zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Lung sounds

    zacarias posted a topic in General Nursing

    Hey all, So I work on a tele/stepdown unit and while I feel I'm OK at listening to lung sounds and distinguishing them, I also get situations that make me feel like fresh newbie again. Last night...

  2. Lung sounds

    zacarias replied to zacarias's topic in General Nursing

    That's what it most likely was but I had him cough a couple times and it wasn't until I came back that he had them cleared. Now he IS a heavy smoker which could delay the atelectatic crackles...

  3. Fluid status

    zacarias replied to zacarias's topic in General Nursing

    Thanks all for your great responses!! I guess I was really tired when I wrote that. But what DC mentions above is what I'm talking about. Treating the massively third-spaced patient with major...

  4. RN Pay rates in Seattle and area

    zacarias replied to saskrn's topic in Washington Nursing

    Where was that she made $25?? All the hospitals in the Seattle area pay generally $21/hr now for new grads. Maybe with shift differentials a person could make close to $25. The pay should be more...

  5. Night Nurses-Pts think we sleep?

    zacarias replied to dosamigos76's topic in General Nursing

    Or when family members call at night and say , "Oh nurse, sorry to wake you up but I was wondering..." Actually, I'm a nightshift nurse and half or more of my shift is administrative stuff. Filing...

  6. Potassium piggybacks

    zacarias replied to starcandy's topic in General Nursing

    I agree that potassium should be given PO whenever possible. I will say that 40mEq in 250 ccs is VERY common even in renowned medical centers with top researchers. Fluid status may or may not be...

  7. Antidepressants and Hospitalization

    zacarias replied to DidiRN's topic in General Nursing

    I agree. If these doctors actually looked at the DSM-IV to see what true depression is, maybe they wouldn't be so quick with the

  8. Any HMA nurses???

    zacarias replied to KimRN41514's topic in General Nursing

    I work for an HMA facility in Yakima, WA. It is one of only two for profit hospitals in all of WA. Before less than two years ago, all of the hospitals in WA were

  9. Any HMA nurses???

    zacarias replied to KimRN41514's topic in General Nursing

    I work for an HMA facility in Yakima, WA. It is one of only two for profit hospitals in all of WA. Before less than two years ago, all of the hospitals in WA were

  10. Crackles on auscultation

    zacarias posted a topic in General Nursing

    Hey all, This is a question for all you experienced nurses out there. I'm a nurse with about 1 and 1/2 years experience and feel like I'm OK at listening to lungs and assessing for adventitious...

  11. Crackles on auscultation

    zacarias replied to zacarias's topic in General Nursing

    Sorry I posted this twice, I thought the first one didn't

  12. Anyone know what ANGILNEYNOTICENEMA is?

    zacarias replied to unikuelady's topic in General Nursing

    I just had a patient that came in with angioedema in the face. Guess what med she had just started on prior? Lisinopril!! That's one of the nasty, rorifice side effects of ACE

  13. WA board needs more action

    zacarias posted a topic in Washington Nursing

    Hey all, So I'm really serious about moving from Seattle to the Yakima Valley. Anyone have any tips on those hospitals? I love eastern WA and need a change (although Seattle's weather has...

  14. New Charge Nurse in LTC Rant

    zacarias replied to MikeLPN's topic in General Nursing

    Mike, Oh man I was exhaused halfway through your message. You're an awesome nurse to handle all that but I really don't think you should have to. Is the buck more an hour worth it? Hope your...

  15. What is the difference between EKG and ECG?

    zacarias replied to MJ-12's topic in General Nursing

    Yes, I guess I meant the US although I didn't know that about Australia. My goal was not to sound

  16. Vioxx recall??

    zacarias replied to oramar's topic in General Nursing

    Oh my lord, this is huge. Do you know how many people take Vioxx for pain?? MILLIONS! This is such bad

  17. Dvt

    zacarias replied to PHTLS's topic in General Nursing

    Once heparin level is therapeutic (happens usually pretty fast), how long do you guys have them on bedrest

  18. What is the difference between EKG and ECG?

    zacarias replied to MJ-12's topic in General Nursing

    To add to L'zbeth's comment, EKG was decided to be the universal term because ECG sounded too similar to EEG (electroencephalogram). They thought calling it EKG would then decrease any

  19. working in OREGON vs. WASHINGTON ????

    zacarias replied to Oregon Runner's topic in General Nursing

    I don't have objective data on me or anything but it has seemed that WA state has been a better state for nurses than Oregon in recent history. The hospitals in WA state are represented by good...

  20. Mt. St. Helen is waking up....

    zacarias replied to HannasMom's topic in General Nursing

    I was in Portland when St. Helens blew. I don't remember as I was only two. We shall see what happens this time

  21. Info needed for Thromboloectomy

    zacarias replied to sandylpn04's topic in General Nursing

    As far as I know, thrombectomy, thrombolectomy, and embolectomy refer to the same general thing. Essentially they all refer to using a catheter to remove a large clot from an artery surgically....

  22. Malpractice Insurance- Should I get it?

    zacarias replied to sweetpeannie's topic in General Nursing

    My question, is how would someone know whether a nurse had personal malpractice insurance? It's not like we say "Hi I'm your nurse today and I carry personal malpractice insurance that will pay BIG...

  23. "Angels of Death"

    zacarias replied to tmiller027's topic in General Nursing

    I'm reading a book right now about the infamous nurse serial killer, Kristen Gilbert. She used mostly epinephrine to kill patients. It's scary to imagine all that she did and what happened, but...

  24. I am afriad to work in a hospital

    zacarias replied to shalom's topic in General Nursing

    I'm sorry that you had problems in your last hospital job. I'm still recovering my last hospital job. It was a great job, I had been there a while and knew quite a lot of people. One day the charge,...

  25. Are you on pay when giving or recieving report?

    zacarias replied to oldhag's topic in General Nursing

    What does the Ontario Canada nursing board say about this? I would contact them and find out about employee law and if this hospital is not abiding by