Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. Amiodorone bolus, biphasic cardioverting

    Usually, iv-push amio load is reserved for coding patients who are down... If your patient is being electively cardioverted, you're correct it should've been given over 10minutes. The biggest thing...
  2. Why do you like working in the CCU?

    I think the reason i like working intensive care so much is because "The Buck Stops Here..." Unlike any other unit/department, the patients in ICU either get better...or die. Back when i worked...
  3. what do you do?

    I agree with the above posters regarding dopplers...though another thing to take into consideration is "are his feet warm? equally? less so than before?" . Though you obviously need to let surgeon...
  4. Sheath pulls

    I've Never done that. Is it a SQ injection/infiltration??? Have you done that much, or still do
  5. Sheath pulls

    Jess...worst experience i had w/a sheath pull was a post-ptca lady w/alzheimers from a nursing home (why the hell the family and MD did this is beyond me...and stuff for ethical debate) . She was...
  6. What can cause the heart rate to drop during exertion?

    \Cardizem should be your biggest clue. It's typically given to patients to treat irregular rhythms (atrial rhythms....probably atrial fib)and/or slow them down. This med is a calcium channel blocker...
  7. ED vs Critical Care

    ...
  8. Chiropractors

    CHiropractors (in my opinion) are good for cracking backs and rubbing-out sore-spots. However, when they (and many of them do, unfortunately), delve into 'medicine' and start recommending herbs,...
  9. Pneumonia Question

    Also... a viral respiratory/chest infection can 'invite' a secondary bacterial pneumonia...which is the most common form of pneumonia caused by flu, etc.(bacterial pneumonia SECONDARY to viral...
  10. open heart visitation

    Our ICU beds are all private We (in general) have an open visitation policy...and i dislike it As far as post-op CABG... we've no set policy. What we generally do is after the patient rolls in from...
  11. Atrial Fib. Noninvasive Treatment

    ??
  12. Potentially unstable rhythms

    YOu're confusing the people who're reading this post for lack of a clear question. Your title is 'potentially unstable rhythm' then in post you ask what to do if a pt is in an unstable rhythm. 1) If a...
  13. OR patients bypass PACU for ICU

    Dont fret, ICU nurses arent dabbling in anesthesia stuff. What the OP was reffering to is patients being recovered in ICU rather than a stay in PACU. I would also inform the OP that when a patient...
  14. What can cause the heart rate to drop during exertion?

    Your concern is understandable...but the doctor is correct in not being worried. A heart rate in the 80's is normal...and if her heart rate is 'always 100's', thats probably not a concern either. The...
  15. Atrial Fib. Noninvasive Treatment

    dont think the OP wanted a regurgitation of ACLS algorhythms and such. And i didnt quite get the gist of your post...can you repeat
  16. Atrial fib. with PVC's?

    Good post...but you failed to read the other posts that said the same thing...without mentioning
  17. Hmmm. PLease take the nearest medical/nursing book (or internet) and look up pleural effusions. You'll soon realize you are as likely to catch an effusion as you are to catch a heart attack or cancer....
  18. Strippers in the ICU!

    Are any of you still stripping chest-tubes post open-heart? I know the trend has been to discourage it and only 'gently milk' the tubes if needed...then there seemed to be a resurgence of nurses ( at...
  19. Does anyone love their job?

    Some days i absolutely love it... Other days i absolutely hate it... Most days are in between. But...it's my opinion that once you 'get it in you'...you cant do anything else. Many nurses burn the...
  20. errr,..umm.. maybe it's hepA thats the poop-borne one. Regardless...dont put poopy fingers in your
  21. Yes, this is true...but you forgot poop. As long as you keep the pt's poop off your hands...or at least wash them before you stick your fingers in your mouth. Blood...and poop. Regardless of the...
  22. What can you just NOT take?

    Thank god for CNA's/Techs/fellows/INterns/Externs/Students, etc! (apologies for my occaisional abuse) All body fluids, vapors, humors, excretions, and secretions gross me out from time-to-time. I...
  23. What does a Respiratory Therapist Do That An RN Can't?

    I have a suspicion you're a member of ALLRespiratoryTherapy.com...or a RT student Lighten up a bit. Nurses are just
  24. to sedate or not to sedate...

    Just like he
  25. ER bashing...where is the love??

    Whats 'amusing' is that you're bothered by my last post. The idea of 'gout 30 years ago' is an extreme and silly example...and although you may be smiling and bemused while a floor nurse is drilling...