Wile E Coyote ASN, RN

Critical care

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All Content by Wile E Coyote

  1. Wile E Coyote

    Problem with co-worker - called racist?

    Wile E Coyote replied to Nurse071094's topic in Patient, Colleague Relations

    EVS=Environmental Services...a frequently used alternative term for the Housekeeping
  2. Wile E Coyote

    "You make a valid point youngster!"

    Wile E Coyote replied to Emergent's topic in General Nursing

    Haha, Oscar Wilde, Shakespeare, and even Socrates all famously bemoaned the youth of their day...silly to think we'd stray from that looooong
  3. Wile E Coyote

    O2 while cardioverting?

    Wile E Coyote replied to miamiheatrn's topic in General Nursing

    Yeah, just don't use the Edison Medicine in a Croup tent or the like and it's all
  4. Wile E Coyote

    BP cuff over a PICC line

    Wile E Coyote replied to offlabel's topic in General Nursing

    How about increased incidences of clot formation and phlebitis in the catheterized vein under the cuff? That's compelling enough for me to avoid the
  5. Wile E Coyote

    Why do Critical Care nurses look down their noses at Med-Surg nurses?

    Wile E Coyote replied to marisatheresa's topic in Critical Care

    Collectively, yes on both
  6. Wile E Coyote

    Tuba City AZ or Fort Defiance AZ??

    Wile E Coyote replied to toadrn1's topic in General Nursing

    I can't speak about the housing, but you should expect to see snakes, spiders, and scorpions in rural AZ
  7. Wile E Coyote

    Post CABG patients

    Wile E Coyote replied to Brorn's topic in General Nursing

    4:1 max for cardiac stepdown, IMO. The first or first few times a big pt condition change is missed, I foresee the surgeons raining on Admin's parade. Cardiac surgery outcomes are HEAVILY scrutinized....
  8. Wile E Coyote

    Husband became a RN

    Wile E Coyote replied to NurseLady1210's topic in General Nursing

    Without another side to this story, I just fail to see much beyond the overbearing tone of resentment in your post. I have the image of a Bridezilla melting down over a frenemy choosing the same...
  9. Wile E Coyote

    Was I told wrong information?

    Wile E Coyote replied to LeahJess's topic in Emergency

    There are nurses on AN that say they are actively working different jobs as both medics and
  10. Wile E Coyote

    Bradycardic STEMI

    Wile E Coyote replied to miamiheatrn's topic in Emergency

    Great guess. Yes, the increased afterload from the Dopamine further restricts LV emptying aka CO vs the mildly lowered SVR from Dobut which works WITH its inotropic effects to reduce the ballooned RV...
  11. Wile E Coyote

    Bradycardic STEMI

    Wile E Coyote replied to miamiheatrn's topic in Emergency

    Cold-turkey withdrawal of chronic beta blockers can be bad juju for a really sick patient. A better approach is continuing with a reduced dose. Yes, even when the Dobutamine or Dopamine gtts are...
  12. Wile E Coyote

    Bradycardic STEMI

    Wile E Coyote replied to miamiheatrn's topic in Emergency

    In cases of chronic Beta-blockade, think of substituting Dobut or Dopa for a PDE inhibitor like
  13. Wile E Coyote

    Bradycardic STEMI

    Wile E Coyote replied to miamiheatrn's topic in Emergency

    In isolated RV failure, the resultant septal shifting (ballooning I mentioned earlier) into the LV/LA is what causes the hypotension (LV outflow is obstructed). Dopamine can worsen this outflow...
  14. Wile E Coyote

    Charge Nurse??? Try Ringmaster

    Wile E Coyote replied to Harveyslake's topic in Nurse Management

    4 bed ICU= small hospital with staff that tend to wear lots of hats. I think having responding staff be the most capable of handling the things that cause codes and rapids is a good thing. I don't see...
  15. Wile E Coyote

    Bradycardic STEMI

    Wile E Coyote replied to miamiheatrn's topic in Emergency

    Normotensive to hypertensive, yes. Per the law of averages, your patient more likely had more than just the RV infarcting, but the usual management you just correctly mentioned of the other culprit(s)...
  16. Wile E Coyote

    Should nursing programs be extended?

    Wile E Coyote replied to Libby1987's topic in General Nursing

    I personally have made the same statements typed by Commuter. Only just recently have I come to question this after seeing the deliberate tract AWAY from acute care hospitals which is only set to...
  17. Wile E Coyote

    Bradycardic STEMI

    Wile E Coyote replied to miamiheatrn's topic in Emergency

    In the setting of concomitant LV failure, along with inadequate response to temp pacing, then I agree. Otherwise, it has a place, but admittedly not as secondary or even tertiary therapy in a typical...
  18. Wile E Coyote

    Bradycardic STEMI

    Wile E Coyote replied to miamiheatrn's topic in Emergency

    A moderate fluid bolus followed by dobutamine gtt and transvenous pacing while waiting on cath lab. Avoid larger fluid challenges, as a hyperdilated RV will cause septal "bowing" or ballooning into...
  19. Wile E Coyote

    Can I transfer with an AAS in medical assistant

    Wile E Coyote replied to Jasminsiah's topic in General Nursing

    This is a nursing board, and thus it would be very rare for practicing PA's to be active on here. Check out a few PA schools and look closely at the entrance requirements. I'll agree that very little...
  20. Wile E Coyote

    "I work in the medical field"

    Wile E Coyote replied to CardiacDork's topic in General Nursing

    I bought a home in another town while keeping the same job in the original town. One night one of my kiddos needed ED care for respiratory issues. Of course, this means going to the nearest competent...
  21. Wile E Coyote

    I Hope You people are never my nurses.

    Wile E Coyote replied to honeyforasalteyfish's topic in General Nursing

    I too, tell my patients (that I feel can appreciate the humor), that "We hope to never see ya in here
  22. Wile E Coyote

    Trach for double/triple chins?

    Wile E Coyote replied to CardiacDork's topic in General Nursing

    1. Neck debulking/defatting combined with standard surgical trach techniques. 2. Modified percutaneous trach procedure using a standard perc trach kit for a neck that is first surgically dissected...
  23. Wile E Coyote

    The original RN license renewal

    Wile E Coyote replied to Sam. W's topic in General Nursing

    I'm chiming in to agree with Chare. I know of no need to maintain a license just because it's the 'original
  24. Wile E Coyote

    Racist surgeon?

    Wile E Coyote replied to tech22's topic in Patient, Colleague Relations

    I agree with Roser and Commuter. No wiggle room for cultural interpretation with 'buckwheat', in my
  25. Wile E Coyote

    Racist surgeon?

    Wile E Coyote replied to tech22's topic in Patient, Colleague Relations

    HaHa, if nursing ever loses it's appeal, I think this post highlights your bright future in politics or