Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. OR or CC FLOAT pros and cons

    Dinith88 replied to lifetimelearner's topic in General Nursing

    a 'float' is best suited to experienced nurses. Critical-Care float would be even more difficult for a new grad. I am doubtful that a hospital (that wasnt ridiculously desperate) would even consider a...

  2. Peritoneal Dialysis

    Dinith88 replied to LauraF, RN's topic in Dialysis, Renal, Urology

    Not really any hints or tricks...but after you do a couple times it gets very easy... 1) remember to always keep everything(catheter connections!) STERILE... 2)remember to DRAIN first... 3)...

  3. question about treatment for pt

    Dinith88 replied to luv your nurse's topic in MICU, SICU

    after re-reading your example, you say that the patient had normal 'still good' BUN/Creatinine and lytes, so why would you think she is dry? IF indeed (as doctor stated) the patient is in renal...

  4. question about treatment for pt

    Dinith88 replied to luv your nurse's topic in MICU, SICU

    A-fib post-cabg is relatively common, and about 3-4 days out is a typical time for it to happen. (even more common in valve-repairs) Certainly electrolyte imbalances play a role because of all the...

  5. Why are emergency nurses not considered critical care nurses?

    Dinith88 replied to JessicRN's topic in Emergency

    OH ya? Well...Nana nahnahana! times

  6. Why are emergency nurses not considered critical care nurses?

    Dinith88 replied to JessicRN's topic in Emergency

    sorry for butting in...but. Why would a hospital transport a patient on IABP to another hospital with no unit beds? to sit in the ER??? Thats stupid...and unlikely. Transport of these patients doesnt...

  7. Abberancy and RVR?

    Dinith88 replied to cardiac.cure03's topic in CCU, Coronary, Cardiac

    RVR is just another way of saying 'fast' or 'uncontrolled' a-fib. It just means the AV-node/ventricles are overwhelmed by all the 'static' being created by the fibrillating atria...and respond by...

  8. Why are emergency nurses not considered critical care nurses?

    Dinith88 replied to JessicRN's topic in Emergency

    Very nicely put bullydawgrn. However...icu nurses are way cooler than er nurses. so naahh naah nana

  9. Cardizem question

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

    There are two possibilities here... 1)Do you mean running a seperate cardizem line into a line of saline concurrently (meaning 2 pumps)? If this is the case...sure...it's fine. 2)if you mean running a...

  10. Differences in levels

    Dinith88 replied to coolvibesRN's topic in General Nursing

    In a nutshell... Level I and level II centers have SURGEONS (trauma surgeons, etc.) available 24/7, 365 days a year. Level I centers have all the facilities/capacities to treat a patient from entry...

  11. Just venting frustration...

    Dinith88 replied to jbp0529's topic in MICU, SICU

    It's funny, but working at big 'teaching centers' has its own unique set of problems for the nurses. Dealing with all the "junior 'baby' doctors" can cause serious headaches. It may be just my...

  12. afib/bundle branch block

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

    You're correct. But, the situation i was referring to was (hypothetically) for example a copd patient w/a history of AF w/BBB who runs into trouble/shortness of breath from his lung disease...who...

  13. Sepsis protocol?

    Dinith88 replied to cardiac.cure03's topic in MICU, SICU

    Yes we have a sepsis 'protocol'...or 'algorhythm' or something like that. At my facility it was a push to get things started as soon as possible, and treat the patients in a timely manner. However,...

  14. I'm not "WIPING BUTTS"

    Dinith88 replied to KayceeLeeRN's topic in General Nursing

    I'm the first to go chasing after a CNA/NAT when a code-brown developes...or run and hide if someone needs help with one. I abuse cna's/students/nats at times...and do my best to avoid cleaning...

  15. Hematoma Grading

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

    I personally am unaware of any 'scales' used to measure hematomas post-procedure. It's either there or it's not...and can be 'small', 'huge', etc....subjective descriptions i suppose, depending on the...

  16. "We're Just Nurses" ..... Grrrrrrr!!!

    Dinith88 replied to S.T.A.C.E.Y's topic in Emergency

    As far as explaining xray and ekg results with patients/families...i suppose the various ways of deflecting these answers 'to the doctor' are all well and good. However, with ecg's, i have no qualms...

  17. "We're Just Nurses" ..... Grrrrrrr!!!

    Dinith88 replied to S.T.A.C.E.Y's topic in Emergency

    OK. She was an idiot and is perpetuating an unfortunate stereo-type. Thats just the kind of nurse i'd like to take care of me when i come to an emergency room. '...i dont know nothin...i'm just a...

  18. Not brain-dead, but ripe for transplant

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

    LOL! Reminds me of a famous scene from monty python's holy grail ('i'm not dead yet!'...). I could just see it '..wait! wash the betadine off and put away your razors...a lead was off!) On a more...

  19. dobutamine

    Dinith88 replied to samaletta's topic in Cardiac

    I think the order was a bit misunderstood...the OP is a student. And, again, i think the big difference between the dob. drips you're used to seeing (mostly recovering/immediate post-cabg patients...

  20. dobutamine

    Dinith88 replied to samaletta's topic in Cardiac

    The 'odd' part of this order is that according to the OP, the MD left an open-ended 'titrate'. Which, as you know, is not done if you're at the ordered dose. (yes you many times titrate up, but once...

  21. new grad having trouble w/ icu personalities

    Dinith88 replied to extraordinary067's topic in MICU, SICU

    ? Is that a fancy way of saying jackass

  22. afib/bundle branch block

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

    THats such a good topic! Glasgow's right in that the patient has a known history of wide-qrs and a-fib so the monitor shouldn't bother you if it says 'pvc's or v-tach'. The main way the monitor...

  23. dobutamine

    Dinith88 replied to samaletta's topic in Cardiac

    YOu're right for being confused about this, as it is an odd order. If you're sure the drug was dobutamine...and you're sure the order was an open-ended 'titrate'... The order was mis-read,...

  24. do any of you like codes??

    Dinith88 replied to ryanfocker's topic in Men in Nursing

    Wayne i agree. Whats the point in even being acls 'certified' if you cant do it? Just so you're very 'aware' of what you should do but cant??? ... thats VERY dumb... Is this just

  25. do any of you like codes??

    Dinith88 replied to ryanfocker's topic in Men in Nursing

    I noticed you're a student nurse. This is normal. After awhile in nursing...when you've done it a gazillion times, you'll get less a 'rush' from it....but it wont totally go away. Actually any nurse...