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jloihle

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  1. heres a good one :) I work on a Tele floor with 3rd day Cabg PtCA and CHF etc... I had a pt go into fulminate pulmonary edema., I mean the man was drowning. Covered pt , called the intern and got an order......10mg lasix OMG,. needless to say had to call the senior resident.
  2. Hey all, I am a recent graduate "May 03" that works nights on a Tele unit. It was my understanding that not only is Plavix and ASA given pre PTCA it is highly recommended. The decreased platelet aggregation is a necessary component especially when you take in effect all the manipulation that takes place in the coronary arteries.Reducing the chance of thrombus formation. When I prep my patients for 1st case cath there is always this particular cocktail onboard. Lovenox and other anticoagulants are DC'd prior however. Jloihle
  3. jloihle posted a topic in Cardiac
    Hey all, Curious if anyone has experienced what Im going through right now..... I'm a recent Grad (May 2003) and have just passed my boards, thank god! I took a job on a Tele unit working 12hr nights 7P-7A. My co-workers say I am doing fine, I'm off orientation and functioning fine, however,.....There is SOO much to learn. Not that would shy away from that but it is as if im in shut down mode, since graduation the last thing I can do is drag my self to my table, "wonders if you all remember that particular spot you spent hours at studying" to study.Now I am functioning and taking a full load but I am always fearful of getting in a situation were my skills and knowledge are not enough for the situation. I have yet to have one of my patients code but this is an inevitable event.The funny thing is, this fear still isn't enough to encourage me to HIT THE BOOKS. I still have my coronary certification in front of me and then my ACLS but if I cant find my drive then who knows if I will be able to accomplish this. But the worst is the feeling that I don't know enough.Anyways I was wondering if anybody else has gone through this? Jloihle

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