MedicRN151 replied to MedicRN151's topic in Emergency
true enough swtooth, although i have to say that I couldn't tell that it was afib/flutter with RVR until after the rate was slowed down. All I could tell you was that it was fast, (in the...
MedicRN151 replied to MedicRN151's topic in Emergency
Swtooth, I agree, I think sync cardioversion shoul have been initiated in this case, I wonder why the MD didn't do it. Also, as for the betablocker, and calcium channel blocker at the same time, I...
MedicRN151 replied to MedicRN151's topic in Emergency
ICU floater, actually, adenosine is used to treat SVT, it is in the ACLS narrow complex tachycardia algorhythm. I have used it in the field with a fair amount of effect. It is known as a chemical...
MedicRN151 replied to MedicRN151's topic in Emergency
mmtuk, sorry I was posting in the hypothetical mindset that she would have coded. She didn't, at least not before shift change. But I always think about the "What might have beens". And no, she...
MedicRN151 replied to errneducator's topic in Emergency
When I worked the ER in Indiana, Paramedics were able to do everything a nurse could except for initial assessments, patient education, and discharge. The ER I work in now, in Texas, only allows...
MedicRN151 replied to MedicRN151's topic in Emergency
Gila, I agree, I think it was a pump problem as well. I think one of the things that bothered me the most was that if this patient didn't receive the amio, she wasn't going to do too well. I didn't...
MedicRN151 replied to MedicRN151's topic in Emergency
In one of the very brief moments her heart rate dropped below 140, I could see fib/flutter. EMS gave adenosine in the field with limited effect. And I also wonder why a central line wasn't started....
I had an elderly patient a few nights ago that was in sustained SVT with a heart rate in the 160's. It wouldn't respond to two diltiazem boluses or a metoprolol bolus. (I had Glucagon and Calcium at...
Hello, Help me! I'm a paramedic with one semester left on his associate's RN degree and I am stumped on a research assignment. I am trying to find a website that lists how many nurse practitioners...