MedicRN151

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1. Amiodarone and Cardizem drip??

   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 neighborhood of 160), narrow, and at that time the R to R was...

2. Amiodarone and Cardizem drip??

   MedicRN151 replied to MedicRN151's topic in Emergency

   Her BP remained around 140/90 pretty much the whole time.

3. Amiodarone and Cardizem drip??

   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 was pretty wary about that as well, and had the ER D...

4. Amiodarone and Cardizem drip??

   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 cardioverter for the fact that it causes a transien...

5. Amiodarone and Cardizem drip??

   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 didn't have any peripheral edema, which lead me to th...

6. Paramedics in the ER

   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 paramedics to act as tech's. Being an RN and having ...

7. Amiodarone and Cardizem drip??

   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 want to have a nagging question in my mind about w...

8. Amiodarone and Cardizem drip??

   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. If I had this patient on my truck when I was a pa...

9. Amiodarone and Cardizem drip??

   MedicRN151 posted a topic in Emergency

   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 bedside...ya never know!) Anyway, the admitting d...

10. Where have all the nurse practitioners gone?

    MedicRN151 posted a topic in General Nursing

    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 are in each state. So far I've only found the nati...