Cathlabnurse46

Cathlabnurse46

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

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All Content by Cathlabnurse46

  1. Serum potassium levels in code situation

    Cathlabnurse46 replied to eaetaylor's topic in CCU, Coronary, Cardiac

    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....

  2. Serum potassium levels in code situation

    Cathlabnurse46 replied to eaetaylor's topic in CCU, Coronary, Cardiac

    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...

  3. SWANS - Wedging

    Cathlabnurse46 replied to Kolt19's topic in CCU, Coronary, Cardiac

    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...

  4. ICD's and DNR's

    Cathlabnurse46 replied to Tait's topic in General Nursing

    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...

  5. How are you going to Vote - US

    Cathlabnurse46 replied to Brian's topic in General Nursing

    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...

  6. Pwave from .16 to .42?

    Cathlabnurse46 replied to mamason's topic in Cardiac

    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...

  7. Types of MI's

    Cathlabnurse46 replied to mycatmax's topic in Cardiac

    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...

  8. Sheath pulls

    Cathlabnurse46 replied to jesshopper12's topic in Cardiac

    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...

  9. right sided vs left sided blockage?

    Cathlabnurse46 replied to banbulance's topic in Cardiac

    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...

  10. Religious believes expressed in nursing theories. For or against

    Cathlabnurse46 replied to justagirl81's topic in General Nursing

    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...

  11. Cath Lab Nurse vs. Telemetry and CCU Nurse?

    Cathlabnurse46 replied to bethiegirl's topic in Cardiac

    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...

  12. Share Your Funniest Patient Stories...

    Cathlabnurse46 replied to Trvln Nurse's topic in Nursing Humor

    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...

  13. Tired of impaired nurses

    Cathlabnurse46 replied to epipusher's topic in General Nursing

    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...

  14. what about these sign on bonuses???

    Cathlabnurse46 replied to rnnursesandy's topic in General Nursing

    I just took a $10,000 sign on 2 1/2 years ago. I get the last installment ($5,000) in Feb. This was because my hospital was starting a new open heart program and need experenced nurses. You had to...

  15. Anyone in Philadelphia, PA?

    Cathlabnurse46 replied to MistyDawnRN06's topic in Travel

    Great hospital. I have an employee that is attending U-Penn this fall at Warton Business. I own a Car wash down here. He was Vald. of our local HS. That's a great area with Drexel, Prysby, HUP.......

  16. Anyone in Philadelphia, PA?

    Cathlabnurse46 replied to MistyDawnRN06's topic in Travel

    I grew up there. I lived in Manayunk. My brother still lives in my home and works at Chestnut hill. I graduated from Lankenau hospital. Hope you enjoy the city. Manayunk has some nice little...

  17. coding a vented patient

    Cathlabnurse46 replied to poppy07's topic in MICU, SICU

    Resuce pod would be a pressure relief value. Once you exceed too much pressue within the system... it "burps". Again, years ago we used these high flow mask hooked to O2 tanks that had a purge button...

  18. coding a vented patient

    Cathlabnurse46 replied to poppy07's topic in MICU, SICU

    This is a great statement. In all of my years I have seen many changes from the AHA and ACC. I took my first ACLS class while still a nursing student in 1983 when getting my EMT. I became an ACLS...

  19. Where do you draw the line?

    Cathlabnurse46 replied to fuuchan's topic in General Nursing

    There is a new law/standard coming out... I beleive it is what PAX pointed out and it is about time. Over the years I have seen plenty of example of bad behavior by Doctors (mostly) that go...

  20. Religious believes expressed in nursing theories. For or against

    Cathlabnurse46 replied to justagirl81's topic in General Nursing

    For it.... in your example. AGAINT IT IN PUBLIC SCHOOLS OF ANY KIND! First, our FOUNDING FATHERS were THESIT.... most were identified as Episopailians, Quakers or Prodistants. Most were Episopalians....

  21. Romance?

    Cathlabnurse46 replied to oohappyday's topic in General Nursing

    And when has love and common sense been able to co-exist? Falling in love usually throws caution & commmon sense to the wind. That's why it's such a powerful force, attraction, lust and eventually...

  22. Romance?

    Cathlabnurse46 replied to oohappyday's topic in General Nursing

    One of my favorite movies is AN AMERICAN WEREWOLF IN LONDON. It makes for a great story line (Pearl hourbor, the Flying Tigers, Ernest Hemmingway's.... can't think of it now) but is not "recomended"....

  23. Blood Transfusions and Fever

    Cathlabnurse46 replied to TigerGalLE's topic in General Nursing

    I was alway taught that is is considered a "reaction" and to mark it on the transfussion tag and send it back to the blood bank, they will follow it up with a possible antibody screen later. But the...

  24. Some hard questions about entering nursing

    Cathlabnurse46 replied to Anotherguy's topic in Men in Nursing

    Ok...I'll jump in. After 23 years and working in a lot of areas I can tell you that nursing offers a lot to men. 1. Worse things to face. Hmm. Somethine long hours, required holidays, required call....

  25. loving life

    Cathlabnurse46 replied to raisonbrancruch's topic in General Nursing

    I have a good friend that for years didn't know that I was a nurse.... his nick name for me is Mr. Focker! Now his daughter (who is going into 9th grade and has had congenital heart defects) wants to...