Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. Heart attack stuff

    Dinith88 replied to banbulance's topic in Cardiac

    ....,

  2. right sided vs left sided blockage?

    Dinith88 replied to banbulance's topic in Cardiac

    Only if the patient is in heart failure/pulmonary edema..otherwise diuresing someone w/MI isnt part of the recipe... I think a bigger drug to watch is nitro...because you (ideally) will be giving it...

  3. Heart attack stuff

    Dinith88 replied to banbulance's topic in Cardiac

    BAn...once again we get into the grey area of 'relativity'... If you have inferior mi (w/rv involvement) you COULD POTENTIALLY have problems with nitro (or other drugs)...the key word being...

  4. right sided vs left sided blockage?

    Dinith88 replied to banbulance's topic in Cardiac

    .....

  5. SIMV vs. PSV

    Dinith88 replied to Scoobiedoo's topic in General Nursing

    umm...yeah all of that. The important difference that you should remember , though, is that IMV will initiate/deliver breaths (as an adjunct(sp?) to the patients own respiratory rate/drive), whereas...

  6. SIMV vs. PSV

    Dinith88 replied to Scoobiedoo's topic in General Nursing

    in a nut shell... IMV will deliver a set number of ventilations per minute...though the patient can still breath at his/her own rate/tidal volume/etc on top of these pre-determined breaths PS only...

  7. Posters that are not nurses

    Dinith88 replied to Cattitude's topic in General Nursing

    THats it. I'll always defer to experience. In essence, nursing school is about paying lots of money, putting in your time, and learning medical terminology...oh, and spending some 'clinical time'...

  8. Do CT scans always show a brain hemmorhage initially....

    Dinith88 replied to Spacklehead's topic in Neuro Intensive Care, ICU

    If the bleeding is significant...yes, you'll see it. The only reason you wouldnt see it is if it were VERY tiny. If your patient is symptomatic from a bleed, it WONT be insignificant and you WILL see...

  9. lose the attitude

    Dinith88 replied to christen13's topic in MICU, SICU

    I think... You've had a bad experience. Dont let a few dummies ruin your impression of critical-care. These people are EVERYWHERE...not just icu. Learn how to disregard them...your life will get...

  10. Need help with Temporary Pacers!!

    Dinith88 replied to ALCCRN's topic in CCU, Coronary, Cardiac

    You're correct in how you just explained it. It's a bit strange, yes? A simpler way of teaching it would be this... Think of the 'sensing' part of your pacemaker as an eye...and the patient's rhythm...

  11. 1:1 for CVVH?

    Dinith88 replied to bonodonnaonaroll's topic in MICU, SICU

    The whole point of CRRT is that the patient is too 'unstable' for conventional dialysis... If the unit routinely classifies patients on CRRT as 'stable', i'd be

  12. Advice needed - withdrawing life support & how to deal

    Dinith88 replied to just_peachy83's topic in MICU, SICU

    It sounds like you're emotionally 'together'...as these feelings are normal and you're able to recognize them. If you are a nurse (especially critical-care or ER nurse) you'll never get away from...

  13. right sided vs left sided blockage?

    Dinith88 replied to banbulance's topic in Cardiac

    Should've mentioned (didnt because i wanted to get my numbers right first) that in almost half of patients the SA-node actually gets its blood supply from the CIrcumflex artery...which is, of-course,...

  14. right sided vs left sided blockage?

    Dinith88 replied to banbulance's topic in Cardiac

    This is a good point. However, the RCA doesnt always feed the SA-node...so to make this blanket statement is a bit misleading. Also, the chances of an RCA/inferior MI knocking out the SA-node are...

  15. Heart attack stuff

    Dinith88 replied to banbulance's topic in Cardiac

    Thats the answer to your question. To put it as plainly as possible, the 'pressure' of the circulating blood in your vessels needs to be maintained at an appropriate level(pressure). If 'hypotensive'...

  16. right sided vs left sided blockage?

    Dinith88 replied to banbulance's topic in Cardiac

    Whoever told you that is wrong. Where they're coming from (i beleive) is that a 'right sided' (meaning 'right coronary artery' or 'inferior' MI) can (~40-50% of the time) involve the right ventricle....

  17. Question about my mother.

    Dinith88 replied to msunderstoood's topic in Cardiac

    Like the previous poster said...it raises some alarms. At first glance it seems your mom has fairly advanced lung disease (been on vent twice??) and/or chf/heart disease, etc...so it's a no-brainer...

  18. ICU to ED?

    Dinith88 replied to CaliRN29's topic in Emergency

    OK...read your own quote and you have the answer to your

  19. Need Help With Balloon Pump!!!!!!!!!!!!

    Dinith88 replied to adean's topic in CCU, Coronary, Cardiac

    Holy crap. If that were my relative..and the nurse who is taking him/her in a critically-sick state...the night before got tips on IABP's from the internet??? I would go ballistic. Either refuse this...

  20. ER or ICU for the New Grad

    Dinith88 replied to scholar's topic in General Nursing

    ICU first. ICU skills are valuable in the ER. You'll be good at taking care of the very sick people if/when you go to ER. MOst ER 'skills' (like juggling patients), on the other hand, arent really...

  21. mean arterial pressure

    Dinith88 replied to julie_hills's topic in Emergency

    Yes you're on the right track...but it's actually a bit simpler than that. Think of SBP as blood pressure at its highest, and DBP as its lowests...and MAP a constant or 'average' pressure in the...

  22. mean arterial pressure

    Dinith88 replied to julie_hills's topic in Emergency

    and want to add that Also... a person with a bp of 130/80 can have an AWFUL cpp if the icp is high...(in some cases a patient with a normal icp and a bp of 60/30 may have a 'better' (though obviously...

  23. mean arterial pressure

    Dinith88 replied to julie_hills's topic in Emergency

    yes but...you should clarify that you need an icp before you can calculate the cpp. So, in settings where you're unable to 'see' the icp, map is useless if you want a

  24. repiratory compensation

    Dinith88 replied to julie_hills's topic in Emergency

    Thats mostly correct, however 'blowing-off' CO2 doesnt 'regulate' HCO3...rather it just lowers the CO2 (in an attempt to 'regulate' pH). Think of it like this: the body's pH has to be within a certain...

  25. Innapropriate comment at CODE?

    Dinith88 posted a topic in CCU, Coronary, Cardiac

    I recently participated in a code-blue situation in which a doctor was having a difficult time intubating. At least 2 people (including the doc) remarked that the patient had a huge tongue. A comment...