VAJenny

VAJenny

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All Content by VAJenny

  1. treating hyperkalemia

    VAJenny posted a topic in CCU, Coronary, Cardiac

    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...

  2. Don't check residuals?

    VAJenny replied to TangoLima's topic in MICU, SICU

    i would love to see some EBP on

  3. Mobitz type 1, Non-Weinkebach?

    VAJenny replied to LeLeeFNP's topic in Critical Care

    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

  4. treating hyperkalemia

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

    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

  5. Junctional Rhythms

    VAJenny posted a topic in CCU, Coronary, Cardiac

    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....

  6. Junctional Rhythms

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

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

  7. Junctional Rhythms

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

    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

  8. Junctional Rhythms

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

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

  9. IV tubing changes

    VAJenny posted a topic in Infusion, Intravenous

    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...

  10. stroke patients and IV's

    VAJenny posted a topic in Infusion, Intravenous

    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...

  11. Wide QRS Tachycardia vs. VTach

    VAJenny posted a topic in MICU, SICU

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

  12. Wide QRS Tachycardia vs. VTach

    VAJenny replied to VAJenny's topic in MICU, SICU

    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...

  13. telemetry questions

    VAJenny posted a topic in General Nursing

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

  14. Evidence Based Practice

    VAJenny posted a topic in General Nursing

    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

  15. IV's in Stroke patients

    VAJenny posted a topic in General Nursing

    Do you insert IV's into the affected side of a stroke patient? And is there any credile sources like websites that I can look

  16. IV's in Stroke patients

    VAJenny replied to VAJenny's topic in General Nursing

    Thanks for all the replies--this really

  17. How to deal with nasty LPNs.

    VAJenny replied to arabella205's topic in General Nursing

    Ya know things like this happen when ppl have been working somewhere for a long time. I would definetely talk to the LPN's if you are comfortable with that. They have to remember--we are all here to...

  18. team buidling

    VAJenny posted a topic in General Nursing

    What type of team building activitied do you guys do at your facility? What is done on the unit to praise your co

  19. blood transfusion

    VAJenny posted a topic in General Nursing

    alright well I know it has been standard practice to prime the blood tubing with saline...i was always told that you have to fill the saline past the mesh filter in the chamber because if not, the...

  20. blood transfusion

    VAJenny replied to VAJenny's topic in General Nursing

    so...let me get this straight...saline has to be primed above the filter in order for the cells to have a softer landing..otherwise they become damaged...(?)...If saline is not primed above the...

  21. blood transfusion

    VAJenny replied to VAJenny's topic in General Nursing

    yea they do go through the filter anyways...so that is why i am curious to figure out the rationale behind

  22. What would you do?

    VAJenny posted a topic in General Nursing

    There is a nurse in my facility that is outright obnoxious and loud. When dealing with patients she gets very loud, demanding (of other nurses), making all of our anxiety levels rise--when we were...

  23. What would you do?

    VAJenny replied to VAJenny's topic in General Nursing

    thanks for the replies. the thing is that she has been reported many of times by various ppl, administration has seen her acting out... you would think the correct steps for discuplinary action would...

  24. well they closed down a floor of the hospital

    VAJenny replied to ohmeowzer RN's topic in General Nursing

    At my previous job, they used to close one unit quite often, but we would not be called off to accomadate for the nurses on the closed unit. Where i currently work, my icu is closed down, bot because...

  25. Have you ever refused a pull?

    VAJenny replied to Riseupandnurse's topic in General Nursing

    Gees, don't ya hate when that happens. I used to float alot off my unit. I would let the staff know what unit i came from and not that familiar with routine care of the patients on their floor. But i...