Nursingbride12

Nursingbride12

Cardiac, Transplant, Vascular, NICU

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All Content by Nursingbride12

  1. Tips for new grad in CCU?

    I was a new grad on my CCU unit as well and now that I am a preceptor as well I have learned two very important things from the wiser nurses I have worked with: 1) ASK QUESTIONs. It's how you learn!...
  2. IABP: Why is augmentation better in 1:2?

    While I am not sure of the different models, I have worked with IABP for years and have discovered that they are absolutely fascinating machines. The biggest thing with them is PERFUSION. PERFUSION...
  3. Family In The Room for Code?

    Hi All, I had a pt who came back from coding in Cath lab. The pt was over 80 yrs old, complaining of chest pain, requiring initropes and vasopressors and the family chose to send the pt down for a...
  4. CVICU - Eating their young

    I'm also a new Grad on my unit. Been here about a year and Im still asking questions and learning because at the end of the day, I would like to know the information and get the eye roll rather than...
  5. Family In The Room for Code?

    While I have also read these articles, I was concerned about the family members disrupting the code itself and making the code less effective. Before you make assumptioms about my personal practice,...
  6. Ethical Question About Pacemaker

    Hi all! I have an ethical/end of life question for you. I had a patient who had a pacemaker placed in the 90s as well as an AVR a couple years previous to this visit. The patient was a young patient...
  7. Extubation Difficulties

    HI All! I have a puzzle for you all. My patient is a male with cardiomyopathy and an EF of 30%. He came in to the ED with shortness of breath and was intubated and has been for about a week now. My...
  8. Extubation Difficulties

    He actually just self-extubated today so hopefully he will "fly"! Thank you for all the
  9. Extubation Difficulties

    So the group of doctors working with my patient prefer not to use haldol but he was started on
  10. Extubation Difficulties

    Well on 35% his CO2 is 65 and his PO2 is 85... That makes me nervous to extubate quite yet. I haven't tried the haldol though! I'll bring that up next time I see ICU
  11. Hi All, I have a question for you. I have a personal problem that I would love help with. I am a young woman, eat an extremely healthy diet, exercise 3 days out of the 4 I have off, and am a critic...
  12. Pacemakers

    I work on a Cardiac Transplant/ Cardiac Surgery unit and we have pacemakers come back from the OR all the time. What our surgeons say is that if you completely pause the pacemaker, it is almost a...
  13. Ethical Question About Pacemaker

    Thanks for all the replies!!! I really appreciate all the stories. :) Love learning this
  14. New to CVSICU...cardiac gtts

    Thanks for the
  15. Drips

    That site is great!! I'm doing the
  16. New to CVSICU...cardiac gtts

    I personally have never gone up that high. If we were up that high Im sure the pt would be on plenty other drips. Really I was just using this as an example of
  17. New to CVSICU...cardiac gtts

    Ok my point is still the same. And on my unit we can titrate Vasopressin from .03 to
  18. New to CVSICU...cardiac gtts

    On.
  19. New to CVSICU...cardiac gtts

    I am a new grad who started about 7 months ago on a cardio vascular transplant unit. My advice would be to get to know the drips you use most often and know how long it takes them to work. For...
  20. Fevers In CCU

    I am a new grad in a CCU and we deal with post surgical as well as transplant patients. Needless to say I'm always trying to learn more thing in my position! So my patient has Clebsiella pneumonia...
  21. InfraRed Saunas Good for HF Patients??

    Hi! I was at a homeshow this weekend and heard something interesting I would like advice on. There were TONS of saunas that were being sold but one indicated that their technology was great for heart...
  22. Ethical Question About Pacemaker

    I understand that way of thinking, but if it was the only thing keeping him alive when everything else had stopped working? I mean, his blood pressure was falling, he hadn't eaten in days, his kidneys...
  23. Ethical Question About Pacemaker

    Sorry for the confusion! I just had 1 patient in this particular situation. It was my first case where I was the primary RN so I was trying to sort it all out
  24. Ethical Question About Pacemaker

    Thanks for all the replies :) I'm glad did the right thing but for me this feels like the hardest part of our job. I did give them 4mg of morphine before the tech got there so I'm confident they...
  25. Dobutamine or Dopamine?

    Hello! New grad again. Over the weekend I was assigned a patient that was in complete HF. The patient was only on Dobutamine at 2.5 mcg. When the doc tried to wean him off of it he went into A-Fib/...