Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. So we have a Code coming in....

    Dinith88 replied to kellyp374's topic in General Nursing

    Ahh...such sweet eloquence from the mouth of babes. That memory will will stick with you for the rest of your life. Welcome aboard, rook.

  2. Macho Men in the ED

    Dinith88 replied to Jerry 75's topic in Emergency

    There are WAY more macho-men in the ICU. In fact, we assume every male patient is gay...and when no one is looking we punch

  3. Starting to doubt nursing....

    Dinith88 replied to thongvo89's topic in General Nursing

    You want the negatives? IF you EVER make it into the profession you will find yourself in certain situations that will make you question and/or doubt your career/life choices. You will find yourself...

  4. Exorcising the Demon (rant)

    Dinith88 replied to sassyrn333's topic in MICU, SICU

    A little off the mark... but the wound-care nurses i work with are a good and humble bunch... However, i can see why a wound nurse may eventually become a resentful, defensive, angry person. What with...

  5. A-fib + metropolol + diltiazem gtt + soft bp

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

    Dilt is BETTER than Amio for rate control. I'm a huge fan of amio, but if the pt has chronic a-fib, Dilt is probably better because you're looking for rate control rather than conversion. Hypotension...

  6. A-fib + metropolol + diltiazem gtt + soft bp

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

    Maggiofliore is correct if patient were shocky...and the patient's shock related to the AF...but the patient isn't/wasn't. So...she can take her hand off the trigger and sit the ACLS manual back down...

  7. New Grad Possible Job in ER

    Dinith88 replied to getting2work's topic in Emergency

    Go for it if they're offering. New grads commonly get scared and feel unworthy in almost any nursing environment...it passes. The thing to remember is that it's NOT rocket science, it will come to you...

  8. New Grad ------> ER Nurse

    Dinith88 replied to NanaRn86's topic in Emergency

    The books i hear are most helpful include: 1) " ER Nursing For Dummies" 2) " Never Be a know-it-all As a New Grad...For Dummies" 3) " Pay Close Attention to the Experienced ER Nurses...For Dummies"...

  9. Old nurse looking to get into the ICU, any tips?

    Dinith88 replied to TootsieRN's topic in MICU, SICU

  10. why we can't give IV Atropine for 2nd degree heart block type 2?

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

    But... i should digress at this point as i dont want to seem confrontational. You are correct that in mobitz-2 the majority of literature states atropine usually wont help and can make things

  11. why we can't give IV Atropine for 2nd degree heart block type 2?

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

    "...supra-infra-hisian...and muscarinic receptors..."... Hmm. You are indeed wise. :) But...do you still deny atropine has any effect on the SA node? And regardless of the various phlegm's, vapors,...

  12. why we can't give IV Atropine for 2nd degree heart block type 2?

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

    Actually it's primary effect occurs at the SA node (by increasing SA-node firing, thus increasing heart rate) ...and can speed conduction through the AV-node. (which is why atropine 'speeds-up' sinus...

  13. potassium level and fluid replacement

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

    By reading this, the assumption is that because patient was 'slightly dehydrated', you didnt rapidly and/or massively bolus her. So...Quick answer: no..at least in that NS typically wont cause...

  14. No respect...or...our profession's public image sucks

    Dinith88 posted a topic in CCU, Coronary, Cardiac

    ...Took care of a young-man in ARDS yesterday. Long story short: Pneumonia to sepsis to shock to MODS/ARDS. He was by this point coming off pressors, renal function improving, and generally doing...

  15. Low Platelet Count

    Dinith88 replied to RNScott's topic in MICU, SICU

    since we dont have the chart to scour, and since there are a bazillion things that can cause thrombocytompenia, eyeryone here is simply throwing darts and guessing. This thread should more simply be...

  16. is nursing theory important to nursing practice

    Dinith88 replied to precious nikz's topic in General Nursing

    Man...you're right. You're obviously WAY into nursing theories. Now...it is my opinion that nursing theory is meant for classrooms and universities and has no bearing on the great mass of nurses...

  17. Gender and Pain Management

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

    No. That is a silly notion...at first glance. However...in my experience (which is unequivocally non-scientific)...having observed innumerable patients.... Little frail old-ladies seem to handle...

  18. Blanching arterial line???

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

    No....

  19. Chest Tubes "Help"

    Dinith88 replied to twinklebelle's topic in General Nursing

    This is one of the most pathetic statements i've ever heard (seen typed) come from a nurses mouth. Maybe a new-grad or inexperienced (or just bad) nurse can get away with this foolishness... A good...

  20. Paramedics as primary care givers in ED

    Dinith88 replied to ntg's topic in Emergency

    One day in the not-so-far-away future...there will be more medics than nurses in the ER. They can do most anything an RN can do there. So...lots of medics doing most everything... (read the majority...

  21. Words

    Dinith88 replied to Vito Andolini's topic in General Nursing

    I only say the 'N' word if i'm really angry and the person i'm mad at is black. (please note:bad joke. don't be a

  22. SVT vs Atrial Flutter

    Dinith88 replied to Misty1's topic in CCU, Coronary, Cardiac

    You're right. Flutters are often irregular ('variable' flutters) and can be very difficult to distinguish from A-fib when going fast. They can also be very regular (2:1 flutter, etc.) Classic SVT will...

  23. SVT vs Atrial Flutter

    Dinith88 replied to Misty1's topic in CCU, Coronary, Cardiac

    Technically, A-flutter is an SVT. By definition, any tachy-dysrhythmia that is being driven by a focus above the ventricles ('supra-ventricular') is an SVT. So...if you're seeing a fast flutter but...

  24. rapid response team

    Dinith88 replied to TulsaTime's topic in MICU, SICU

    If dedicated RRT nurse positions materialized at my facility there would be fist-fights in the halls over who would get them...as everyone would want it...luckily i'm a man so i could probably take...

  25. ED Admissions

    Dinith88 replied to ashleyjean3's topic in MICU, SICU

    Thats cute and comes from a misunderstanding of critical-illness. I think, though, the OP is speaking of certain situations when the patient is in fact stable but being sent to ICU anyway....