Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. Dialysis and Lasix

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

    If she's truly anuric (not making any urine) then the lasix is an oversight...and not needed. If, as you say, she has '15% kidney function' then it can be assumed she makes SOME urine.In this case...

  2. Rapid Afib

    Dinith88 replied to zacarias's topic in Cardiac

    That sucks you were so busy!. And yes, it seems you did everything right and had your stuff in order. Amio may have been the next step i suppose, or perhaps some beta-blockers. The biggest thing...

  3. Level 1 too much for new grad?

    Dinith88 replied to cardiac.cure03's topic in MICU, SICU

    If you're jumping in to icu, dont fret about a 'level I' designation, that's not going to mean your 'work' will be any different. 'level I' simply means the hospital has surgeons on-site and available...

  4. is this typical?

    Dinith88 replied to shock-me-sane's topic in General Nursing

    woops. meant 'sick is not synonymous with

  5. is this typical?

    Dinith88 replied to shock-me-sane's topic in General Nursing

    Like everyone else has said, yep it's typical. SNF/LTC facilities are (*like everywhere else*) taking sicker people than in the past....again like others have said. What struck me from your post was...

  6. Emergency or Critical Care..Its up in the Air!!??!!

    Dinith88 replied to jellybeanmead's topic in General Nursing

    So true...and a great point. Thats one of the most difficult parts of ICU work... You're ALWAYS dealing with families in crisis mode. It's something ICU nurses eventually need get used-to (if not, bad...

  7. Family: The Monitor Monsters

    Dinith88 replied to Nurse-o-Matic's topic in MICU, SICU

    Thats so true...and one of my pet-peeves. I suppose it depends on my mood, but in general i try to explain the numbers and waves and stuff...and for the most part that alleviates alot of...

  8. pt report to ICU?

    Dinith88 replied to scrmblr's topic in Emergency

    come to er with new a-fib...so why worry about a recent gi surgery? NO-one here can speak for that particular icu-nurse...however, one reason i can understand why she asked you about this recent belly...

  9. Rapid A. Fib or PACs?

    Dinith88 replied to harley_fan's topic in Cardiac

    Telehead, you're spot-on. VicChic, your id says you're 22yrs old. if this is true, you're obviously new to the profession...and to telemetry. You're very eager and are obviously intelligent. You'll...

  10. Rapid A. Fib or PACs?

    Dinith88 replied to harley_fan's topic in Cardiac

    VicChic, you're stretching. Next time you're at work ask a

  11. Rapid A. Fib or PACs?

    Dinith88 replied to harley_fan's topic in Cardiac

    I understand where you're coming from, but its a little inacurate(like my spelling). In order for a p-wave (atrial contraction) to occur, the atrial myocardial cells have to be 'loaded' or all...

  12. Rapid A. Fib or PACs?

    Dinith88 replied to harley_fan's topic in Cardiac

    I concur with everyone else who said that it is impossible to have PAC's in a-fib. Heart must be in a sinus rhythm to have

  13. Question about heart failure

    Dinith88 replied to Medic2RN's topic in CCU, Coronary, Cardiac

    Holy Heart Failure! Medic2rn, i 'think' the answer to your question is this: 'Systolic' Heart Failure happens when the Left Venrticle is failing to pump (for whatever reasons) and is directly related...

  14. Giving baths on CCU

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

    That is the major perk for NOT working midnights on my unit :) , Actually, we have the luxury of nurse-aids/interns who do any baths that may be needed. So our nurses skip out of most of

  15. Causes of right atrial dilatation?

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

  16. Causes of right atrial dilatation?

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

    The most common causes are 1) Any Rt right-heart valve stenosis (pulmonic, tricuspid) will cause rt atrium to work hard and eventually 'bulge/dilate'. 2) SEvere pulmonary disease/copd or any other...

  17. Telemetry Monitoring

    Dinith88 replied to ccurn1's topic in CCU, Coronary, Cardiac

    I think telemetry techs in any unit with a ratio of 3:1 or less is a waste of money. Perhaps i'm spoiled but the mixed ccu/icu i work our ratio is never greater than 2:1. Our unit does very well...

  18. ICU Psychosis ?????

    Dinith88 replied to loricatus's topic in MICU, SICU

    Yeah, i hate that. Family asks why grandma is acting so out of her head...and all you can say is"..umm, that just sometimes happens..." They freak out and are convinced gramma had a stroke, and you're...

  19. Question about ECG....

    Dinith88 replied to jschut's topic in General Nursing

    An av-block has nothing to do with whether or not qrs is inverted...so yes, qrs can be inverted and still have an av-block. If you're concerned because qrs is inverted, bear in mind that qrs 'should'...

  20. From Ltc To Icu????

    Dinith88 replied to johnson0424's topic in MICU, SICU

    I agree with previous poster. Your best bet is ER. FNP's really dont have much of a place in icu... FNP's work under GP's who in turn kinda subordinate themselves to 'ologists' in ICU. ER, however,...

  21. back to med surg...can I give meds thru a permacath?

    Dinith88 replied to Shell5's topic in MICU, SICU

    In general...no. THese things are not to be messed with as they can clot-off, etc. HOwever...in urgent situations where you need access 'now', of course you would use it. I've used them in codes and...

  22. What should I do - brush with Hepatitis

    Dinith88 replied to joon's topic in General Nursing

    You're freaking out needlessly...you'll be fine. If you're sure you didnt smear the blood into an open area, and washed your hands 'within a minute' your chances of being ok are 99.999%. If you...

  23. st segment monitoring

    Dinith88 replied to rarjn5's topic in CCU, Coronary, Cardiac

    There is no relationship between the amount of st-elevation/depression and how high a troponin will or will not

  24. st segment monitoring

    Dinith88 replied to rarjn5's topic in CCU, Coronary, Cardiac

    Umm.ok. A mild bump in troponin combined w/elevated st-segment is very significant if patient is symptomatic. If patient is not symptomatic it gets a little trickier...as an example, diabetics are...

  25. st segment monitoring

    Dinith88 replied to rarjn5's topic in CCU, Coronary, Cardiac

    The st changes need to be seen in 2 related leads (inferior, lateral, anterior, septal, etc) to be considered significant. You'll find gazillions of info on this stuff with a simple google search. A...