aCRNAhopeful

aCRNAhopeful

CVICU

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All Content by aCRNAhopeful

  1. How do you check your SvO2?

    aCRNAhopeful posted a topic in CCU, Coronary, Cardiac

    In the event that you lose your SvO2 readings and have to recalibrate it by drawing a sample, what type of container does your sample go in? Someone in the lab told me yesterday that it needed to be...

  2. How do you check your SvO2?

    aCRNAhopeful replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    Well yes but the problem with the syringes that we have supplied to us is that they are not like a normal syringe because when you pull back on the plunger to aspirate your sample it does not provide...

  3. air bolus in swan gantz

    aCRNAhopeful replied to jkej's topic in CCU, Coronary, Cardiac

    It wouldn't be any worse than injecting air into a central line right? Certainly not good practice but unlikely to cause

  4. Post code patient question

    aCRNAhopeful replied to tknoob's topic in MICU, SICU

    I'll fourth that. Very common for post cath patients to vagal down so the first the he got should have been

  5. Is working in the ICU the ultimate nursing job? I need to know!

    aCRNAhopeful replied to Spoiled1's topic in MICU, SICU

    Whats a Transitional

  6. Really bad day

    aCRNAhopeful replied to Zaphod's topic in CCU, Coronary, Cardiac

    Agree 100%. Tricky open hearts are my favorite patients. IMO theres not really any other challenge like it in nursing. You can get sick patients that are going to die in any ICU, but a sick open heart...

  7. Best ICU for future flight nurse?

    aCRNAhopeful replied to hockeynpolo's topic in MICU, SICU

    I would say so. SICU was the first that popped into my

  8. Really bad day

    aCRNAhopeful replied to Zaphod's topic in CCU, Coronary, Cardiac

    Good response. I would challenge one point though, and maybe I'm misunderstanding you. I don't believe that SvO2 can be used to evaluate myocardial O2 consumption. SvO2 is used to determine oxygen...

  9. Responsibilities of a MICU/SICU nurse...

    aCRNAhopeful replied to PACU queen's topic in MICU, SICU

    I would add that nurses in the ICU do much more "diagnosis" than other areas. Of course I don't mean diagnosing someone with Parkinson's disease or something but you have to "diagnose" the situation....

  10. ? about 12 lead ekg i've been wondering about

    aCRNAhopeful replied to Amy10BSN's topic in CCU, Coronary, Cardiac

    I think you're right that it's probably because the leads are right over the heart. The QRS is also quite large compared to the other leads (albeit negative) for this same reason. Then as the wave of...

  11. Really bad day

    aCRNAhopeful replied to Zaphod's topic in CCU, Coronary, Cardiac

    She was talking about the cardiac output. No it wouldnt help blood pressure but it should help CO/CI. I really don't think going from 80 to 90 would be such an increase in rate to negatively affect...

  12. Really bad day

    aCRNAhopeful replied to Zaphod's topic in CCU, Coronary, Cardiac

    Well if she was turning up the rate there may be a slight chance that it pacer-spiked on the wrong part of a t wave. That shouldnt happen if the temp pacer senses appropriately but as we all have seen...

  13. Really bad day

    aCRNAhopeful replied to Zaphod's topic in CCU, Coronary, Cardiac

    Sounds like a similar circumstance I've seen in the past. Did they graft the RCA? I'm asking because with an AVR the surgeon can accidentally comprimise the ostium of the RCA and cause inferior...

  14. Albumin/fluids and svr

    aCRNAhopeful replied to Zaphod's topic in CCU, Coronary, Cardiac

    Some of our surgeons would have done the same thing. Since you had just lost 1500 cc's of fluid it certainly couldnt hurt to give a little back. Chisca is right that what was really needed was an...

  15. Albumin/fluids and svr

    aCRNAhopeful replied to Zaphod's topic in CCU, Coronary, Cardiac

    Depends on what kind of hemodynamic state your patient is in at the time. Vasodilated - filling the tank with albumin or crystalloids would increase SVR. Hypovolemic - SVR likely high to start with...

  16. Cardiac drugs explanation or good books to read

    aCRNAhopeful replied to roxiejay's topic in CCU, Coronary, Cardiac

    I'm going to post a new thread with this site I found. Awesome explanations about the inotropes out there as well as a description of the major studies available. CHFpatients.com - IV Heart Failure...

  17. ECG Strip Interpretation?

    aCRNAhopeful replied to Jordan Stephens's topic in CCU, Coronary, Cardiac

    Not really. It would be much easier just to understand what an ECG is and what the different waves represent. Understanding the physiology behind what you are studying will make you not only a better...

  18. Leveling Art Line

    aCRNAhopeful replied to TangoLima's topic in MICU, SICU

    http://www.pacep.org Go

  19. Do all your hospitals do CRRT?

    aCRNAhopeful replied to opensesame's topic in MICU, SICU

    This makes me glad I know something about ICU care so if this stunt ever gets pulled on one of my loved ones I could demand that they be sent somewhere that will not subject them to various forms of...

  20. Cooling/Induced Hypothermia S/P Arrest

    aCRNAhopeful replied to Penelope_Pitstop's topic in MICU, SICU

    Candidates need to be comatose s/p arrest and hemodynamically stable with or without pressors. There is also a timeframe as to when to start.. like within 4 hours or something. To actually cool them...

  21. Weighing patients

    aCRNAhopeful replied to dissle's topic in Critical Care

    The bed scale is built into the bed itself. I can't think of the manufacturer of our beds but you would have to buy all new beds. Maybe whichever company makes your beds has some sort of upgrade to...

  22. Help with ECG interpretation???

    aCRNAhopeful replied to GQGomer's topic in CCU, Coronary, Cardiac

    The tracing goes up or down d/t an impulse traveling toward or away from the positive electrode, not d/t depolarization vs repolarization. Question #1 - We will just use lead II as our example. I...

  23. Futile care

    aCRNAhopeful replied to sunnycalifRN's topic in MICU, SICU

    Seems like I rarely see that kind of situation occur in my unit. Probably because CV surgery patients are usually only unstable temporarily. Whenever we do have someone circle the drain and progress...

  24. open heart surgery?

    aCRNAhopeful replied to Reminisce's topic in CCU, Coronary, Cardiac

    I would agree with the above except to say that RN's may assist with the actual surgery in some facilities more so than others. Research RN First Assist

  25. Nitrates to Patient with Aortic Stenosis

    aCRNAhopeful replied to leahvm's topic in CCU, Coronary, Cardiac

    Yes it is the same kind of issue. In the face of a potential obstructive shock (tamponade, PE, and I suppose severe AS..?) it would be unwise to suddenly drop out someone's preload. If they are...