Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. ER bashing...where is the love??

    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...
  2. 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...
  3. Atrial Fib. Noninvasive Treatment

    Thanks a bunch for the
  4. Atrial Fib. Noninvasive Treatment

    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...
  5. Atrial Fib. Noninvasive Treatment

    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...
  6. Atrial Fib. Noninvasive Treatment

    Holy crap. I just fell out of my chair. Siri, are you posting in the right
  7. report from the ER

    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...
  8. Atrial Fib. Noninvasive Treatment

    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...
  9. Atrial Fib. Noninvasive Treatment

    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...
  10. Atrial Fib. Noninvasive Treatment

    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...
  11. LPN's Role in the ICU?

    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...
  12. High Troponins, No Q-wave

    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...
  13. High Troponins, No Q-wave

    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...
  14. High Troponins, No Q-wave

    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...
  15. eICU

    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...
  16. ICU RN's responsible for CRRT or CVVH

    Same here. We're inserviced on setting it up, running it,etc. Patients are
  17. eICU

    I still think eICU's are
  18. What's the Youngest CAD/MI Pt. You've Had?

    sorry...bad joke
  19. What's the Youngest CAD/MI Pt. You've Had?

    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...
  20. Telemetry Monitoring

    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...
  21. eICU

    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...
  22. eICU

    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...
  23. Anyone still using Lidocaine?

    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...
  24. eICU

    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...
  25. eICU

    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...