TennRN2004

TennRN2004

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All Content by TennRN2004

  1. Death by Arterial Line?

    TennRN2004 replied to MarySunshine's topic in CCU, Coronary, Cardiac

    Had this exact situation at work happen a while back. Pts aline was off the monitor, but left in for lab draws. Nurse goes in the check on sleeping pt, notices something on the floor, looks down there...

  2. A few minutes meant difference between life-or-death...or something

    TennRN2004 replied to Dinith88's topic in CCU, Coronary, Cardiac

    I gotta say dinith, I'm glad this situation turned out well for the patient. I would have been of the same mind as you to give him morphine and let him go peacefully. Unfortunately though, we often...

  3. cardene gtt

    TennRN2004 replied to chaosRN's topic in CCU, Coronary, Cardiac

    I use it all the time for the hearts...love it, it works wonders for both htn and afterload reduction. If I'm getting up to 100-150 mcg on my ntg gtt, I'll start thinking about some cardene. For htn,...

  4. Infiltrate treatment question

    TennRN2004 replied to butofcourse's topic in CCU, Coronary, Cardiac

    We also have the needles with the safety covers. BUt, ours allow us to choose the length/guage of the needle we want, so we can change ours out. In the situation you are describing, sounds silly, but...

  5. sternal plates post CABG

    TennRN2004 replied to momdebo's topic in CCU, Coronary, Cardiac

    Hmmm...well sorry I guess my post wasn't much help. I haven't seen anything like you are describing. We see sternal plating very infrequently, and usually only for the reasons I posted. I am unclear...

  6. Who does your IABPs

    TennRN2004 posted a topic in CCU, Coronary, Cardiac

    I was suprised to hear that in some areas the respiratory therapists did the insertion and management of IABPs. At my facility, we have the perfusion department who set them up preop/intraop. As far...

  7. Who does your IABPs

    TennRN2004 replied to TennRN2004's topic in CCU, Coronary, Cardiac

    I know, we hate it. Sometimes you have a patient who is wide awake, we've turned their precedex down for quicker extubation, and you've got an RT who doesn't stay in the unit. Most of our RTs are...

  8. sternal plates post CABG

    TennRN2004 replied to momdebo's topic in CCU, Coronary, Cardiac

    A sternal plating will be used if the patient is a redo and has an unstable sternum, or if the surgeon is worried about the sternum healing without the plating being used. Example, an obese diabetic...

  9. Who does your IABPs

    TennRN2004 replied to TennRN2004's topic in CCU, Coronary, Cardiac

    No, we can't make any vent changes at any time, period. In order for us to wean on the fresh hearts, we call anesthesia and give them post op abgs, we then get an order to either change vent settings...

  10. CAB Patient Observation

    TennRN2004 posted a topic in CCU, Coronary, Cardiac

    This is purely experience related, but do you guys notice that all of the young patients are the WHINIEST uncooperative patients after heart surgery? I'm talking 20-40 year old group. You can't get...

  11. Mucomyst iv

    TennRN2004 replied to msn2008's topic in CCU, Coronary, Cardiac

    Yep, you smell that stuff all over the unit. I always tell my patients straight up, it stinks, it's nasty, but you gotta drink it. We usually dilute it too, but some pts prefer to drink a little swig...

  12. Dobutrex

    TennRN2004 posted a topic in CCU, Coronary, Cardiac

    This is one weird drug to me sometimes. You never know from patient to patient how it's going to work. We were discussing it at work the other night. I had a patient a while back who was at our sister...

  13. Bidding For Shifts

    TennRN2004 replied to hagrid's topic in CCU, Coronary, Cardiac

    Doesn't it burn your hide that in spite of the nursing shortage, and nurses have to work overtime, that somehow hospitals manage to take advantage of it for their best interest. I wish nursing would...

  14. Mucomyst iv

    TennRN2004 replied to msn2008's topic in CCU, Coronary, Cardiac

    Nope, never heard of it. I've always given it po. Feel sorry for the pts who have to chug it down. It smells like rotten eggs...and I'm sure it tastes even worse. I couldn't imagine giving that stuff...

  15. Tandem Heart.....

    TennRN2004 replied to CardioTrans's topic in CCU, Coronary, Cardiac

    Notice I said that number came from our class taught by the ABIOMED REPRESENTATIVE, so of course the data is probably a little skewed, which was why I pointed out that information came from the rep....

  16. Dobutrex

    TennRN2004 replied to TennRN2004's topic in CCU, Coronary, Cardiac

    Thanks Troy, your post is very informative. I just realized part of what I forgot to mention in the initial post. The reason I say dob is a funny drug is because what we will often see in post op...

  17. Emotinally Draining

    TennRN2004 replied to RainDreamer's topic in NICU, Neonatal

    I posted a thread on my nephew about his passing today (27 weeker). It is very ironic that when I started as a new nurse 2 years ago, I interviewed and had a job in the NICU. I loved it, loved the...

  18. Oppinions Please on 27 Weeker

    TennRN2004 replied to TennRN2004's topic in NICU, Neonatal

    That's exactly what they said was the problem. His lungs were stiff and couldn't get ventilation. They tried two different vents but couldn't keep his sats up. At least mom is doing fine, they have...

  19. Oppinions Please on 27 Weeker

    TennRN2004 replied to TennRN2004's topic in NICU, Neonatal

    Sadly, the baby did pass away this morning. They told the parents his lungs were too stiff and he couldn't be ventilated well enough to get oxygen. It has been a long couple of weeks for the mom, but...

  20. Oppinions Please on 27 Weeker

    TennRN2004 replied to TennRN2004's topic in NICU, Neonatal

    We have a baby! He was over 2 lbs, but he did have to be intubated and on "high vent settings", which they told us was not unexpected. Mom is doing great, glad it's all over. They've decided now she...

  21. CRNA school with children

    TennRN2004 replied to crnastudent1's topic in Student Registered Nurse Anesthetist

    I remember being young and making stupid comments...and later eating my words when you realize things in life happen. I personally have a 6 year old child and I am applying this year. I have had that...

  22. Vital Sign Frequency with Vasoactive Infusions

    TennRN2004 replied to lisa4golf's topic in MICU, SICU

    We chart q 15 if we are actively titrating vasoactive medications. Ideally, you have an aline so the few minutes in between you know what a constant bp is. But, if I have one without an aline, there's...

  23. EZ hold use in femoral sheath removal

    TennRN2004 replied to ustfhh's topic in CCU, Coronary, Cardiac

    We use the clo-sur pads, which I think is very similar to what you're talking about. As far as MD order for pulling sheaths, it depends on what unit/what MD. In the SICU, we use the clo-sur pad almost...

  24. Who does your IABPs

    TennRN2004 replied to TennRN2004's topic in CCU, Coronary, Cardiac

    That's exactly right, the arrows are zeored with the patient upon insertion. The fiberoptic catheter continuously reads off the patient, so there is no need to zero at all for it to be accurate. The...

  25. Who does your IABPs

    TennRN2004 replied to TennRN2004's topic in CCU, Coronary, Cardiac

    I'm still relatively speaking a newbie ICU RN (little over 2 yrs exp), but man are we a spoiled bunch! I just take it for granted all the bells and whistles we have today until I hear some of the...