Cathlabnurse46

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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 ...

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...

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...

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 ...

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 ...

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 have over 15 years in critical care and work in the C...

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.... lot's of college kids! Some of the local college pu...

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 restraunts along main street. The grape street has a bunch ...

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 to vent a patient... like you would see on a fire ...

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 instructor in 1985 after I graduated nursing school. ...

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 unchallanged by management and administration. Here are a fe...

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. The were into Early american utopianism and concer...

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 love. We are not robots, we are people and subjec...

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". Maybe it's like STOCKHOLD syndrome? My God though....

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 severity of the reaction is what is most important....