ChaseZ

ChaseZ

Critical Care, Cardiac

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All Content by ChaseZ

  1. Could anyone help me better understand this code ?

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

    Sounds like this patient went into a Pulseless VT that was below the detection rate of the AICD. Each AICD is programmed for a specific VT/VF "zone" that requires a specific rate and run count to...

  2. Should ICU get more pay than floor nursing?!?

    ChaseZ replied to francoml's topic in MICU, SICU

    It is all supply and demand. If they can not staff Med/Surg floors then they are going to offer incentives. When an ICU position opens up and 20 people apply then there have no reason to offer high...

  3. IV Amiodarone extravasation

    ChaseZ replied to WAheartnurse's topic in Cardiac

    Just be smart about the PIV you are using. Make sure it has a good blood return and will take a hard flush. If not, start a new one. I hate putting IVs in the AC but if the patient is getting Amio,...

  4. when to start compressions?

    ChaseZ replied to NurseCollins799's topic in CCU, Coronary, Cardiac

    You can attempt to cardiovert Torsades de Pointes but it will most likely fail. With a synchronized cardioversion the device tracks the R wave of the QRS complex in an attempt to precisely deliver the...

  5. What if.....your Director has falsified his credentials?

    ChaseZ replied to miserere's topic in Critical Care

    Certification Verification Search Personally, the first name on my badge is not the same as my license. You would not find me if you searched using only

  6. PCCN?

    ChaseZ replied to turnforthenurse's topic in Critical Care

    I took the exam yesterday and passed with a 90%. The test was very Cardio/Pulm heavy. Like a previous person mentioned I had a couple WPW, A few MI Location/Artery, Long QT, Electrolyte effects on EKG...

  7. Normal Heart Sounds w/Pacemaker?

    ChaseZ replied to Cinquefoil's topic in Cardiac

    Pacemakers themselves do not create abnormal heart sounds. What you most likely heard was a valve murmur in a patient who happened to also have a pacemaker. The majority of patients who get pacemakers...

  8. The growth of male nurses

    ChaseZ replied to ProudPapaRN's topic in Men in Nursing

    So are you implying that females' motivations for entering the profession are intrinsically more altruistic than their male counterparts? Many of my female coworkers would cite the reasons you stated...

  9. SICK of BSN Pedestal

    ChaseZ replied to DUDERNGUY's topic in Diploma, ADN, BSN

    But I like my pedestal....seriously. I do not think ADNs are any less competent than BSNs or vice versa but in today's economy and job market the BSN has a clear advantage (For new grads). My BSN...

  10. Littmann black on black vs smoke edition

    ChaseZ replied to Tiffany7205's topic in Scrubs, Uniforms, Gear

    The black edition is a very dark black with all the parts looking pretty much the same color. The smoke is a dark grey or gunmetal which is slightly lighter than the black tubing which adds a little...

  11. Quality between Littmann models that big of a difference?

    ChaseZ replied to Nguyenchester's topic in Scrubs, Uniforms, Gear

    With any of the cardiology stethoscope I would definitely invest in a Batclip. They are very heavy and get annoying around your neck. Amazon.com: The BATCLIP (BLACK): Health & Personal

  12. Graduating soon with an ADN in St Louis MO

    ChaseZ replied to Mommy2RN's topic in General Nursing

    That is what we were all told when applying for jobs but me and many of my classmates have positions and start in January before passing boards. As far as the job market goes I was told by HR that...

  13. Graduating soon with an ADN in St Louis MO

    ChaseZ replied to Mommy2RN's topic in General Nursing

    Congrats and good luck. I just graduated with my BSN and went through the new graduate application process. It can get complicated and stressful. Your best bet is to find personal contacts (floor...

  14. First time doing CPR

    ChaseZ replied to bear14's topic in General Students

    It is normal for a person to freeze or feel overwhelmed the first time they do CPR outside of the hospital. If someone collapses in front of you then check a pulse, tell someone to call 911, tell...

  15. Quality between Littmann models that big of a difference?

    ChaseZ replied to Nguyenchester's topic in Scrubs, Uniforms, Gear

    I have owned both the Master Cardiology and the Cardiology III. As far as sound quality goes I think they were pretty much even, both are fantastic. My problem with the Cardio III was the size/height...

  16. Intraosseous Access - Have You Used It?

    ChaseZ replied to emerjensee's topic in Emergency

    We commonly used them in EMS for peri-code and code situations with poor venous access. Many medics will go straight for IO for codes. It's an great intervention prehospital but it has not really...

  17. When someone mocks you for being a nurse

    ChaseZ replied to fraydar's topic in Male Nursing Students

    Don't even let it bother you. Just be confident in who you are and the profession you have chosen. Those who mock are usually ignorant and know little about what nurses actually do. A lot of my...

  18. BiV pacer question

    ChaseZ replied to jo1828's topic in Cardiac

    Short answer: Yes, a BiV Pacemaker can have to ventricular pacer spikes. Long answer: A BiVentricular pacemaker, also know as a cardiac resynchronization device (CRT), has two pacing wires; one in...

  19. Prolonged QT Interval

    ChaseZ replied to jphillips27's topic in Cardiac

    The QTc is the rate corrected QT interval. There are a few formulas but I think the most common is the QT divided by the square root of R-R. EKGs should automatically calculate it for you but on a...

  20. V-fib refractory to an initial/second shock

    ChaseZ replied to queenjulie's topic in Cardiac

    If you are ever bored and want an interesting read search for some articles on "Double Sequential Extermal Defibriillation" or DSED. Pretty interesting concept of using two defibrillators for...

  21. help understanding non rebreather masks

    ChaseZ replied to Whts_Ur_Emergency?'s topic in CCU, Coronary, Cardiac

    Glad to see another EMTLIFE'r on here Akulahawk. Others have already answered your question but I just want to echo what they said, definitely not a stupid question. I have seen numerous people in the...

  22. Is this common practice?

    ChaseZ replied to Sugarcoma's topic in MICU, SICU

    I am just a student but I will offer my input. I have always been trained (In EMS, so probably different priorities) that analgesia should be the main priority followed by sedation. A patient...

  23. For the men, a school/zombie apocalypse bag.

    ChaseZ replied to ImKosher's topic in Scrubs, Uniforms, Gear

    I have a 5.11 tactical backpack. It is awesome just like all of their products. RUSH 24 Backpack | Tactical Backpacks | 5.11

  24. So.....What's up with this patient?

    ChaseZ replied to echoRNC711's topic in Cardiac

    I was thinking acute Cor Pulmonlae in relation to a PE. Athought it does not really fit the symptoms it is good to rule

  25. Prolonged QT Interval

    ChaseZ replied to jphillips27's topic in Cardiac

    To add a Zebra to the equation...Hypoglycemia can prolong the QT interval. Did his QT prolong as his heart rate dropped? It is good to know the