Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. ED Admissions

    Dinith88 replied to ashleyjean3's topic in MICU, SICU

    Yes...but...ICU nurses are still cooler than ER

  2. amiodarone

    Dinith88 replied to Special31's topic in MICU, SICU

    ??? Are you sure you mean this??? ...Will someone please stand-up and correct this statement

  3. amiodarone

    Dinith88 replied to Special31's topic in MICU, SICU

    The IV-push dose is given in codes...when the patient is down. 10 minute 'rapid load' is for people who are in a fast rhythm but not yet down. IVP isnt recommended IVP for people who arent actively...

  4. Inverted QRS

    Dinith88 replied to Carrig RN's topic in Cardiac

    In isolation, the QRS/picture you were given is likely (for your 'class') to indicate MI. SIRI pointed out why it would indicate MI. If you want to get specific (and likely impress your anatomy...

  5. Help me out: what are the possible causes for my patient's agitation?(Sorry long one)

    Dinith88 replied to Heidi0902's topic in MICU, SICU

    Then you are wrong like

  6. beta-blocker question

    Dinith88 replied to CNA764's topic in CCU, Coronary, Cardiac

    Good Question! OK my quick answer is: Used to be everyone with a Dx of CHF got Dig. Not true anymore. Treatment of CHF with dig (these days) is individualized. This is mostly because there is evidence...

  7. solucortef use in hypotensive pt

    Dinith88 replied to reisling's topic in MICU, SICU

    I'm unsure of the specific vapors, humors, and phlegms behind the BP-regulating function of cortisol but i do know that it's not a simple matter of volume expansion. Cortisol has more of a 'metabolic'...

  8. Fascinated with Neuro!

    Dinith88 replied to Lovelymo79's topic in Neuro Intensive Care, ICU

    Nothin better than a confused neuro patient who's fighting and trying to climb out of bed with drains and wires in their heads/brains. Fun. Love that. Hope you keep your

  9. Nasty Doctor

    Dinith88 replied to scrubberRN's topic in General Nursing

    Next time he comes in, punch him in the nose. He'll stop acting like an idiot at that

  10. Help me out: what are the possible causes for my patient's agitation?(Sorry long one)

    Dinith88 replied to Heidi0902's topic in MICU, SICU

    Good Job! A rr-10-12 is normal and wouldnt account for a pCO2 in the 50's. (meaning it's another clue that he's not in a metabolic alkylosis with resp compensation) Also, he wouldn't be considered...

  11. Help me out: what are the possible causes for my patient's agitation?(Sorry long one)

    Dinith88 replied to Heidi0902's topic in MICU, SICU

    Look, this patient has 20 reasons to be disoriented/confused(the MRI showed brain swelling for goodness' sake). The OP asked why the patient 'when awake' (and not being sedated with dangerous...

  12. Help me out: what are the possible causes for my patient's agitation?(Sorry long one)

    Dinith88 replied to Heidi0902's topic in MICU, SICU

    To continue on with this point...perhaps to help you better understand... 1) To hypoventilate to the point that your pCO2 is 52, you'd have a (dramatic) low pO2 as well...and OP's pt is only on 33%...

  13. Help me out: what are the possible causes for my patient's agitation?(Sorry long one)

    Dinith88 replied to Heidi0902's topic in MICU, SICU

    Nope. Compensated respiratory acidosis.

  14. Help me out: what are the possible causes for my patient's agitation?(Sorry long one)

    Dinith88 replied to Heidi0902's topic in MICU, SICU

    At first glance the ABGs look like a chronic CO2 retainer's. (high CO2, high HCo3, normal pH) Does he have Hx of Smoking? COPD? I know you mentioned he has lung mets... Keep in mind that the body...

  15. Help me out: what are the possible causes for my patient's agitation?(Sorry long one)

    Dinith88 replied to Heidi0902's topic in MICU, SICU

    A VERY good guess is that He has/had to poop. (before you write this off as a joke, it's not.) He just couldnt communicate it...and was doing everything in his power to not poop the bed. Any other...

  16. Concerns about going into nursing!

    Dinith88 replied to purple_zen's topic in General Nursing

    Thats all well and good. But...how are you with POOP. On your clothes. On your arm. Shoes. Nostrils... Good luck to you in your poopy-slop journey...I hope you stay

  17. kind of a rant

    Dinith88 replied to Guest219794's topic in Emergency

    Again, you're mistaken. My suggestion to you (or anyone else who is reading this) is to re-read my post/posts...after re-reading the OP's. I apologize if you felt i was degrading...that was not the...

  18. kind of a rant

    Dinith88 replied to Guest219794's topic in Emergency

    Nah...you're mistaken. The OP stated people 'using ER as primary care' was one such sub-category of ER-abusing system-ruiners. The three examples were all things that could've been seen and...

  19. kind of a rant

    Dinith88 replied to Guest219794's topic in Emergency

    A young mother brings her child in because she was up crying and complaining of belly pain...(and who turns out to be constipated) Or a person comes in with strep-throat in the middle of the night...

  20. Are Transgendered nurses not liked?

    Dinith88 replied to tmwhalens's topic in General Nursing

    Yes it will cause issues...despite the high-minded statements like "it's what's inside that counts!"...and..."it has no bearing on your work performance!" A man wearing make-up, or nurse-dresses, or...

  21. What exactly do you do as an ER nurse?

    Dinith88 replied to vegnurse21's topic in Emergency

    Ah...the luxuries of ER

  22. ICU Nurse opinions

    Dinith88 replied to NickiLaughs's topic in MICU, SICU

    Yes you will see lots of unfortunate situations like that. And yes because of your (our) self-appointed moral high-ground you'll rant and yell about it...to yourself and to others and to the...

  23. ABG question.

    Dinith88 replied to sicushells's topic in MICU, SICU

    And one other thing to consider... A pure respiratory alkylosis means a person is hyperventilating enough to throw off the body's acid-base balance. If this person has hyperventilated to this point...

  24. ABG question.

    Dinith88 replied to sicushells's topic in MICU, SICU

    The term 'overcompensation' was a made up word. The idea of 'overcompensation' that i brought up was referring(sp?) to a hyperventilated patient on a ventilator (man made, not body-made)---which...

  25. Paramedics in the ER

    Dinith88 replied to errneducator's topic in Emergency

    Oh yeah! Again, the REAL reason why most female ER nurses (vast majority) think EMTs are "good help in ER...we should embrace them" (no pun intended!)