse had to pull the cardizem and the HR...

  23. Have any new grads been asked to be in charge?

    ark-two replied to christvs's topic in First Year After Licensure

    I work nights, graduated in April am in charge every night. Our charge consists of ER room placement and rapid response and code blue calls. I'm always on code duty, so I've gotten a lot of...

  24. Break anyone??????????????????????

    ark-two replied to nursesue71's topic in General Nursing

    I work nights on a busy TCU. There are 2 TCU in our hospital and we generally have 3 nurses on each floor for 23 patients. I am generally the only RN on my floor, therefore, not allowed to leave....

  25. Discharge orders you'd LIKE to write!!!

    ark-two replied to LoriAlabamaRN's topic in Emergency

    A discharge order I'd like to write: Chest pain does not mean that we will push 10 mg of MS q 5 min because you request it. The ER doc cannot refill your prescription of Darvocet, but he can admit...