Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. placing atrial epicardial wire into ventricular port of pacer

    Dinith88 replied to graciev's topic in MICU, SICU

    OK...now it's obvious that the doctor who orders this is way wrong. In order to 'sense' and 'pace' the ventricle a wire needs to be physically on/in/touching the ventricle. If the wire that is doing...

  2. placing atrial epicardial wire into ventricular port of pacer

    Dinith88 replied to graciev's topic in MICU, SICU

    Hmmm. I wish i could pick this doc's brain. Ok...lets assume you're in 'ddd' with the leads switched....and the patient is in a marked sinus bradycardia...(and both leads are 'capturing') the 'a'-lead...

  3. placing atrial epicardial wire into ventricular port of pacer

    Dinith88 replied to graciev's topic in MICU, SICU

    I'd like to add, though, that if you're using the 'v' settings to pace the 'a' lead...then you should probably disconnect (rather than simply turning down) the other wire because the pacer could then...

  4. ICU VS. the ER?

    Dinith88 replied to Anna5M's topic in Emergency

    OK. should've read your stuff better. I think the reason i get so involved in er-vs-icu threads so much is because i've a chip on my shoulder regarding this stuff (inferiority complex?). I know you'll...

  5. ICU VS. the ER?

    Dinith88 replied to Anna5M's topic in Emergency

    The difference is that most ER nurses have an inferiority complex and constantly scream that "we're critical-care nurses too!"...(teasing) This is like beating a dead horse...but since the horse is...

  6. Trauma RN's - A question.......

    Dinith88 replied to JourneyCC's topic in Emergency

    I tend to agree with Afloyd (but i'm biased because i work ICU, my shifts in ER are limited to a handful). ICU nurses are given more autononomy (in the form of ordering labs,xrays, etc.),deal with...

  7. electrophysiology RNs?

    Dinith88 replied to wish2bRN's topic in Cardiac

    WE have a fairly busy EP-lab at the hospital where i'm employed. In general, it's rare (never happened) that they will hire a new-grad. It's a very specialized type of nursing...and most who do it,...

  8. Burnt out in ICU

    Dinith88 replied to PollyPutTheKettleOn's topic in MICU, SICU

    So...all your patients have squirty-poop that runs on the floor...you're 'not supposed to know lab results'...you're hoisting your squirty-poop people (who are intubated) into chairs...you're not...

  9. Returning wasted blood to a line?

    Dinith88 replied to aquaphoneRN's topic in MICU, SICU

    POint taken. It was perhaps naive of me to assume everyone was using a closed system. At my place we use 'safeset' blood-sparing draw-systems...similar (but different) than the VAMP system mentioned...

  10. Help With A Trauma Patient Case

    Dinith88 replied to Leng27RN,BSN's topic in Emergency

    just a clarification in case you mean something different... autonomic dysreflexia can be CAUSED by an over-full bladder in spinal-cord injured patients.... but to say a spinal-cord injured patient...

  11. Help With A Trauma Patient Case

    Dinith88 replied to Leng27RN,BSN's topic in Emergency

    NO. Not Autonomic Dysreflexia The answer is probably neurogenic bladder. Neurogenic bladder is an inability to void d/t nerve damage (in this case it's trauma). Autonomic Dysreflexia is more of a...

  12. Returning wasted blood to a line?

    Dinith88 replied to aquaphoneRN's topic in MICU, SICU

    Thats a good point... even on adults, a-line 'waste' is given back to patients. The difference between a-line 'waste' and cvc/picc-line waste is that a-line waste never hits air (it's contained in the...

  13. Returning wasted blood to a line?

    Dinith88 replied to aquaphoneRN's topic in MICU, SICU

    I'm unaware of any 'new' or 'current' literature that suggests returning 'waste' blood may be safe... But, the reason we DONT return waste blood is simple...anytime you remove blood from your...

  14. Is ICU experience a requirment for PACU?

    Dinith88 replied to NessaNurse's topic in PACU

    It's usually NOT a requirement, though It'd certainly

  15. Leaving critical care

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

    OK i understand. I think it just depends on how people define 'success', 'failure', 'dead-end',

  16. New Grad in Telemetry.....advice please

    Dinith88 replied to SerenityR.N.'s topic in CCU, Coronary, Cardiac

    Congrats and good luck! As far as tele is concerned...remeber to treat the patient, not the monitor. (you'll hear this alot...and it's good advice) Many times a patient will develope a weird rhythm...

  17. Case Study...

    Dinith88 replied to manifesto_032's topic in Cardiac

    Ouch. Before you send me to nurse-jail, re-read my post...especially the last

  18. Leaving critical care

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

    Bite your tongue! I disagree with this statement to no end..and have a thousand reasons why it's wrong. And BTW, why would 'ICU' be any more of a 'dead-end' than any other unit (M/S, ER, ortho, etc.)?...

  19. CRRT question

    Dinith88 replied to gizdo's topic in MICU, SICU

    The other posters made mention of adding up every drop of output and input, including it in your calculations and all of that, and i'm sure you're doing it. To me it sounds more like you're confused...

  20. Case Study...

    Dinith88 replied to manifesto_032's topic in Cardiac

    THis is a no-brainer. If the guy is competent, you go by his wishes. UNfortunately, this is a hypothetical question (right?). However, if the situation were REAL then forget the ethics...

  21. They Win!!!(long)

    Dinith88 replied to emsboss's topic in General Nursing

    Yes a joke..perhaps a BAD man-to-man

  22. They Win!!!(long)

    Dinith88 replied to emsboss's topic in General Nursing

    Dude, It's cuz you're a dude. I hate that. Luckily i was able to survive that kinda crap and am still an ICU nurse. I just kinda think of them as my 'harem'...makes it

  23. crystalloid recusitation on pt with wet lungs?

    Dinith88 replied to geekgolightly's topic in MICU, SICU

    THis sentence says it all. Just know that sometimes lungs can be 'wet' and it wont be cardiogenic (due to weak heart/overload). ARDS is common in septic patients AND can be seen in trauma (without...

  24. funky situation + cardizem = eep!

    Dinith88 replied to Indy's topic in Cardiac

    You're correct that lowering the rate would've improved his cardiac output, unfortunately some people are sensitive to cardizem and their pressure takes a dive. Dig will work (and sometimes convert...

  25. Hematoma/ecchymosis?

    Dinith88 replied to zacarias's topic in Cardiac

    woops...i think i kinda mis*understood the point of your question in my last response... and i guess the point i was trying to make is that if the severely bruised area is pitting (like edema) on the...