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
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
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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....
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...
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...
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...
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...
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...
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...