VAJenny

i would love to see some EBP on this

I am with you and the other nurses.. i dont think I have heard of anything different like that what is her rationale as to type 1 vs wenkeback

does it matter if the insulin or d50 is given first?... this pt was getting albuterol nebs too.. but i read somewhere that this can be given IV.. (crazy!..never heard of that).....

thanks for all the info... i aways doubt myself and need to hear what others think! thanks!!

please give me some insight on this.. when a patient has a high K, and the doc orders 10 units of insulin and 1 amp of d50.... i understand that the insulin pushes the K into the cells..but are we just giving the d50 to prevent hypoglycemia?.. also...does it matter which one goes first?

so if the p wave is inverted are you saying possibly that the av node conducts then tries to reach the sa node.. is that why it would be inverted?

I hope when I have 18 yrs expercience that I will be as smart as you I can only hope!

I am looking for more information and understanding on junctional rhythms. Is the p wave inverted because the source comes from the av node? the p wave preceding the qrs is understandable of course. but if the p wave is hidden in the qrs does this mean that the depolarization is occuring at the same time. what is happening when the inverted p wave occurs after the qrs. the electrical conduction goes through the ventricles first then the av node... please give more insight on this. i dont see these too often and forget

Does anyone know how I can get information from the infusion nurses standards journal?..the latest one??..don't they publish new mags ever year? I need to know what is the current standard on changing secondary tubing sets.. my facility has started changing secondary iv tubing along with the primary and the flush bag every day now.. it used to be every 3 days... if the patient has a continuous iv infusing then it is still changed everyday. I am just needing some clarification on this

thank you athena. I am talking about when "it appears" that someone had "say" a run of VT or is in actual stable VT. Some nurses are refering to it as "wide qrs tachycardia rather than just saying VT.. so my question is what is really the difference between a wide qrs or VT...i understand about pvc's and that but I am talking about a non sustained situation.

what really is the difference between "wide qrs tachycardia" and "Vtach"....? maybe the hr?

So really...is there a difference between wide qrs tachycardia and VT?...if so can someone explain.. Thanks

I am looking for evidence based practice website to search?..does anyone know of any sites?...where the info is free and you dont have to pay to look at it

HI! I need help finding some credible websites/books...or any info pertaining to intravenous therapy in stroke patients. I need to educated nurses that you can put the iv in the affected arm of a stroke patient they seem to think that there is a decrease in venous return in the affected arm and related that with the iv. so if you can help please!/

Thanks for all the replies--this really helps!