Unjustified 'bashing' of any sort is the mark of a small, insecure person. However...it's a funny 'observation' that most 'bashers' are those who are receiving report/patient. The floor nurses get...
I beleive the latest studies encourage the insertion of OGT rather than NGT in intubated patients due to the increased risk of ventilator-associate-pneumonia. I think it has to do with passing the...
No, i'm unfamiliar w/the AtriCure ablation. How's it done? Is it less 'invasive' (and superior?) than one done(attempted) in an EP-lab? And as far as a reason for a-fib from AVR's (and any other...
Hey John, when i first heard about ablating a-fib i thought it was a lie. It goes against the whole 'conventional' ablation-stuff...or at least i thought. There're big differences though between...
Dinith88 replied to gizelda196's topic in MICU, SICU
By phone. Also, we're fortunate in that we have computerized access to lab results, x-rays, etc. So, if we want (or have time) we can kinda get a handle on things even before we get the call! It's a...
OK..i got ya. I think what threw me was the elective cardioversions being done 'in er'...'on weekends'...if 'ep doc is on call' just sounded kinda strange. And no...you're correct. At my place of...
AustinHeart, Thats unusual (and dangerous) the way you're describing a-fib cardioversions in ER. The biggest reason for that not being good medicine is because in elective cardioversion for...
Patient: " I cant breath and i have palpitations...please help.." Nurse: " Try to poop yourself..." Patient: " What?!?! I cant breath..." Nurse: " Trust me, i'm a professional...bear down like you are...
Dinith88 replied to Nurse-o-Matic's topic in MICU, SICU
At my place of employment we do not utilize LPN's in ICU. We do have several on the floors and a few in ER. As has probably been stated, the biggest issue with LPN's in ICU is that they're limited in...
Nice. Please re-read the introduction. It states that troponin is an indicator of myocardial injury (we all know this). It's also stating that other 'mechanisms' can cause myocardial injury (than...
It's unlikely (wrong) that the troponin of 63 was caused by a non-cardiac event in the face of the ekg changes john mentions. ... Also, i think you may be confusing Troponin with CPK. Srenuous...
Hey papajohn, by "...'old inferior MI' on EKG..." as you state....i'm assuming he already had inferior q-waves??? If so, could be he had another inferior event (on the periphery of old mi) that was...
So umm.. the eicu nurse knew about the hypokalemia before the floor nurse??? scarey. And i'll never be convinced...eicu's are a misuse of resources. Maybe (in best case scenario) it makes your night...
Dinith88 replied to HillNPStudent's topic in Cardiac
I have the winner.... An 11 year old female w/advanced coronary disease, had been a smoker for 12 years, diabetic for 12 1/2 years...strong family history (both parents died in middle school from...
I would BY FAR prefer an extra set of CNA/tech/NAT hands @bedside to care for pt's than a tele tech who yells out rhythm stuff... for many reasons other than just cleaning puke,poop, and snot (but...
So...this frequent-flying asymptomatic patient...required pressors and volume to correct his hypotension when the doc finally called??? Regardless.... The eICU's purpose is to 'monitor' these...
Please dont be offended by my posts...i'm mostly just voicing my opinion. However, eICU is still stupid...and now both of your examples are bad... ...if i had a patient crashing, you can rest assured...
I love amio... If not for some unfortunate side-effects it works very well...i think it's cool that it can tackle both atrial and ventricular dysrhythmias. We do still use lido. MOst frequently we see...
1)One of the supposed 'strengths' of the eicu is that a patient can be monitored while the nurse is away attending to other things... Why wouldn't that work in an er? Rhythms become bad, patients...
Hey Didi, i understand what you're saying (and the other posters who are proponents of Eicu). My point, i guess, regarding the Eicu is that they're only as useful as a well-versed monitor tech would...