TakeBack

TakeBack

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All Content by TakeBack

  1. affect of shocked or paralyzed hemidiaphragm on Swan-Ganz readings

    TakeBack replied to deluded's topic in CCU, Coronary, Cardiac

    Diaphragmatic paralysis/paresis causes significant basilar atelectasis and lobar collapse. This increases the amount of non-ventilated lung. Compression of these segments can increase right heart...

  2. Albumin/fluids and svr

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

    SVR is only a calculated number Resistance = Pressure Gradient / Flow Any interventions that increase mean perfusion pressure (MAP - CVP) or decrease CO will mathematically increase the SVR number....

  3. FNP vs PA

    TakeBack replied to nursing6207's topic in Nurse Practitioners, NP

    The reality of practice ownership shows that, last time I looked, about 2% of NPs own their clinic. That was 4 yrs ago or so, and it may have increased, but with the economy as it is I'd be surprised....

  4. Dollars for Docs

    TakeBack replied to Jstand's topic in Nurse Practitioners, NP

    The real litmus test for this is to see if the provider discloses to their patients "there are several drugs to treat your hypertension, and I am using the one which is manufactured by the company...

  5. SVR too low!!

    TakeBack replied to HeartRN80's topic in CCU, Coronary, Cardiac

    Aside from what you've mentioned, consider adreonocortical insufficiency, particularly in patients taking steroids

  6. Why are so many Doctors hostile towards the DNP?

    TakeBack replied to Meesterjojo's topic in Doctoral Nursing Degrees

    What needs to happen is that the didactic and clinical modules become fused earlier on in training; this would allow more clinical time in a shorter total time

  7. Why are so many Doctors hostile towards the DNP?

    TakeBack replied to Meesterjojo's topic in Doctoral Nursing Degrees

    This is my feeling as well in re: the push for a PA-MD "bridge program". MD/DO and PA (or NP) probably need to meet somewhere in the middle in order to train PCPs who have sufficient exposure in...

  8. Just wondering NP & PA

    TakeBack replied to physio's topic in Nurse Practitioners, NP

    2 issues with this discussion:-PA and NP education are in general not equivalent (looking at it as the process, not regarding the product)-What patients NEED and what they WANT are interpendent, and...

  9. microteaching on temporary pacemaker

    TakeBack replied to igsoon's topic in CCU, Coronary, Cardiac

    Indications for temporary pacingCommon modes (AAI, VVI, DDD)Capture and sensing thresholdR-on-T risk with V pacingwhen temp wires should be removedtroubleshooting malfunctioning

  10. Early Mobilization after Open Heart (what does this mean to you?)

    TakeBack replied to rickard's topic in CCU, Coronary, Cardiac

    Last post failed. Our protocol: swans are d/c'd in the OR (>90%) OOBTC POD#1 before night shift leaves Dangle/stand/Chair 1-2x that day Ambulate and OOBTCx3 each day after NO pts have NG/OG, and no...

  11. Early Mobilization after Open Heart (what does this mean to you?)

    TakeBack replied to rickard's topic in CCU, Coronary, Cardiac

    Our protocol:-Almost all swans are d/c'd in the

  12. Arterial Line Question

    TakeBack replied to wonderbee's topic in CCU, Coronary, Cardiac

    If you are referring to the use of reverse-T for BP management, I routinely see that it works for short term management- an acutely hypertensive pt will get some BP benefit from the venous...

  13. Arterial Line Question

    TakeBack replied to wonderbee's topic in CCU, Coronary, Cardiac

    Effect of Variable Transducer Level, Catheter Access, and Patient PositionCHEST October 2001 vol. 120 no. 4 1322-1326 Measurements and main results: For each transducer level, five systolic and...

  14. Arterial Line Question

    TakeBack replied to wonderbee's topic in CCU, Coronary, Cardiac

    Central venous pressure is zeroed to the phlebostatic axis. Art lines are zeroed to the level of the aortic root- best done a bit more

  15. Hyperdynamic circulation

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

    My thoughts: -LVH may require a higher MAP for adequate coronary perfusion. -Brisk UOP may be post-CPB phase or from mannitol (commonly used in the bypass prime). -Your description sounds like a...

  16. Nurse Practitioners Program vs. Physician Assistant Program

    TakeBack posted a topic in Nurse Practitioners, NP

    interesting historical article on np/pa education. nurse practitioners program vs. physician assistant program the nurse practitioner profession developed after a failed attempt at duke university...

  17. Accronyms/abbreviations

    TakeBack replied to celticcare's topic in CCU, Coronary, Cardiac

    Unless someone is giving you a hard time I would document in the terms that you think convey the information best. We have a regular stream of travelers through my unit and they have all sorts of...

  18. How do I protect airway when trach gets pulled out?

    TakeBack replied to ahicks's topic in CCU, Coronary, Cardiac

    Agreed....anyone taking care of a trach pt needs to be able to emergently reinsert the airway. Place the obturator back in the trach and insert at 90 deg, then turn. Get the RTs to show you. All trach...

  19. Top 10 CT-ICU drugs

    TakeBack replied to CABGx4's topic in CCU, Coronary, Cardiac

    Protamine is given to ALL hearts to reverse the high level systemic heparinization necessary for CPB. Amicar is an antifibrinolytic which binds inhibits generation of plasmin. It doesn't affect the...

  20. Top 10 CT-ICU drugs

    TakeBack replied to CABGx4's topic in CCU, Coronary, Cardiac

    All pts receive it in the OR so they should be exposed. We use it routinely and with slow administration the reactions are

  21. Top 10 CT-ICU drugs

    TakeBack replied to CABGx4's topic in CCU, Coronary, Cardiac

    shame on you guys for not mentioning this first one, more than 10 but all essential: protamine epinephrine phenylephrine vasopressin norepinephrine for those about to die dobutamine amiodarone...

  22. What is a good sedative for a hypotensive patient?

    TakeBack replied to nursingdude78's topic in CCU, Coronary, Cardiac

    Re dexmed, It depends on what you mean by long term. The drug is not approved for more than about 24 hrs, in but in real practice it is being used for 1-2 weeks without any established...

  23. What is a good sedative for a hypotensive patient?

    TakeBack replied to nursingdude78's topic in CCU, Coronary, Cardiac

    Midaz is more expensive than

  24. What is a good sedative for a hypotensive patient?

    TakeBack replied to nursingdude78's topic in CCU, Coronary, Cardiac

    Fentanyl has less histamine release than other narcotics and is the textbook answer for that class. You will need a combo for adequate sedation in most. Dexmedetomidine is another

  25. NPs, PAs, and Retail Clinics - News

    TakeBack posted a topic in Nurse Practitioners, NP

    putting docs in duane reade pays off putting its doctors to work next to the shampoo and toothpaste aisles in a chain of new york city drugstores is paying off for a big manhattan hospital system....