Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. ER nurses compared to EMT's

    Dinith88 posted a topic in Emergency

    ER nurses are to ICU/floor nurses, as EMTs/paramedics are to ER nurses. (Meaning, "stabilize them and get them where they need to be...") Is this a fair

  2. PE and R. to L. atrial shunt

    Dinith88 replied to -Emma-'s topic in MICU, SICU

    How cool is that! Have you ever heard of or seen this procedure being done since? It must be a drastic last-ditch thing or some newer/experimental procedure? Thats really far

  3. Condescending nurses

    Dinith88 replied to Tony35NYC's topic in General Nursing

    I agree w/tweety. Most nurses/people who act like this and make these cement-headed comments have serious inferiority issues. However.... cleaning puke, poop, phlegm, snot, blood, bile, etc. is (i'm...

  4. My back hurts....

    Dinith88 posted a topic in General Nursing

    Does

  5. Extubation?

    Dinith88 replied to steini's topic in MICU, SICU

    Good Answer

  6. Notched QRS question & BBB

    Dinith88 replied to Toby's mum's topic in CCU, Coronary, Cardiac

    1)After first double, triple, and quadruple measuring/inspecting the QRS (preferably on 12-lead where you can see several leads) and verifying the QRS maintains this odd pattern and is only .10, then...

  7. Question about internal defibs

    Dinith88 replied to Antikigirl's topic in Cardiac

    I think you misunderstood me. Obviously, trying to 'make an appointment' at an office would be silly. Perhaps my angle is different than yours because the ep-lab at the hospital where i'm employed is...

  8. Help with Strips

    Dinith88 replied to proudmommielpn's topic in Cardiac

    When discussing reperfusion patterns w/12-leads (or standard tele), you're most likely to see PVC's and other ectopic (usually ventricular) beats, rhythms, etc...rather than severe st-elevation. And...

  9. Question about internal defibs

    Dinith88 replied to Antikigirl's topic in Cardiac

    I agree that ANY ICD shock needs investigation even if the shock happened in isolation. The pt may potentially require an adjustment of medications or ischemia workup. Also, if the Patient loses...

  10. Male RN's vs. Female RN's in ICU setting- difference?

    Dinith88 replied to JMP's topic in General Nursing

    As a male ICU nurse, i've an interest in this post. ***Please take this with a grain of salt because it is based soley on my opinions and borders on stereotyping*** I think the reason men gravitate...

  11. Help with Strips

    Dinith88 replied to proudmommielpn's topic in Cardiac

    Where i work, we generally reserve the term 'tombstones' for impressively elevated ST segements. The subtle or less impressive stuff isnt granted the ominous title...

  12. diagnosis help

    Dinith88 replied to LauraF, RN's topic in Cardiac

    Yes he needs looked at and is at high risk for a heart attack. By 'reversible' ischemia, it means that at rest his 'distal inferior heart' is adequately supplied with oxygenated blood. When stressed...

  13. Cordis cath ???

    Dinith88 replied to starcandy's topic in General Nursing

    Ditto begalli and ccu rn. We see them on nearly all of our CABG patients as an introducer/sheath for SWAN placement. After we pull the SWAN we often keep the introducer (CORDIS) in place as a...

  14. Atrial fib. with PVC's?

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

    Thats a good point that Tiffy brought up as well. Yes, technically a PVC is only a 'P'VC if recorded while the atria are sinus. However, the point i was attempting to stress above the others is that...

  15. Atrial fib. with PVC's?

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

    1) my last post wasn't directed at yours, but i'll reply to your post.. 2) Abnormal condution pathways are usually responsible for atrial dysrhythmias, not PVC's. That is the stuff of a different...

  16. Atrial fib. with PVC's?

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

    Just was re-reading my prior posts and wanted to clarify what i mean by pvc's being possible with a-fib.... PVC's happen when the ventricle/ventricles become irritated, etc. When a PVC happens, it...

  17. Atrial fib. with PVC's?

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

    THats a good point tiffy. But dont you think It's kinda splitting hairs? Obviously, it cant be called 'premature' if the atria arent in a sinus rhythm...however, these beats have the same etiology and...

  18. Atrial fib. with PVC's?

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

    Should've added... In a-fib, you'll occaisionally see runs of abberant beats that mimic pvc's/vt (wide, bizarre, different qrs-complex morphology, etc.). I think the term is Ashman's phenomena....

  19. Atrial fib. with PVC's?

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

    Whoever told you that didnt know what they were talking

  20. Good in-depth resource on sepsis

    Dinith88 replied to bluesky's topic in MICU, SICU

    Check out the Eli Lily (sp?) website...they're the sole producers of xigris and really push this product hard. Because of this, they have very good information regarding severe sepsis and all of it's...

  21. troponin question...

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

    Forgot to add...in MI, it's not standard to anticoagulate someone with coumadin. In the early days of PTCA/stents people used to be given coumadin but it's not done much (at all?) these days. Aspirin...

  22. troponin question...

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

    NOt a stupid question at all. A Non ST-elevation MI is simply an MI that does not show ST elevation on 12-lead. These are usually 'less severe' than ST-elevation MI because in ST elevation the...

  23. Of blown pupils and brain waves

    Dinith88 replied to UM Review RN's topic in General Nursing

    Other than hyperventilation being old fashioned, however, you didnt really say anything new. And what less ominous condition can blown pupils indicate? (before you answer, i mean bilateral fixed and...

  24. Of blown pupils and brain waves

    Dinith88 replied to UM Review RN's topic in General Nursing

    Either A) The neurologist DID an EEG...or B) The neurologist is making a statement he shouldnt make (regardless of his probably being correct). Or...your friend just has her information a...

  25. Open Heart ICU

    Dinith88 replied to Kiwi's topic in MICU, SICU

    I'm guessing you went straight to ICU as a new grad as you're obviously very passionate about this issue... If you think a nurse with a few years on a step-down does NOT have an overwhelming edge...