Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. Open Heart ICU

    Dinith88 replied to Kiwi's topic in MICU, SICU

    With the nursing 'shortage', icu's are taking more and more new grads. New grads can be successful ICU nurses, it just takes them longer. The better 'new' ICU nurses are those who've spent time on the...

  2. verapamil

    Dinith88 replied to stephera's topic in General Nursing

    ACE inhibitors are many times given to diabetics (esp. NIDDM) for renal protection....not simply because they're renal friendly (whats that mean?). It's been observed (and various studies done) that...

  3. Have you ever given the 'Nurse Dose'???

    Dinith88 posted a topic in General Nursing

    Are any of you guilty of giving a 'nurses dose'? Meaning do you ever give a 'smidge' more drug than the md orders? As in, Dr orders 1mg ativan iv, but there're 2mg in the vial (and pt is whacked...

  4. USE of PF Ratio with ARDS

    Dinith88 replied to TennRN2004's topic in MICU, SICU

    The number you mention (PF) can be 'bad' in many other lung conditions...(cardiogenic pulmonary edema(CHF), pneumonia, pneumothorax,COPD, etc...) So you really can't diagnose ARDS by using this number...

  5. How valuable is Report?

    Dinith88 replied to nptobee's topic in General Nursing

    Spoken like a student! Just give it awhile after you start working...you'll come around

  6. psychosis in icu after heart surgery can someone explain what happened to me

    Dinith88 replied to LPNstudentRNnfuture's topic in Cardiac

    The 'pump-head' phenomena is caused by being on cardio-pulmonary bypass pump. The main theory behind why this happens is that micro-emboli (probably d/t clamping the aorta while on pump) float up to...

  7. Life Can Really Sux

    Dinith88 replied to zenman's topic in General Nursing

    Thats something i can relate to...only, my day was more like this: I woke up early to head downtown...it's overcast and drizzling. On an average day it'd take like 45 minutes or so to get to my...

  8. psychosis in icu after heart surgery can someone explain what happened to me

    Dinith88 replied to LPNstudentRNnfuture's topic in Cardiac

  9. face to face with death

    Dinith88 posted a topic in General Nursing

    Do you feel that because you (as a nurse) deal with loss, grief, mortality, etc. on a daily basis that it's made you more able to accept death as a fact of life, and thus make it easier to accept your...

  10. re-using femstops

    Dinith88 replied to Glenn Murray's topic in CCU, Coronary, Cardiac

    Forgot to mention that we RARELY use fem-stops anyway...so it's probably not as big an issue where i'm

  11. re-using femstops

    Dinith88 replied to Glenn Murray's topic in CCU, Coronary, Cardiac

    Hmm. I would check with the manufacturer(sp?) to see if they're autoclavable(sp?). Sterilization would be the only acceptable way of cleaning something that's just been in contact with (sometimes...

  12. Bipolar and Depression

    Dinith88 replied to strawberryice's topic in General Nursing

    Isn't bipolar/depression a pre-requisite for nurses??? Seems the longer you nurse, the more likely you'll acquire a psych issue...

  13. How common is Work Violence?

    Dinith88 replied to Dr. Gonzo's topic in General Nursing

    I cant quite remember the source, but i once read that nurses working alzheimers wards in LTC were the most exposed to violence and/or violence related injury. Even more often than in-patient...

  14. Need rhythm interpretation help

    Dinith88 replied to critcarenurse16's topic in Cardiac

    This statement is incorrect. It's impossible to have 'more PRI's than QRS's'. PRI's measure the distance between the p-wave and QRS complex. So, a pri cannot exist unless it has corresponding qrs. Do...

  15. Need rhythm interpretation help

    Dinith88 replied to critcarenurse16's topic in Cardiac

    In 3rd degree AVB, the p-p intervals DO march out. the term 'marching out' simply means the P-P intervals are consistant/the same. Thus, they would 'march out' in both 2nd and 3rd degree avb. You're...

  16. Need rhythm interpretation help

    Dinith88 replied to critcarenurse16's topic in Cardiac

    If these strange 'waves' are seen 'superimposed' on p-waves AND qrs AND t-waves, the most likely answer would be artifact. If these 'look like t-waves' then i'm guessing they're much bigger than the...

  17. What do you like/dislike about being a nurse ?

    Dinith88 replied to mandi88202's topic in General Nursing

    I Like helping people. I enjoy the occaisional crisis/adrenalin rush. I enjoy the job security. I enjoy working with intelligent people. I dislike puke, phlegm, poop, and

  18. I would like to pick your brain.....

    Dinith88 replied to jad2's topic in Cardiac

    Either the rhythm isn't an SVT (VT is much less likely to respond to these tricks), or (more likely), the svt simply wont respond to carotid massage and/or valsalva. It'd be nice if all patients/svt's...

  19. Needle Stick Icu/ccu

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

    Your ER-staff and hospital-policy-people need spanked on their respective orifices! The drug-combo is usually started ASAP and given in the ER. I agree with the other posters...I'd look into this and...

  20. av pacing in afib?

    Dinith88 replied to graciev's topic in MICU, SICU

    Thats a good question! Obviously AV pacing would be desirable (as mentioned by previous poster re:atrial kick). I think what you're asking is whether or not you can obtain an adequate p-wave/atrial...

  21. Why Continue Accuchecks on 92-Year-Old Comatose Patient...

    Dinith88 replied to Havin' A Party!'s topic in MICU, SICU

    If the patient has has a cva, he/she is at risk for developing seizures. Ativan can control these. Sometimes, if the pt is in a vegitative(sp?) state and is expected to die, administering MS is more...

  22. Scary doctors!!!

    Dinith88 replied to LadyBugLass's topic in General Nursing

    Thats

  23. EP Question

    Dinith88 posted a topic in Cardiac

    For those of you who either work EP-lab, or work with patients pre-and/or-post EP procedures.... In some cases of refractory atrial dysrhythmias ( a-fib, flutter, etc.), an EP-doc will ablate the...

  24. EP Question

    Dinith88 replied to Dinith88's topic in Cardiac

    Yes it makes complete sense. So, according to you, some (apparently 'many') a-fibs are considered incurable with ablations...(as evidenced by your doing 2 avn-ablations a week...)). I've an...

  25. EP Question

    Dinith88 replied to Dinith88's topic in Cardiac

    Thanks for the info. You stated that it's reserved for pt's who've not responded to meds or ablations....Does this mean that the majority of the '2 a week' patients that you do have had but 'failed'...