Catticus11

Catticus11

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All Content by Catticus11

  1. ST depression morphology

    Catticus11 posted a topic in CCU, Coronary, Cardiac

    So I had a patient who was awaiting CABG after an outpatient cath revealed 95% Left main lesions, 90% RCA, and 60% LAD. He was on a Nitroglcyerin gtt and IABP. He started to complaining of chest pain...

  2. 6 Month Road Trip: What are my job options?

    Catticus11 posted a topic in Nursing Career

    I'm a critical care nurse at this time, with a total of 3 years of bedside experience. My boyfriend and I want to take a roadtrip around the country. Maybe spending a week or two in different cities....

  3. Flotrac Sensor

    Catticus11 posted a topic in MICU, SICU

    I had a patient come from the PACU after a leg revasc with an arterial line attached to a flotrac sensor/transducer. No vigileo or anything like that. I'm not too familiar with the equipment. What's...

  4. PPM and Magnets during Cardiac Arrest

    Catticus11 posted a topic in CCU, Coronary, Cardiac

    I responded to a code blue, MD was already at the bedside because he was responding for new symptomatic hypotension. Patient was admitted two days prior for NSTEMI, and there was plan for cardiac...

  5. Myoclonus From Sedation

    Catticus11 posted a topic in Critical Care

    I had a patient on Propofol and Fentanyl who began to shake and originally I thought he was seizing, but my charge nurse stopped and said it appeared to be more like myoclonus which can happen from...

  6. Myoclonus From Sedation

    Catticus11 replied to Catticus11's topic in Critical Care

    No, he originally came in c/o dizziness, so he went to a cardiac telemetry unit where he fell and hit his head. He was transferred to CCU after that, where he began to become Apneic and developed a...

  7. GIB s/p Cardiac Cath with Effient and Plavix

    Catticus11 posted a topic in CCU, Coronary, Cardiac

    Patient was admitted to cardiac telemetry unit s/p cardiac cath, 1 DES was placed and apparently she was Effient loaded in CCL, and on Plavix cath lab. No baseline CBC or BMP collected per the...

  8. IABP waveform clarification

    Catticus11 posted a topic in CCU, Coronary, Cardiac

    I had an IABP the other night on a patient awaiting CABG. 3VD, significant RCA and LMain involvement. The patient was slightly hypertensive on the IABP, he normally is on Lisinopril but they...

  9. IABP waveform clarification

    Catticus11 replied to Catticus11's topic in CCU, Coronary, Cardiac

    I'm sorry, I forgot to include that his EF per the cath was 50%. Per the CXR the IABP looked like it was in the right place. But waveform could also be affected by inappropriate position? When I put...

  10. Treating Bipap Induced Hypotension

    Catticus11 posted a topic in Critical Care

    I had a patient who needed bipap for an elevated pCO2 in the 80s but compensated. He was on a Bumex gtt for an elevated BNP, and CXR which showed bilateral pleurel effusions. Patient had history of...

  11. Treating Bipap Induced Hypotension

    Catticus11 replied to Catticus11's topic in Critical Care

    Hi! I love that an RT is on here. So yeah, when I was speaking with the cardiologist I asked the same thing, and he said his concern was from the fact that he has no history of COPD and that though...

  12. Treating Bipap Induced Hypotension

    Catticus11 replied to Catticus11's topic in Critical Care

    Yay, I'm so glad! You're always learning in this field, and this website's a great resource for new nurses like myself to discuss things with the more experienced RN, NPs, etc. Best of luck!

  13. Myoclonus From Sedation

    Catticus11 replied to Catticus11's topic in Critical Care

    Thank you so much for the response. Would I treat seizures vs. diprivan induced myoclonus the

  14. IABP waveform clarification

    Catticus11 replied to Catticus11's topic in CCU, Coronary, Cardiac

    Thank you so much for your response! So a low diastolic pressure would merit the balloon pump sheerly for coronary perfusion? Is there a particular DBP value that they decide for that? Does the type...

  15. IABP waveform clarification

    Catticus11 replied to Catticus11's topic in CCU, Coronary, Cardiac

    So an equal assisted and unassisted diastolic is an indicator of poor offloading, in the setting of hypertension? Also, no I haven't tried manually timing. It was briefly reviewed to me by an older...

  16. Hyperglycemia-induced Hyponatremia

    Catticus11 posted a topic in Diabetes, Endocrine Nursing

    The Patient I had a patient who was a type I DM who had an Insulin Pump for years. She stated her blood sugars had been running high for the past couple days, but today she was experiencing frequent...

  17. Understanding Inotrope Indications

    Catticus11 posted a topic in CCU, Coronary, Cardiac

    So I've had patients who have CHF and receive weekly Milrinone infusions. I've also had patients who are awaiting Heart Transplants but weren't on any inotrope, but did have lower-ish BP. I've had...

  18. Treating Bipap Induced Hypotension

    Catticus11 replied to Catticus11's topic in Critical Care

    Perfect, thank you so

  19. Treating Bipap Induced Hypotension

    Catticus11 replied to Catticus11's topic in Critical Care

    When I asked the nurse about the BP following Bipap placement, she said the BP remained normal. I don't think she was measuring the BP more frequently than q30min at the time, so I'm not sure how...

  20. First Lidocaine gtt

    Catticus11 replied to Catticus11's topic in CCU, Coronary, Cardiac

    Oh whoops, sorry about that typo. Thanks for the

  21. First Lidocaine gtt

    Catticus11 posted a topic in CCU, Coronary, Cardiac

    I had a patient who congenital LQT and was going into recurrent torsades. She initially on Amiodarone but was changed to Lidocaine after the cardiologist realized it was congenital. She had a...

  22. Experienced RN seeking ICU residency. Help/Advice!!!

    Catticus11 replied to amazon050508's topic in Critical Care

    St. Peter's Hospital in Albany, NY has a Critical Care Orientation Program that uses AACN ECCO model. You have the option of the Emergency Department, Medical ICU, Cardiac ICU, or

  23. How to get a CVICU position

    Catticus11 replied to Alexxoxox's topic in CCU, Coronary, Cardiac

    I started in my hospital's critical care orientation with a bunch of CVICU nurses. They all had at least a couple years of experience, and came from either the OR, PACU, or cardiac telemetry floors....

  24. Highest Troponin Levels You've Seen?

    Catticus11 replied to Dogstar's topic in CCU, Coronary, Cardiac

    I just recently went through the AACN ECCO program through my hospital; something that took me off guard was (either the program or my instructor) saying that it was unnecessary to let a provider know...

  25. Role of Epinephrine in ACLS

    Catticus11 posted a topic in CCU, Coronary, Cardiac

    My charge nurse stated in passing, "during a code Epinephrine does nothing but vasoconstrict the coronary arteries, thus making compressions more effective." My mind was blown! And then after my mind...