keypit2yrself

Written protocols in hospitals advocating NTG for CP should rethink their practice. One of our cardiologists said that giving NTG to a patient w/ RV AMI is risky and he would not do it. We don't have standing orders for that very reason (756 bed -teaching hospital) In 9 out of 10 patients C/P NTG is probably beneficial. However, an earlier member said it best--a patient w/ a RV MI died following an administration of "routine" NTG. Oxygen, IV access, EKG w/ CP, and aspirin are fairly benign. Morphine is usually safe although I always go slow and dilute first. (Duh!) :redbeathe FIRST... Do no harm.

Thank you ALL so much. I do know this patient had a permacath. She had been on HD for a long time. She was on our telemetry unit for cardiac issues unrelated to the catheter. It sounds as if not all dialysis catheters are created equal and this discussion has shed some new light on the situation.

Hi I'm New to this forum. Also From the GREAT State of Texas. I have a question to post. Is it every OK for a patient w/ a temporary hemodialysis catheter in the femoral vein to ambulate????? Many of my colleagues say no, but the physician has written an order for ambulate as tolerated. What say you all you nephrology nurse experts out there?