joeyzstj LPN

Somewhere around there....for a 24 hour period. If you add in a vent and drips it can easily double. A vent runs about 1200-1500 a day. Consider that a bad of Cardene may run $500 or more. Saving someones life and sending them home to their family is...

No offense, but most of that sounds like things that other people are already assigned to do. Checking on patients on the floor that might need to go back? Are the floor nurses or step down nurses not competent enough to determine that and call the...

Robert Bojar's "Perioperative Care in Cardiac Surgery" should be given to every new person that comes into CVICU in my opinion. I had a CV Surgeon give it to me years ago and Ive convinced about 25 people in my unit to buy it, as well as the hospita...

I often reccomend that my new grads buy "Perioperative Care in Cardiac Surgery" by Robert Bojar. Its a great book that covers almost every aspect of what you need to know. One thing you can start on that is going to help you get ahead is to become ...

www.pacep.org has an entire hemodynamic quiz/education program. Im not sure if the administrators will allow you to view a link to another website in this reply, but if so check it out. Its very informative.

We have a CVICU, ICU and a CCU. CVICU takes all CVOR cases that our docs feel are too sick to be recovered in PACU. ICU takes Neurosurgical, trauma, ect. CCU is more of a medical management ICU for cardiac cases. Our heart program has about half ...

Give me the CRNA any day. I work with many CRNAs and MDAs closely every day. I will take a CRNA over and MDA any day of the week. I always laugh when patients come in the the hosptial insisting on requesting their Anesthesiologist. Im having a si...

Honestly, I just go by memory. I work with people who lose their minds if they misplace their "memory sheets". I orient a lot of new nurses. Some make up sheets based on body systems and some just jot down important notes. Meds are on the MAR, ve...

Think of preload in relation to a rubber band. If you remember back to Anatomy and Physiology class, there is an optimal point in which you can stretch a muscle fiber and it will have the most effiency. I belive its 120% of the orginal length of th...

Watch the Laura Gasparis disks and you will be fine. If you have worked the required amount of time to take the CCRN and watched the disks it really isnt that difficult.

DNPStudent........the more experienced nurse was possible right or wrong depending on what she was referring to as the method of tamponade. There are different types of chest tubes and drains. Pleural chest tubes sit in between the pleural space, M...

Think of the drugs joining at the Y in the tubing as a fast moving river with someone standing on the side with a garden hose driping into the river at a specific rate. No matter how fast the river moves, the rate that you are driping the garden hos...

Anyone here apply to Newman?

I do agree with that

Think about the need for a specific knowledge base when considering the statement that you just made. The brain is a very important organ.......argueably the most vital in terms of keeping the body alive. I made a comment in another section of this s...

Techinically anything 3 beats or over is a "run". Afib with RVR can turn into a run or a wide complex svt that is commonly mistaken for V-tach. Vtach is usually faster then 130 beats per minute. Im not sure what the patients history was, however a...

The national average weaning time is aprox 5 hours from hitting the unit until extubation. Some facilities measure times differently and perform reversals differently. We do a complete wake up in our unit, meaning that we dont reverse and they dont...

I hope Im understaning what youre asking correctly. Flow and pressure are related, but quite different. If you think about SVR/PVR which is a measurement we derive from MAP-CVP/CO x 80. The normal for this is approximately 800-1200 dynes. The mea...

That there are other pressors besides dopamine. And furthermore, dont give dopamine to a tachycardic patient. I swear, our ER doesnt know what Neo is.

Are you meaning the PA port or the VIP infusion port? We use the VIP port (infusion port) all the time. Ive never personally had to run anything through the PA line itself. In an emergency you can use pretty much anything you can find...........sw...

This sort of thing is what makes nursing school a joke in my opinion. Instead of working on things such as what a normal or abnormal QRS looks like or working a code or treating hypotension, they slam you with BS such as bed bath stress. Its almost...

First of all, CPAP doesnt treat Respiratory Arrest, so Im curious as to what her condition was after the arrest. You need something with a backup rate on it. In some cases BiPaP will suffice, and in some cases it wont........depending on what you u...

SIMV is pretty well the standard of care in most facilities for post-op hearts. This primarily has to do with the difference in the mechinism behind how each mode ventilates. A/C can cause a cyclic buildup of intrathoracic pressure which can lead t...

ITs happens to us all. Good Docs, Bad ones.............they all have their days. I live in an area that according to national STS data gets very very sick patients in comparison to the rest of the nation. This is due to comorbidities and people no...

Its funny you bring this up. I just attended a lecture where many examples of this were given. They showed how people place the V lead in say........the V3 spot and still use V1 monitoring on the monitor, or how people place limb leads on the belly...