Cathlabnurse46

Cathlabnurse46

ICU, ER (ED), CCU, PCU, CVICU, CCL

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Cathlabnurse46 specializes in ICU, ER (ED), CCU, PCU, CVICU, CCL.

Old diploma Nurse with a background mostly in cardiac nursing. Married with 3 great kids. Presently working in a cardiac cath lab that is expanding rapidly.

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  1. Serum potassium levels in code situation

    10 units R was what we routinly gave. It took a lot of insulin to draw the K+ back into the cell. We could alway correct the low BS with dextrose. The potassium was a much more difficult problem. Sorbatol was never given in a code.... only in chronic...
  2. Serum potassium levels in code situation

    The first question is "is it hemolysed". Repeat it or do an I-STAT durring the code or after wards and correct it. We use to correct high K+ levels durring codes with an amp of D50 and 100 units of insulin. The insulin draws the K+ back intra-cellula...
  3. SWANS - Wedging

    Over the years, I have seen a few blown PA's. All died within hours. Still the hospital's never mandated that RN's not wedge. It's always a risk that every ICU nurse must understand that when they wedge, or even have a patient with a swan that an ina...
  4. ICD's and DNR's

    We recently did something simular. I work in the cath lab where we implant ICD's. A pacer rep came into to change an algoryhtm on a DNR pt to "one shock only". There are many was to program an ICD not to fire or just to over drive pace VT first befor...
  5. How are you going to Vote - US

    After 232 years the full realization of the Constitution will happen. A President of the US will come from African American heritage and end what split this nation for over 200 years. Many died in the civil war (the war of states rights) when aboliti...
  6. Pwave from .16 to .42?

    was it consistant at .42 for several beats? how long did it last? Was it just a retrograde P (as you stated a junctional). Was it a WB? The SA has a recovery time (in EP called SNRT) in which the SA none in older hearts or deseased hearts can only re...
  7. Types of MI's

    It's fairly easy. But take a 12 lead course. Your cath lab will usually have a few pocket guides. RCA = inf wall (70-80% of the time) leads II,III & AVF LAD & Diag's = Ant septal V1-V3 Circ and OM's= Ant lat V4-V6 (or Inf 20% of the time depe...
  8. Sheath pulls

    Years ago (almost 20... dam it was at least 20 years) when I pulled sheaths for PTCA's I would totally sedate the patients with 5 -10 of valuim and 5 or Morphine. This was way before conscious sedation laws were around. I'd set up my AMBU bag, atropi...
  9. right sided vs left sided blockage?

    First lets discuss "dominace". The RCA gives rise to the PDA and PLV. In 75% of Patients the PDA arises from the RCA, the other 20-25% of the time the PDA comes off the Circ making the left system dominant. The size of the PDA often feeds the RV (rig...
  10. In 1972 I was injured in a series of events that lead to my eventual hospitalization in Shriner's Hospital for Crippled Children in Philadelphia. In the Fall of 1973 after my family was left nearly bankrupt from my catastrophic hospital bills, I foun...
  11. i'd be happy to reply. first a list here:religious affiliation of u.s. presidents * religion episcopalian george washington thomas jefferson james madison james monroe william henry harrison john tyler zachary taylor franklin pierce chester ...
  12. Cath Lab Nurse vs. Telemetry and CCU Nurse?

    I work in an interventional lab. Previously it was a diagnostic lab and before that it was solely an out patient lab. I first went there in 1992 when it was an out patient lab. So I've seen the full gammit of nursing in labs as it has evolved. OP lab...
  13. Share Your Funniest Patient Stories...

    The proceedure, from how I heard it was done went like this: You tied a string to the gerbils tail. Placed a tube, like a toilet paper roll in the rectum (I have no idea how you can dialate the rectum that big). The critter goes in the tube, like a h...
  14. The Phone Call from Beyond

    my turn. my father died feb 25 2002 from lung ca. after a short dx (early dec) he decline palliative treatment and entered hospice. i did some hospice nursing, mostly as a contrat/agency nurse. in fact i was on call for my father-in-law the night he ...
  15. Tired of impaired nurses

    Wow... best of luck RNtraining. I have over the years seen, like many just about everything. When taking my first travel asignment in Bradenton Florida (won't say which hospital) I caught my charge nurse after only being in the unit (and meeting her ...