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!

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 at?

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 take care of patients--

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

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 filter...is the filter not working properly to filter the blood?....

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

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 rbc's are ruined my the mesh filter....is this correct?.....what is the rationale behind "having" to fill the saline up past the mesh filter??

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 be taken, but obviously they are not

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 fine and dandy. No one likes to work with her and avoids her as much as possible. She also think she knows everything! When I first started, I was the lucky one to have her as a so-called preceptor. Mid orientation- I went to my NM and DON about her behavior--she no longer is allowed to precept.. (thanking the lord!). Most of the information she rattles off is not even correct. Knowing the information is incorrect, I dont even bother to correct her because I just dont want to here it from her. In our unit, we all feel the same way..but does anyone have these same issues? and what do you do?

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 of the economy per say but b/c of md shortage...

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 was never afraid to ask questions or for help. They were really good about that. If i went to l/d i would just care for the post partum--which was okay. It seems that nursing supervisors just want you to go whereever, they never think about our license, they just want to fill the staffing shortage--sucks though.