brittkay70

we run mag and heparin together - i would have piggybacked the mg in with heparin as my primary - my guess is the burning was coming from the mag which was running to fast (2gm in 100ml over 1hr) I usually run 1gm over 45 min at max - on some pt.'s i have even had to run NS at a KVO rate like 10 or 20ml to dilute the mag - also i always use a pump with mg although i have seen some RN's run it on a dial-a-flow. but i guess in your case that point in mute b/c of course the heparin was on a pump

what can you tell me about angiomax? the other day I was trying to determine when i should call the CV tech to come pull sheaths - i was looking at things like when the case ended, what the ACT was at the end of the case, how much heparin was used at the end of the case....when all of a sudden a more experienced nurse whizzed by and said "was Angiomax used? if so then you should be able to pull sheaths sooner" I had no time to ask her about her comment or about angiomax...so what is it? thanks

Hi all - I am a new grad RN working on a cardiac stepdown unit...Could some one help me differentiate between arrhythmias caused by low K vs. low mg vs low Ca and what about if any of these electrolytes are high? thanks

Hi there- Just have a question....I am a new grad nurse and I got into a rather heated discussion yesterday with a more experienced RN about the way in which I handled my patients blood transfusion...could someone help set me straight? I work on a cardiac stepdown unit and my 64 y/o pt with no previous cardiac hx needed 2 units of PRBC and 4 units of FFP. She had a double lumen PICC and a 20gauge heplock in her hand. I chose to run the blood through the PICC and the use her heplock for the 10ml of Cardizem and ???ml of dilaudid she was getting from a PCA pump. I shut off her maintenance fluid until after the transfusion. The more experienced RN said I could have used the PICC line for both the blood and the meds by running the meds through one port and the blood through another. I think she is right IF the line had been a Central Line but because a PICC has a much longer catheter I was worried about the mixing of the blood with the meds on the ride to the SVC??? For future knowledge can anyone please clarify this for me???? thanks - britt