Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. ABG question.

    Dinith88 replied to sicushells's topic in MICU, SICU

    Actually, these gasses represent a compensated metabolic acidosis. (or...if you want to split hairs maybe an 'over-compensated met acidosis' as the Ph is now 7.5) Yes, you're right that per...

  2. The patient who wouldn't stop screaming...

    Dinith88 replied to NewWayofLife's topic in General Nursing

    A little off subject but your post had me thinking about a similar patient/situation i had the other night. On a good day i consider myself a little burnt-out. On a bad day i have near zero tolerance...

  3. Carotid stenting

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

    Ours come to ICU/CCU also. This may change at some point as these patients typically do very well. The big problem is that because the carotids get ballooned, the procedure can 'stretch' the...

  4. dropped lung during central line

    Dinith88 replied to Guest219794's topic in Emergency

    so...when you 'confirm placement' with an x-ray (as you mentioned) this is one of the things you look for. Normally the line will thread nicely into the SVC (superior vena cava) and the tip will...

  5. LPNs in the ED

    Dinith88 replied to HikingNinja's topic in Emergency

    This kinda goes along with another thread regarding medics. So, my question is, what can an LPN do in the ER that a paramedic cant? or vise-versa? OR...are their ED roles similar??? If they're...

  6. dropped lung during central line

    Dinith88 replied to Guest219794's topic in Emergency

    The catheter tip could be projecting upwards (toward the brain) rather than downward toward the SVC/RA (especially true of subclavian lines)-in which case you shouldnt use the line. This is obviously...

  7. Paramedics in the ER

    Dinith88 replied to errneducator's topic in Emergency

    ah yes... the *real* reason why medics are readily accepted into the ED...and why some nursing personalities migrate to the ER...:redbeathe I think someone should write to NBC and complain about there...

  8. I got reprimanded at work for not using a bra !

    Dinith88 replied to Kath80's topic in General Nursing

    LOL. Nah, i just feel like i'm 89 because of our profession... Though i feel like a 16 year-old boy when i come across threads concerning bra-less scrub-wearers!

  9. Paramedics in the ER

    Dinith88 replied to errneducator's topic in Emergency

    you're probably right... i was just trying to get someones goat. At least you *kinda*

  10. Paramedics in the ER

    Dinith88 replied to errneducator's topic in Emergency

    So... what has become apparent in this discussion is that: 1) all medics secretly wish they were ER nurses...or function like one (or at least get paid as well) 2) all ER nurses secretly want to be...

  11. Nursing Shortage Real or Not....

    Dinith88 replied to RNnightingale12's topic in General Nursing

    If the current *national* economic down-slide continues, the nursing shortage will fade considerably. Healthcare-sector jobs are (if anything) secure...which will undoubtedly draw even more people...

  12. I got reprimanded at work for not using a bra !

    Dinith88 replied to Kath80's topic in General Nursing

    OP, Dont listen to any of them! Keep it real...and free!

  13. Paramedics in the ER

    Dinith88 replied to errneducator's topic in Emergency

    All kidding aside, i think it would be in nurses' best interest to resist the wider and common use of paramedics in ERs (or at least limit their scope). This isnt because nurses can do more, or are...

  14. Paramedics in the ER

    Dinith88 replied to errneducator's topic in Emergency

    In our ER, the medics do surgery, the nurses wipe butts, and the Doctors flirt and sleep with the nurses who arent wiping butts. All of them (except for the happy doctors) bicker constantly about who...

  15. any guess about low pCO2?

    Dinith88 replied to registeredin06's topic in MICU, SICU

    ???

  16. Things you'd like the ER to Know

    Dinith88 replied to CraigB-RN's topic in MICU, SICU

    ER nurses take alot of crap from unit nurses...many times unjustified...but, Anyway, i think ER nurses being inserviced on hemodynamics is a waste of time (outside of simple CVPs and MAPs). ER nurses...

  17. Serum potassium levels in code situation

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

    Kayexalate (did i spell that wrong?) would be a poor choice in a code. A btter choice would be Calcium IVP. (along with your insulin/dextrose recipe...though 100 units may be a

  18. Serum potassium levels in code situation

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

    Yes (like everyone else said...for all those reasons) But...the K could have been a RESULT of the 1st and the CAUSE of the second code. Maybe what the doc

  19. New grad wanting to go into Critical Care area- Advice needed!

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

    Forget all that stuff. 'certificates' and 'degrees' and 'super-duper awards' and 'i'm qualified' certificates dont mean anything...when speaking of new-grads (as far as getting hired...they're...

  20. ICU or ED -trying to decide

    Dinith88 replied to audreyhepburn's topic in General Nursing

    1) What do you 'enjoy' about ICU? 2)What do you suspect you'll 'enjoy' in ER? 3) make a list. 4)compare them. 5)make a

  21. IMCU - Can someone tell me about it?

    Dinith88 replied to jla623's topic in Critical Care

    Yes, IMCU can be considered 'critical care' as an ER or recovery room or *basically* any nursing position that monitors telemetry and requires(or offers) ACLS. But, if you want to do everything a...

  22. Who Watches ER?

    Dinith88 replied to Satori77's topic in General Nursing

    The Show ER is absolutely real. NOthing fake about it. Sexy people sexing each other in-between saving lives... helicopter crashes outside the door...surgery in the ED...etc. :icon_roll All teasing...

  23. Q about a fib and gaps in heart rate

    Dinith88 replied to GoldenFire5's topic in Cardiac

    3 second pauses that occur frequently would give a patient an effective heart rate of 20's-30's. Thats too low. Like someone said, it may be medication related (many meds given to a-fib slow the heart...

  24. Husband Trying to Discourage Me from Nursing

    Dinith88 replied to Dottie78's topic in General Nursing

    just to clarify, i meant i've worked many years and never been attacked by hippa nazis

  25. Husband Trying to Discourage Me from Nursing

    Dinith88 replied to Dottie78's topic in General Nursing

    I disagree. I discuss 'progress' and 'diagnosis' with family members all the time ...many times before a doctor has (what if the doc whizzes in for his 5 minutes of glory and the family isnt...