Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. Question On Mi

    Dinith88 replied to angelique777's topic in Cardiac

    umm..actually no. a-fib is never considered svt. a-fib is a-fib even if the rate is 300. a-fib is called svt when it is fast and you're uncertain of the actual rhythm.(when it is determined that the...

  2. My first code ever...(any ideas on what happened?)

    Dinith88 replied to HappyNurse2005's topic in General Nursing

    Yep everyone is right. She vagaled, probably because she 'wretched/dry-heaved' because of the nausea. I once responded to an code where pt was in asystole, got rate back...transferred the guy down to...

  3. Question On Mi

    Dinith88 replied to angelique777's topic in Cardiac

    I'm not picking, i just disagree with your post. First off, a-fib and a-flutter (though techinically different) are very similar and treated the same way. If fact, you can even think of a-flutter as a...

  4. Question On Mi

    Dinith88 replied to angelique777's topic in Cardiac

    Thats a very bad question because there're way too many variables involved in an MI (one mi isnt the same as another mi, etc., etc.) Also, all those mentioned rhythms can affect people/mi's in...

  5. NS for CO

    Dinith88 replied to Cleveland-RN's topic in MICU, SICU

    Where i work, when we shoot them we use saline....HOWEVER, we dont shoot them any more. We use continuous output/index monitors that plug right into the swan. All of our swans are compatible with...

  6. Acls

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

    Dont sweat it. By the time you take it you'll already be doing lots of that stuff...and Any of the widely available self-study books and stuff like that will get you ready. Eventually you'll be going...

  7. Wenkebach

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

    Nope. It all depends on what is causing the rhythm. As an example, what if the rhythm is due to hyperkalemia (av-blocks are a common complication of high potassium)? Or perhaps drug effect (too much...

  8. NaHCO3 for BP?

    Dinith88 replied to hellonurse36's topic in CCU, Coronary, Cardiac

    We're not supposed to be And as far as your seeing a transient bump in blood pressure when administering bicarb bolus to really sick/acidotic patients, i'm not arguing with you about that...you're...

  9. NaHCO3 for BP?

    Dinith88 replied to hellonurse36's topic in CCU, Coronary, Cardiac

    It's funny, but i happened to be at work while reading this post. So, i grabbed the nearest cardiologist to get his input on the matter. Anyway, his opinion (of course he's only one of gazillions of...

  10. NaHCO3 for BP?

    Dinith88 replied to hellonurse36's topic in CCU, Coronary, Cardiac

    OR...i may be misunderstanding the 'recruit catecholamines' statement. I took it to mean that the bicarb will cause a release of endogenous catecholamines. If, by 'recruit' the person meant 'help the...

  11. NaHCO3 for BP?

    Dinith88 replied to hellonurse36's topic in CCU, Coronary, Cardiac

  12. Wenkebach

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

    Of all the AV blocks, Wenkebach is probably the most benign...(less likey to degenerate into complete AV disociation(sp?)/3rd degree AVB). As with any block, however, keep an eye on rate and blood...

  13. DRS ARGGGGHHH! Can't live with them, can't shoot them!

    Dinith88 replied to MrsWampthang's topic in General Nursing

    I agree with all that stuff. However, i am curious as to how 'frank' you're allowed to be at your place of employment? When taking care of these types, i'm generally up-front and honest with the...

  14. Need Help!!!

    Dinith88 replied to Indiana_Rn's topic in General Nursing

  15. Drs rounds......

    Dinith88 replied to Misty1's topic in MICU, SICU

    OUrs also come at

  16. Calling a code while agonal breaths continue?

    Dinith88 replied to geekgolightly's topic in General Nursing

    The doc that said it was unethical to cease coding an asystolic patient...'a few minutes after it was stopped' (after a drawn out down-time to boot!)...needs paddled on his intern-buttcheeks. He is an...

  17. boils....septicemia

    Dinith88 replied to BRANDY LPN's topic in General Nursing

    Do you suggest they go to the er immediately to have their potential sepsis-inducing MRSA-boils

  18. Incidence of pseudoaneurysm s/p cardiac cath?

    Dinith88 replied to HappyNurse2005's topic in General Nursing

    A 'pseudoanyeurysm' is simply an arterial puncture wound/rupture in which the bleeding has been 'walled off' (and usually stabilized) by the surrounding tissue. So, when imaging is done, this 'walled...

  19. Tell me what you do at Endoscopy center?

    Dinith88 replied to Luvbuble's topic in General Nursing

    you give sedation, you give enemas, you clean up the room/table before and after the procedure..and oh yes, you help the doc put cameras in butts and stomachs. 95% of the job. The other 5% varies....

  20. Evidence Based Practice - please help

    Dinith88 replied to New CCU RN's topic in CCU, Coronary, Cardiac

    Here's a good one: Show them the research that re-inforces the fact that higher/better nurse/patient ratios and staffing improves patient outcomes. However...i doubt your administration wants to hear...

  21. NaHCO3 for BP?

    Dinith88 replied to hellonurse36's topic in CCU, Coronary, Cardiac

    Terri, that patient was a corpse on life support and is surely dead by now. Whoever told you bicarb will 'recruit catecholomines' was wrong. It has nothing to do with bp....rather, in a persitent...

  22. burnout?

    Dinith88 replied to dietcokeRN's topic in MICU, SICU

    I have to agree with JiffyGRiff. I think your statement that the 'caring nurses' are being replaced by non-caring nurses who only want a pay-check is wrong. WE all deal with the awful stress of death,...

  23. Dialysis and Lasix

    Dinith88 replied to calmone's topic in Dialysis, Renal, Urology

    That wont work. Lasix doesnt make non-functioning kidneys suddenly start. The idea of 'jump starting' kidneys with lasix is a bad way of putting it. Sometimes, in patients with deteriorating kidney...

  24. Dialysis and Lasix

    Dinith88 replied to calmone's topic in Dialysis, Renal, Urology

    I'm not a dialysis nurse, however i do set up and run PRISMA machines (slow dialysis for critically sick/hemodynamically unstable patients). If you did indeed see a doctor put an anuric, chronic...

  25. Dialysis and Lasix

    Dinith88 replied to calmone's topic in Dialysis, Renal, Urology

    Yes, dialysis patients can be on lasix. However, if they ARE it's because they still make urine and the lasix is an adjunct to dialysis. The urine they make isnt 'good urine' in that it's not carrying...