fatoma

sorry thought u asked about cardiac...confused

Beta blocking agents are used for angina pectoris to decrease myocardial oxygen demand, this can be accomplished by lowering the heart rate and decrease myocardial contractlility, the heart reduces cardiac workload therefore decreases oxygen demand....it is also used post MIsin early stage accompanying the adminstration of thrombolytic agent which has resulted in reduction in the mortality of 15%....in heart failure class 2, and 3...for arrhythmias like A-fib or flutter...and in hypertension. antihypertensives are very important, like beta blockers, vasodilators like nitrates, ACE inhibitors, angiotensin II receptor blockers, Ca channel blockers, and diuretics besides anti-cloting agents(anti-platelet such as aspirin and anti-coagulant therapies like heparin, and warfarin) cholesterol lowering medications like Statin. positive inotrps...all these drugs and others are used depends on the patient's condetion and the surgery performed. this is in general, if you want to know about particuar medications we can discuss it here in detail regards

I am talking here about non-vented patient generally with or without tube feeding(the controversial here.. is HOB elevation prevent or reduce aspiration?)...can aspiration occur with HOB elevation when there is a decrease in mentation level?

from your experience and what you read from the literature...does head of bed elevation prevent or decrease the incidence of aspiration? thank you for any input

when it comes to wounds, I use sterile tecnique...those patients are at high risk for infection...we don't want to give those vulnrable patients another hit..our rule is to minimize this risk!!!

Thank you very much Dianah, I am referring to a patient with temporary pacemaker at the bed side...that's why I asked about the atropine b/c it increases the heart rate ...why is it not the first intervention? if the pacing failed what is the next step...is it the atropine? I am still a student and I want to construct the whole picture to be clear for me thank you again dear

hi every body, I am a nursing student and I need a help with examples to understand what is making me frustrated..I have an exam on experimenatl and quasiexperimental designs...I understand that in the first one we use randomization and we must use a control group for comparison, and we dont use randomaization in quasiexperimental...may or may not have a control group. in which research studies can we use expweimental design? in which research studies can we use quasiexperimental design? thank you

regarding respiratory part, in acute respiratory failure the pH is below 7.35(uncompensated) , but in chronic respiratory failure the PH is normal(compensated) b/s it has developed over long period of time such as in COPDs pts. regards

hey everybody, I am wondering how alkalosis and acidosis interfere with capturing and result in faliure to capture...is this some thing related to potassium level??? and why don't we use atropine immediatly in case of bradycarrdia? thank you

http://www.lhsc.on.ca/critcare/ucicu/procs/oralcare.htm this website includes guidelines for oral care for intubated patient to prevent VAP...besides of course head of bed elevation and hand washing. another issue her is the chlorhexidine which is recommened only for cardiac patient, not all intubated patients which I have just known and I am worried about it b/c all our ICU patients we use chlorheidine.. regards

I am still a student..and every time there is a code I try to attend cuz this will help me in the future to overcome the feeling of being in the place with my brain paralyzed...second time I tryed to listen to the medications they used and the entire procedure... after many exposures I hope that I can help cuz all the anxiety we feel comes from watching, but if we get involved in the resuscitating process this feeling and hard emotions will go and the rewarding feeling of saving lifes is what will remain

thank you for your replies I really appreciate I read lots of materials regarding oral care for a vent patient and tell now there is no standared protcol....what I found regarding contraindicating brushing the teeth is when chlorhexidine in use.

hi every body, I want to ask about the best mouth care can be delivered for a vent patient, specifically teeth brushing...my instructor said it is better not to use the brush for those patient beacause it leads to a certain harm...any idea what kind of harm it could be.. any help will be appreciated

HI EVERY BODY, i am a nursing student..i would be thankful if any answer clarify my question i had a patient post cabg.. on dopamine inotop.. in the meds the doctor ordered albumin prn..i know the albumin is important to maintain osmotic pressue but what i didn't get is why it is prn regards

well, I hate when they say the patient open his or her bowel, why don't just say BM or code brown..is it better ...isn't? fatima