AmyCardsNP

AmyCardsNP RN, NP

Cardiology

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All Content by AmyCardsNP

  1. SLED (Sustained Low Efficiency Dialysis)

    CVVHD is ultrafiltration, which is not the same as hemodialysis. Ultrafiltration is the part of the hemodialysis process where fluid is removed from the bloodstream and is often done with the sole...
  2. Need some advice...

    I think the last 2 posts were great advice... stand up for yourself and don't let someone determine what you do with your career. But, everyone has a different personality and if you're not the type...
  3. Our open hearts are OOB within 2 hours of extubation with very little exception, whether the swan is out or not, and they generally ambulate three times on POD #1 (only twice if the swan doesnt come...
  4. Can you tell me what "tamponade precautions" is, exactly? Not sure what you would do? Take BPs more often? Check on the patient Q15min to assess heart
  5. I had a patient ask me this question the other day, and I dont think the answer I gave was very complete (read: technical) so I was hoping someone could fill in the gaps for me: After open heart...
  6. Lasix gtts

    Sounds dangerous to be giving potassium supplements Q4 or Q6 hours.... unless you're checking potassium levels prior to each supplement dose. Sure, the lasix drip (assuming it is increasing urine...
  7. Any good review test for csc?

    Oooooh.... I'd love this information as well! Any good tips about the CSC?? and kmihaek- Congrats on your CCRN; doesn't it feel great?
  8. Soo has any one heard of StO2??

    I haven't seen StO2 used at bedside, but I have read about it. Are you using it at your facility? I'm very interested to hear how it works as the articles I've read didn't explain the actual set-up on...
  9. secureing orogastric tube w/intubated pt

    I've asked the docs who complain about the OG being taped to the ETT what their rationale is for not wanting it taped there and the only answer I've gotten is that they worry that the OG will be...
  10. Direct Discharges from ICU/CCU

    In my ICU, we routinely discharge our CEAs (carotids) home from ICU. By evening the day of surgery, or the next morning, the patient is ambulating, eating, and his/her pain is controlled by oral meds....
  11. Iabp...

    The patient with a balloon pump comes from the cath lab, which is not a common place for central lines to be placed (in our facility anyways). And, as far as an A-line goes, we shy away from placing...
  12. Iabp...

    I recently took a balloon pump refresher course that was instructed by a Datascope rep and they recommend that you do NOT draw blood from the pump. But, on the other hand, on my unit (where we get a...
  13. DNRCC in the CCU

    I would love to know what the CC means as
  14. 8wk orientation? Hope I'll be OK

    In regards to your question about taking on a full load (2 patients) at this point in your orientation, my advice would be to make sure you feel completely comfortable with all aspects of single...
  15. re:Critical Care Course in UK

    I think it would depend on the program you are taking there in the UK- I'm sure the school would be able to tell you if the course was accredited in the US. Our schools are the things that are...
  16. Visiting Hours

    I agree with Ruby Vee's point of view on visiting hours... it's much easier to make exceptions in special circumstances when the family will be of benefit to the patient's recovery (or the patient is...
  17. CCRN Exam

    Hi Everyone... I am preparing to take the CCRN exam next year. I was wondering if anyone had any good study guides they've used or heard about. Most of the text that I'm finding online is 7-10 years...
  18. tech help in the unit

    That sounds like a tough situation. We have just one tech for our 26 bed CVICU and he helps with most bed baths and with getting patients up to chairs (plus doing supply and organizing equiptment...
  19. CCRN Exam

    Thanks for the help! And good luck to Robred and congrats to tammyg652!
  20. Changing BSA daily?? I don't think so...

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  21. eating our young?

    I, like many other people, are angered by reading many of these posts. I am a new grad in a CVICU (just 4 months in.. after a 3 month orientation period). I started on the unit at the same time as...