Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. Poor ICU Nursing Care

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

    Ummmm...sheesh, where to start... ...Although that patient was in an "ICU"...he was not receiving ICU-type care. That whole scenario is an embarassment(sp?) not only to the nurses, but the whole unit...

  2. What do you NOT like about Cath Lab????

    Dinith88 replied to wayover20's topic in Cardiac

    I DONT work in the cath-lab... HOWEVER, the nurses that work cath-lab in my hospital are long-term/"lifers"...meaning once there they stay there. I've a suspicion that the job is a very good one....

  3. any guess

    Dinith88 replied to cpeubob's topic in Cardiac

    from the limited info available, a good guess would be: 1) the rapid SVT was a-fib (which would explain no response to adenocard) 2) Hx of A-fib would explain daily coumadin and high INR (elevated ptt...

  4. Transcutaneous pacing

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

    Well put. And as far as the mA needed to effectively capture someone's heart, it's usually a case of 'cranking it' to the max output and bringing it down to where you're obtaining capture w/the...

  5. Transcutaneous pacing

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

    A 'TVP' will show spikes w/bundles the same way a permanent pacemaker does. A 'TCP' will (usually) show spikes and big bundly-looking things... regardless of whether or not it is 'capturing' the pt's...

  6. Can I stomach nursing???

    Dinith88 replied to oceanbreeze's topic in General Nursing

    If you're easily grossed-out, how in the world were you a dental-hygenists?...eeewww!bleckhh!yukk! Hmm. If,as you say, you're really good in a medical emergency...perhaps you're being driven to the...

  7. Feelings of "dipping" in my heart....

    Dinith88 replied to J Lynn's topic in Cardiac

    another point you should remember is that an 'abnormal rhythm' has nothing to do with ischemia and/or coronary 'blockage'...they're completely different animals. If, by 'ST slope decellerations' (??),...

  8. Feelings of "dipping" in my heart....

    Dinith88 replied to J Lynn's topic in Cardiac

    Nope. A stress test is looking for ischemia. A stress-test 'stresses' the heart (by speeding it up). If your coronaries are 'tight' (producing ischemia) this test will (usually) show it. The...

  9. Lenght of a stethoscope

    Dinith88 replied to mye614's topic in Cardiac

    It's really not the length of the scope that counts...rather, how you use it. Seriously though, if you have a sensitive nose get the longer one, because you can keep a better distance from the...

  10. Rapid Response Team

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

    No. NOt 'my' facility alone. Rather, most(nearly all!) facilities that have an RRT work this way. Look at CheriP's post as an example. So..either YOU're not getting the theory behind RRT, or everyone...

  11. Rapid Response Team

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

    Hmm. Perhaps i misled you with my previous post. I'm an ICU nurse who is a member of our RRT if i'm 'on code'....not a floor nurse trying to disuade anyone from forming an RRT. And i still stand by my...

  12. Please HELP - case study

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

    Yes his heart was 'stopping' (pausing) for 30 seconds...however, it could be from various reasons. When someone 'vagals', the vagus nerve is responsible for inducing this pause (thus the 'neurogenic'...

  13. Rapid Response Team

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

    I disagree. I feel it would be dumb for the RRT to 'free up a busy nurse'. That would 1)be dumping on the RRT 2) would not allow the floor nurse the 'experience' of handling a crisis, 3) could...

  14. Please HELP - case study

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

    Pacemakers work in whole lotta different ways. You'll learn more about pacemeakers when you're out of school and if/when you start dealing with them. Simply put, the PM 'watches' (senses) your heart...

  15. Please HELP - case study

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

    I'm not sure what is meant by 'heart drop'. If you mean his heart-rate slowed enough to cause symptoms then his pacemaker either A) needs to have the pacer/low-rate readjusted or 2)the pacemaker isn't...

  16. SARS and bird-flu.

    Dinith88 posted a topic in Infectious Disease

    Can someone post the difference (if any) between SARS and 'Bird-Flu'? I keep hearing/reading blips about 'bird-flu' being more virulent and contageous than SARS? And does anyone know of progress in a...

  17. Forced to Orientate to ER

    Dinith88 replied to nursesbca's topic in General Nursing

    It's surprising that you are comfortable in ICU but fearful of the ER because you 'don't have acls'. If you've been floating to ICU for the last year, your establishment should've already gotten that...

  18. Rapid Response Team

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

    Lukestar, We have no dedicated RRT. During over-view in our icu (which happens at shift change, just prior to receiving report) one of us is assigned 'code captain'. Currently, whoever is assigned...

  19. Rapid Response Team

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

    This must be the newest trend. My hospital is currently piloting a RRT. It includes an ICU nurse and an IMCU nurse. The thing they've stressed to us is that we (in ICU) are not the 'captain' of this...

  20. Process of Cardiac Nrsg.....

    Dinith88 replied to xokelly2's topic in Cardiac

    NOt only will these cardiac/IMCU/step-down units hire you, many will suck you up like a vaccum(sp?)! These types of units are arguably the most difficult units to work, and most commonly have the...

  21. Feelings of "dipping" in my heart....

    Dinith88 replied to J Lynn's topic in Cardiac

    Palpitations are normal and the VAST majority of the time benign (especially in young, healthy people). If you're experiencing lightheadedness/dizziness along with these palpitations, a work-up is in...

  22. Fresh CABG Patients

    Dinith88 replied to sway's topic in MICU, SICU

    ours come back about 90/10 (90% with, 10% without)...depends on the surgeon and individual patient criteria. I wish they'd all come back without them...less 'spaghetti tangle' to deal

  23. I need to talk about my night

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

    That sucks. Welcome to nursing/ICU. One of the more valuable traits you'll develope as you gain more experience is how to better deal with these unfortunate developements. If you don't, you'll be...

  24. Alcohol Withdrawl

    Dinith88 replied to zambezi's topic in General Nursing

    I hate taking these patients. Aside from the seizure stuff, the ones that develope withdrawal-induced psychosis and try to get out of bed, pull at lines and tubes, become combative, etc. drive me...

  25. Do 'goodlooking' nurses earn better salaries?

    Dinith88 replied to Tony35NYC's topic in General Nursing

    On my unit we totally make fun of ugly people. And occaisionally beat them