LetsChill

LetsChill

Hospitalist

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All Content by LetsChill

  1. Doing stress tests for first time. Would like advice!

    LetsChill replied to crashgirl88's topic in Cardiac

    This sounds really cool. I'd love to find a job like this. I don't have experience in this field, but I did shadow there once as part of my orientation to the CVICU. The nurses and cardiology techs...

  2. How many years will it take to get my MSN?

    LetsChill replied to f_nurse2b16's topic in Student Nurse Practitioner

    It can definitely be done in your time frame. Get some experience as an RN. Then, check out Vanderbilt. It's a 12 month accelerated NP program from a top program in the country. I would always...

  3. Goal statement/interview questions help

    LetsChill replied to azuretide's topic in Student Nurse Practitioner

    Follow up: Did you get into Vanderbilt with this interview survey? I am applying for the direct entry for Fall 2013 Just wondering how to go about this interview

  4. Atrial Flutter vs Atrial Tachycardia with AV block

    LetsChill replied to ChaseZ's topic in CCU, Coronary, Cardiac

    Exactly. I'll applaud that

  5. Vanderbilt Grad Entry 2013

    LetsChill replied to LetsChill's topic in Student Nurse Practitioner

    Wow. That's a hard thing to go through. Intensivist NPs haven't all gone through Vandys Intensivist ACNP program. Is there a program in your area for ACNP? What about the distance program where you...

  6. INR increasing...without anticoagulation?

    LetsChill posted a topic in CCU, Coronary, Cardiac

    I've had several pts with multiple different diagnoses and admitting problems whose INR continued to increase daily despite holding Lovenox, Coumadin, etc. One pt had daily INRs of 6.3, then 7.1,...

  7. Vanderbilt Grad Entry 2013

    LetsChill replied to LetsChill's topic in Student Nurse Practitioner

    I'm pretty sure you will need to be on campus for the entire MSN year if you are doing the Intensivist specialty. I'd call the nursing office just to make sure

  8. CCBs vs BBs

    LetsChill posted a topic in Nurse Practitioners, NP

    I've noticed that a lot of pts are sometimes on both a calcium channel blocker and a beta blocker P.O. Why is this? What are the main differences between these two med groups (metoprolol vs cardizem,...

  9. Vanderbilt Grad Entry 2013

    LetsChill replied to LetsChill's topic in Student Nurse Practitioner

    For the distance block format, plan on being on campus for about a 5 day stretch 4 times a semester (basically once month). For the MSN portion, this time is for skills check odds and such. Not sure...

  10. Vanderbilt Grad Entry 2013

    LetsChill replied to LetsChill's topic in Student Nurse Practitioner

    You have an ASN. As far as the admission process goes, your BA is only as good as the prerequisites you've already taken during your past schooling. It will take you 5 semesters to complete your MSN...

  11. Vanderbilt Grad Entry 2013

    LetsChill replied to LetsChill's topic in Student Nurse Practitioner

    You can apply. There is not a requirement to have so many yrs experience as a practicing RN. However, the competition is some what stiff. You will be applying as an Associates Degree nurse. You will...

  12. CCB vs BB

    LetsChill replied to LetsChill's topic in Cardiac

    And I'm not necessarily talking about the MI core measure either. I know those pts always get a

  13. CCB vs BB

    LetsChill posted a topic in Cardiac

    I've noticed that a lot of pts are sometimes on both a calcium channel blocker and a beta blocker P.O. Why is this? What are the main differences between these two med groups (metoprolol vs cardizem,...

  14. bradycardia with nitro drip?

    LetsChill replied to valsalvamanuever2's topic in Cardiac

    I'm also wondering if the pts intrinsic rate prior to the hospital admission is in the 50s. Then, the acutely low BP is d/t the nitro and problem solved. So why wouldn't the heart compensate for a...

  15. bradycardia with nitro drip?

    LetsChill replied to valsalvamanuever2's topic in Cardiac

    Lasix gtt...what's the potassium? Low or high K+ can cause bradycardia (even without adequate output), while the NTG lowered the BP. There's a disaster waiting to happen. Any

  16. Vanderbilt Grad Entry 2013

    LetsChill replied to LetsChill's topic in Student Nurse Practitioner

    I'd study the gretutor.com website. You can buy a book or even go to the library and checkout a GRE book, but if you plan on taking the computerized version, this website helps you "feel" the format...

  17. Help deciding on MSN degree

    LetsChill replied to Brittany2206's topic in Student Nurse Practitioner

    When I graduated nursing school I was amped up to go the CRNA route. I got my dream job in a Cardiovascular ICU and went through their fellowship. I loved it all. The hemodynamics, vents, etc. I...

  18. Atrial Flutter vs Atrial Tachycardia with AV block

    LetsChill replied to ChaseZ's topic in CCU, Coronary, Cardiac

    Cool Chase. My manager in my CVICU fellowship classes always told us to cover up the machine's interpretation and make our own diagnosis. Many many many people go off the machine's read, especially...

  19. Atrial Flutter vs Atrial Tachycardia with AV block

    LetsChill replied to ChaseZ's topic in CCU, Coronary, Cardiac

    For sure there is a block and I'd have to agree that it is definitely not atrial flutter. HR is in the 80s so not slow. Most blocks are treated similar. Watch for pauses, bradycardia, pt symptoms. You...

  20. Atrial Flutter vs Atrial Tachycardia with AV block

    LetsChill replied to ChaseZ's topic in CCU, Coronary, Cardiac

    I would have to agree here, for sure. If we are talking about indistinguishable fast rhythms, most cardiologists are not so interested in the strip that they really care exactly what every 6 second...

  21. INR increasing...without anticoagulation?

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

    Awesome explanation. Thanks. I had no idea. I don't remember if the pt was on one of these antibiotics. InteractionPotential effectTime to effectRecommendations and comments Warfarin (Coumadin) plus...

  22. INR increasing...without anticoagulation?

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

    Not sure about pts LFTs but creatinine was up for sure, but slowly improved. Clearance probably played a role too. Good

  23. INR increasing...without anticoagulation?

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

    I don't remember a lot of details but one pt whom this happened to was being anticoagulated for B PE and DVT, had ca with post op sepsis, endocarditis. Cancer screws up everything, but the INR was...

  24. Vanderbilt Grad Entry 2013

    LetsChill replied to LetsChill's topic in Student Nurse Practitioner

    There is a great online tool to help with GRE prep. http://www.gretutor.com Costs $10 You get 4 complete math and verbal tests, thousands of vocab words, math and verbal tutors, and tips for good...

  25. Vanderbilt Grad Entry 2013

    LetsChill replied to LetsChill's topic in Student Nurse Practitioner

    I have the feeling that a lot of ppl that apply to Vandy MSN do the distance format. I am moving there because online learning has not been good to me. Plus they will set up your clinicals for you,...