neurontin

Can the monitor show " PULSELESS" v tach? I saw v tach on the monitor when this happened to me, but I did not see pulseless. How to tell? By just looking at the flattened a line?

Pt had a-line and AICD suddenly his abp mean dropped to 22, waveform became flat. However, HR on the monitor was 112, showing v tach on the monitor is the pt pulseless ? CPR first or shock? any additional assessment needed in this situation? Is AICD supposed to be installed for v tach? give adenosine or other meds? any input would be greatly appreciated.

Is it allowed to share some details such as increased PTT, decrease creatinine with the family? if the family is a ACNP herself, worrying her mother to death, what would you do? Especially, after her mother being treated badly and now the pt is getting worse and incubated.

Hi you all, I really appreciate your replies! i worked at Cardiac step down for almost one year. That was before I have my baby. Here.I.Stand, you know exactly what I feel as a working mom. You have five children? How do you make it work? my stress is also from the fact that some experienced coworkers are not patient to a newbie like me. Anyway, I am thinking to be a part-time at some point. thank you very much for your input.very helpful!

Hi everyone, I need some advice here. i started my orientation in CVICU three months ago, feeling stressful. I have a lot to learn, and I do not have time to be with my baby who is six months old. Anyone could give me some advice regarding to a more appropriate job which can also be CV-related? Thank you in advance!

Thank you all for the tips! you are awesome!! She wants her daughter to get the referral fee if I agree to move in the apt. where her daughter lives. i totally understand this, but I cannot afford the apt. like that anymore. She knows that I used to live in an expensive apt., but she does not know I am broken after living a place like that.

Thank you, Tait. It' a tricky situation. She does not think 12 miles is a problem and financially I cannot afford an expensive apartment anymore.

A senior colleague who is also my reference and my role model wants me to live in an apartment where her daughter lives. It is an expensive apartment, and I do not think I am financially ready for it. Also, it is 12 miles from where i work. How do I say "no. Thank you" to her? If I say "no", will that break the relationship between us? How to say it appropriately? Any input will be appreciated.

I never thought about that. Thank you very much for telling me that, canchaser. I really appreciate it.

thank you, meandragonbrett. those are good questions. But I am not quite sure the difference between the afib on a CV surgery pt and the afib on a non-CV surgery pt? and why I need to ask myself, 'what is he in the hospital/unit?' Thank you again for the input.

I appreciate your input, Mully. I asked the charge nurse whether I needed to call and what to say. He said I needed to call the doc at the end of the shift (0700), and let him know what happened. As a new nurse on the floor, even though I was not sure what the doc could do, I thought it probably won't hurt to call him. But I was wrong. the doc was unsatisfied with my call and complained it to the charge nurse (not sure whether he complained it to the manager or not). What I learned from this lesson (please correct me if I am wrong) 1. when I am not 100% sure, do not do it. 2. do not do exactly what the colleagues say; they can make a suggestion. However, i am the one who take full responsibility. Even though the charge nurse told me what to say, he won't tell the doc, 'I told her to say something like that.'

the pt i had last night had a. fib, HR went to 130; due to he had had a.fib two days ago so that i did not call doctor at 0300 am. plus, pt was asymptomatic. when i called the doctor later, i tried to make myself clear by saying, "he started to have a.fib at 0300 am, asymptomatic; i held metoprolol because his SBP was less than 90 last night. when his SBP increased to 94, i gave him the med at 0530. right now he is still a.fib. HR 80's." the doc was not satisfied with what i was saying. he asked me, "why didn't call me at 0300 am (he forgot that this was not new to the pt)? is there any critical thing (to call me)? what do you want me to do?" to be honest, except for letting him know what was going on the pt, i do not know why i called him. call him or not call him? any suggestion on how to do if you were me? I would appreciate any input.

If I were you, I would compare the ISBN number rather than pages.

Hi, I have a question. Is it ok to dance with a psychiatric client? It seems no one wants to do that. If dance with a psychiatric client, is it professional? For safety, I know we need to keep at least one arm distance away from the clients. However, if we are in a party, and the client seems stable, is it ok to dance?

How do you handle stressful periods like the nursing school? Right now I have four courses including peds, OB, psych, and ethnics. I have to admit I am not good at handling stressful periods like four courses one semester. We will have a test next week, and I have spent all my life on preparing for it because I know there is only one chance to pass or fail. I do not care how long it has been since I washed my hair last time, and how messy my house looks like. All I want is to successfully pass the semester. I do not cook. no party, no exercise, no friend...sometimes I just feel like I am so overwhelmed with the style I chose, and I begin to doubt whether it is normal or just some compulsive behavior? Why I think the way to handle stress is to use every minute to fight against it? I do need a break, but after that, the only feeling I have is guilty. any suggestion please?