TachyBrady

TachyBrady

Telemetry

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All Content by TachyBrady

  1. Nursing Dx for Anterior MI

    TachyBrady replied to TruDivaRN's topic in Cardiac

    Good job SM. Aspirin is a biggy. The doctor may also order Plavix and heparin or lovenox. If the pt is for a cath, I'm not sure if they would still get the heparin/lovenox (anyone know?). Possibly...

  2. Nursing Dx for Anterior MI

    TachyBrady replied to TruDivaRN's topic in Cardiac

    How about we start a care plan regardless of where the pt is. They may be in the field being cared for by an medic, in the ER with docs and nurses, in the cath lab, or on the floor after the fact with...

  3. Nursing Dx for Anterior MI

    TachyBrady replied to TruDivaRN's topic in Cardiac

    Gosh, it's been a long time since I worked with care plans even though I carry out the interventions frequently in my job. Ineffective tissue perfusion sounds like a good choice. You have an...

  4. Abberancy and RVR?

    TachyBrady replied to cardiac.cure03's topic in CCU, Coronary, Cardiac

    Abberant beats do not take the normal electrical pathway. Think of it as the electrical activity taking the long way around. The cells still depolarize but the conduction is slower because it is not...

  5. Professor claims Wellbutrin does not have a lethal dose

    TachyBrady replied to DrugReptoNurse's topic in General Students

    You are right noryn. I was wrong in likening a tylenol overdose to a wellbutrin overdose. After having read the info maolin posted, I see that seazures and death can occur but they are rare....

  6. Professor claims Wellbutrin does not have a lethal dose

    TachyBrady replied to DrugReptoNurse's topic in General Students

    p.s. surely to gosh your class mates have more common sense than to tell a patient to take a med other than

  7. Professor claims Wellbutrin does not have a lethal dose

    TachyBrady replied to DrugReptoNurse's topic in General Students

    I think what your professor is getting at is that an overdose of a tricyclic is acutely lethal causing cardiac dysrhthmias whereas an overdose of wellbutrin will not immediately harm a person. Like...

  8. Would you recommend nursing to your daughter?

    TachyBrady replied to burn out's topic in General Nursing

    Good

  9. patient family and nursing documentation

    TachyBrady replied to shilohmae's topic in General Nursing

    Up until a year or so ago, I thought we needed a doctor's order before allowing a chart to be copied and given to the patient. That was what I was told when I was a new nurse. Wrong! Where I work,...

  10. What the heck is this doctor thinking? Actually not thinking!

    TachyBrady replied to DutchgirlRN's topic in General Nursing

    When there is stenosis and narrowing of the carotids and other higher arteries (which can contribute to syncopal episodes) higher pressures are desired for brain perfusion. Not sure if this is the...

  11. Doctors that think they are god...

    TachyBrady replied to DebRN06's topic in General Nursing

    I respect your wishes and your right to want to be treated for everything and to live forever. I respect all my patients' decisions who feel this way. I have no problem carrying out the orders for...

  12. Doctors that think they are god...

    TachyBrady replied to DebRN06's topic in General Nursing

    DebRN06, I think you are very insiteful and compassionate as a "newer" nurse. burn out, I would like to ask you how you think you will feel when you are 72 or 102 years old, chronically ill with...

  13. Doctors that think they are god...

    TachyBrady replied to DebRN06's topic in General Nursing

    Very well said. The other thing we can do is support the pt/family in their decisions. Offer any information about further testing and procedures so that their decisions are informed. Try to be...

  14. Son of a bad patient

    TachyBrady replied to nursemike's topic in General Nursing

    We see this happen all too often, don't we? Cute nice little old things on admission but a few days later, confused, aggitated, and demanding. I have compassion for these folks because I know it is...

  15. Unbelievable floor nurses.

    TachyBrady replied to kjblack's topic in MICU, SICU

    Sounds like you've got some kind of ego trip going on. Good thing you were there to "save" this patient in your world of incompetent doctors and nurses! (sarcasm). Seriously, I applaud the floor...

  16. What are charge nurses like at your work place?

    TachyBrady replied to rn undisclosed name's topic in General Nursing

    At my place of work, the charge nurse takes a full load of patients. If possible, they are assigned an easier load. We do not have monitor techs. Our monitor banks are centrally located and...

  17. Question about my mother.

    TachyBrady replied to msunderstoood's topic in Cardiac

    If I were you, I would ask your mother what her wishes are. I would accompany her to discuss options with her PCP (not the surgeon). Before my Dad died almost 2 years ago, he endured multiple acute...

  18. st segment monitoring

    TachyBrady replied to rarjn5's topic in CCU, Coronary, Cardiac

    You are kidding, right? I don't know of any doctors who routinely sit at the bedside waiting to enterpret cardiac enzymes and EKGs. And those types of situations where there are elevations and...

  19. Nursing school or become a teacher?

    TachyBrady replied to busylady61's topic in General Nursing

    I agree. Look for a bridge program that offers evening and weekend classes and/or online classes. It takes a little longer than LPN but in the end, you'll be glad you went the extra

  20. I never thought...

    TachyBrady replied to gracie05's topic in First Year After Licensure

    Those doctors can be pretty sneaky too. One day I was informing the doctor that the patient's testicles were enlarged. As he examined the patient, he asked for my stethescope to listen for bowel...

  21. Really really screwed up....

    TachyBrady replied to pendragon1980's topic in First Year After Licensure

    I agree.... there must be more to this

  22. AAA at 45 ?

    TachyBrady replied to ItalianRN's topic in General Nursing

    Isn't that what John Ritter (Three's Company) died from... a disected AAA? He was relatively young. I had a patient last week with a AAA that progressed from 5 cm to 6 cm per her latest test (can't...

  23. the hug for Tweety thread

    TachyBrady replied to Ado Annie's topic in General Nursing

    :icon_hug:

  24. CAN you believe this! - Bad Portrayal of nurses in my local paper

    TachyBrady replied to purseOnalityRN's topic in General Nursing

    This was my first impression

  25. no monitor tech?

    TachyBrady replied to LanaBanana's topic in Cardiac

    vamedic, To tell you the truth, I don't know a whole lot about peciatric telemetry or PICUs. I do know how our telemetry unit is run and I feel confident in the safety of our system. My response...