Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. Highest PEEP you've seen?

    Dinith88 replied to poppy07's topic in Neuro Intensive Care, ICU

    37.5? wow. i think my lung just popped!

  2. Rapid Response Team and Families

    Dinith88 replied to Grumpy's Girl's topic in MICU, SICU

    What??? A 'fools utopia' is one where the RRT doesnt have patients. In the very lucky, very big, awesome level-1 trauma there may be resources allocated for staff (including doctors?) to be a...

  3. Tinsel Test question

    Dinith88 replied to Morettia2's topic in CCU, Coronary, Cardiac

    I think you mean 'Tensilon' test. It's used to diagnose MG. The drug (Tensilon) is given IV (usually) and if the patient has MG you'll notice a sudden(but temporary) improvement in...

  4. Question on MAZE procedure

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

    Just to clarify...because this statement is in error...and may confuse people... The scar tissue created in MAZE procedures blocks 'bad' conduction/impulses that origionate in the left atrium (at the...

  5. Shooting Bubbles during TEE

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

    25% of the population? Great. I'm doomed. :cheers: I've done the bubble-study in a handlful of TEE's and got to see a very clear 'positive' bubble-test...very cool because it's easy to see. I've also...

  6. Smart Cardiac Nurses

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

    yeah...what everyone else said. Now...if you want to know what you SHOULD do first... Check her code status. Then get on the horn with the family and see if they want her just kept comfortable or...

  7. Too anxious for SICU? (long)

    Dinith88 replied to ggfifirn05's topic in MICU, SICU

    Give the effexor a try. If your anxiety is sabatoging(sp?) your life in such a big way, maybe it'll (the effexor) help you get through this transition you're experiencing (in life, your job, etc.)...

  8. Common infectious disease in the ER

    Dinith88 replied to Neversad's topic in General Nursing

    Common cold. Typically from snotty kids. And whiny

  9. CVICU folks, What's your longest pump runs?

    Dinith88 replied to Wile E Coyote's topic in CCU, Coronary, Cardiac

    Lucky for him! Also, How old was he?

  10. This may be a bit MORBID.. But this little guy is the reason I want to be a Nurse.

    Dinith88 replied to GilbertDaddy's topic in General Nursing

    Gilbert, while i was reading your post it was obvious that your were STONED while writing it :) Like i said, i hope you never lose your enthusiasm or your idealism...as you're going to explode...

  11. This may be a bit MORBID.. But this little guy is the reason I want to be a Nurse.

    Dinith88 replied to GilbertDaddy's topic in General Nursing

    Stuff like this may make you want to be a nurse... But It's also stuff like this that makes many nurses alcoholics. Hope you're able to maintain your enthusiasm and

  12. Lopressor drip

    Dinith88 replied to traumagirll99's topic in CCU, Coronary, Cardiac

    My first inclination was that the doc was thinking labetalol (beta blocker) and wrote lopressor (beta blocker)...then i saw you had already tried labetalol and it failed. All i could do after that was...

  13. ABG's and sepsis

    Dinith88 replied to nursejill155's topic in MICU, SICU

    Yes, you're mostly right, but there're instances where a patient can be in metabolic acidosis and fluid bolus would be detrimental. The most obvious/common would be an acute renal failure (acidotic on...

  14. Rapid Response Team and Families

    Dinith88 replied to Grumpy's Girl's topic in MICU, SICU

  15. ABG's and sepsis

    Dinith88 replied to nursejill155's topic in MICU, SICU

    Without knowing the entire patient 'picture' it's difficult to give you a straight answer. By looking at ABG's in a vaccum, you can't determine if a patient needs fluids or not. However.... In...

  16. Thousands Of Doctors Secretly In Rehab While Practicing

    Dinith88 replied to TeleNurse2010's topic in General Nursing

    my vocabulary suddenly seems

  17. ? about coding the post Open Heart pt???

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

    Very Good point. Unfortunately, pacers wont help in certain situations/arrests. Do you mean you withhold compressions in all patients with

  18. ICU before Trauma?

    Dinith88 replied to jewelsg627's topic in Emergency

    You could think of it this way... ahh... the innocence (naivety?) of youth (baby

  19. ? about coding the post Open Heart pt???

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

    I hope thats not a policy at your place. Time is brain. Dont twiddle your thumbs. Do compressions. Unless you have a surgeon standiong at the bedside 24/7 with a bottle of betadine and a razor... It's...

  20. Is Nursing for me?

    Dinith88 replied to joolia's topic in General Nursing

    I wouldnt be worried about nursing, i'd be worried about your boyfriend. You got in a 'fight' over it? You're 'being selfish'? Your relationship will 'suffer'? He doesnt know a single happily married...

  21. ICU before Trauma?

    Dinith88 replied to jewelsg627's topic in Emergency

    You dont need ICU before ER. Or vise-versa(sp?). If i were you i'd go where you can get a job. You'll be lucky to find a place (er or icu) that will hire you as a new grad. If the place you go does...

  22. A case of DKA & chest pain

    Dinith88 replied to poppy07's topic in MICU, SICU

    Poppy, the H/A was probably from nitro (like everybody else said)...BUT, your thinking wasn't way off. When someone comes in with true DKA (like your patient) their blood is very concentrated (from...

  23. Pressors and Sepsis

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

    Thats the thing. If a patient is in septic shock it's more a matter of getting the an ER doc to place a line. "using CVP in ER for septic shock" is simply a matter of plugging a wire into the...

  24. fluid management post cardiac surgery

    Dinith88 replied to eamon66's topic in CCU, Coronary, Cardiac

    Our CCI/CCO machines are capable of continuos SVo2 monitoring. Oddly, we rarely use this function on our post-hearts...at least it's not 'ordered' routinely. I personally like to use it, others i work...

  25. Irritated with myself....

    Dinith88 replied to Virgo_RN's topic in General Nursing

    An incident-report filed because of a clotted heplock? Thats just harsh. And silly. And