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Carol Hathaway from ER or Jesse from Code Black.

I'm an LPN who works in a busy cardiology practice and I run stress testing, so I will answer this. Lexiscan is basically a chemical used for nuclear stress testing. It is used for patients that cannot walk or are unable to achieve their target heart rate by walking on the treadmill. I assume you would like to know the difference between a Nuclear Stress test and a stress echo. You are correct, the nuclear stress test is looking at blood flow to the coronary arteries both at rest and after stress ( either by treadmill or Lexiscan.) The doctor looks at both sets of pictures and the EKG that is obtained during the stress portion of the test to see if there might be any ischemia or abnormalities. A stress echo looks at the valves and walls both at rest and with stress, at peak stress wall motion abnormalities can occur which can indicate potential blockage. The there are other reasons to do stress echos, but I don't want to bore you by listing them all :) There is also a chemical stress echo, our clinic uses dobutamine for those, again for those patients unable to exercise. Hope this helps!

Thank - you so much for your help.:)

Thank-You for your reply, if you don't mind me asking, what state are you from? Thanks again for your reply, it was extremely helpful. :)

Posted this in the student help forum, but was not getting any responses, so I figured I would try my luck here Hi, I am a 3rd semester LVN student and for my leadership class, I am supposed to interview a RN or LVN who works or has worked in a position where they must delegate responsibilities to unlicensed personnel. (Nursing assistants, CNA's, etc.)I asked my intructor if it was ok to post the questions on the allnurses website and she gave permission for us to do so. Also, I value UAP's and their help, this is not necessarily about the UAP doing anything wrong, this is about conflict resolution. I am supposed to ask about a situation dealing with this unlicensed person and a patient or patient's family. It can be any difficult situation, such as the unlicensed person exceeding their scope of practice, ineffective communication between the staff member and family, or simply a family member complaining that the aide doesnt know what she's doing, etc. . Any help would be greatly appreciated.:) If you can think of a situation like this, could you answer these questions for me? 1. What was the situation that occured? 2. Who was involved? Include patient, family members and any hospital staff involved. 3. What steps did you take (from start to finish) to resolve the problem? 4. What was the ultimate outcome of the situation? 5. What, if anything, would you do differently if a similar situation were to occur again? Many thanks in advance for any help anyone could give me.

Hi, I am a 3rd semester LVN student and for my leadership class, I am supposed to interview a RN or LVN who works or has worked in a position where they must delegate responsibilities to unlicensed personnel. (Nursing assistants, CNA's, etc.)I asked my intructor if it was ok to post the questions on the allnurses website and she gave permission for us to do so. Also, I value UAP's and their help, this is not necessarily about the UAP doing anything wrong, this is about conflict resolution. I am supposed to ask about a situation dealing with this unlicensed person and a patient or patient's family. It can be any difficult situation, such as the unlicensed person exceeding their scope of practice, ineffective communication between the staff member and family, or simply a family member complaining that the aide doesnt know what she's doing, etc. . Any help would be greatly appreciated.:) If you can think of a situation like this, could you answer these questions for me? 1. What was the situation that occured? 2. Who was involved? Include patient, family members and any hospital staff involved. 3. What steps did you take (from start to finish) to resolve the problem? 4. What was the ultimate outcome of the situation? 5. What, if anything, would you do differently if a similar situation were to occur again? Many thanks in advance for any help anyone could give me.