bruto

If I find in lead two... Should I call doctor? Or it is not that significant?

Is left atrial hyper trophy is only cause of biphasic p wave?, but when I looked at pt echo report It does not reveal that...

Hi dears I have never seen any case like this... Recently my brother is diagnosed with disease and sarcolitis... What would be the outcome

Nope canada.. Thanks for taking time and replying I am getting an idea... I am a new nurse.. You are awesome

No respiratory therapist... Small facility... I do have senior staff... She said this machine should not be for bipap for long time

It just says bipap mask...

Mask I will look and say now

First three questions I can't really understand I am sorry but I don't have any graphs ...

I am using ventilator as bipap machine... It says LTV 1200 care fusion

Yes phi gam.. I am trying to change my attitude to open my mouth and speak... It is helping lot if I ask...

Thanks for your reply guys... Got an idea...

HellO...I got a patient today who has melena... When I document in stool assessment... It gives me bunch of options ... One relevant option is melena and there is one more which black stool... I feel both are same... I guess u name it as melena only if stool is black... I asked one of my senior she says u say melena by colour and smell ??? Can anyone explain me

He is ok with needles... Often his IV site fails to co operate and we change it... He is cooperative with that... Speaking about fever ... He had no fever for past two days..

He had antibiotics, morphine, torodol, Valium from morning... It happened in mid afternoon

I had a patient in icu who is septic and has history of diabetic...his breathing was also hard... Had some crackles in lungs but no lung or cardiac history... I was starting an IV sitting besides to him... All of a sudden he sweats fully.. His whole dress and sheets were wet.... I checked his sugar which was normal... I checked blood pressure which was normal... And pt denies chest pain... I can't think more than that.. Could anyone help me...

Same problem Angela.... I am such a shy person who cannot start conversations.... I am from different place and culture where I am not allowed to speak top of my voice... It's very difficult for me to put my thoughts to words even though my mind thinks lot... Throughout the hospital they call me very quiet girl and some of the nurses will not like to do shift with me because I won't speak much... It takes time for me to get along with people... I was just newly hired... I am thinking to take few steps to overcome all these... May be it's funny but I don't know whether it works... The whole next I am just going to try to spend ten minutes in my patient room just chatting something... I am just going to see whether I am able to keep conversation for ten minutes at first

Yes ... You are right ... I am struggling lot in my proffession because of my carelessness which I am struggling to fix it... Though I have knowledge and skill ... Small small mistakes is putting me in lot of trouble.... Working on it ... I don't want to give up ...

Great ... I was not able to think alarm settings ... Let me check that... Thanks a lot...

May be I will do that.... I will make sure machine has no issues ... But is there any other reason other than leak for low peep alarm?

Hi , I had a copd patient who had history of chf and severe cellulitis in both legs. She had an order for bipap prn. Her wheezes was very high that we could her out if her room. Very laboured breathing. I connected bipap, made sure there is no leak anywhere on the connections, around her face. The machine was constantly alarming for low peep every five minutes . I am 100 percent sure there is no leak. Is there any other reason for this alarm... Help me please .. To my knowledge I thought only leak is low peep alarm .

Thanks ... You are right .. That particular patient was on LASIx 80 mg twice a day for pat two days .... I didnot have look on magnesium and potassium levels... That's good to know ... Next time I can have a eye on it... May heart was irritable due to electrolyte imbalance...

Thanks a lot for your reply and I am planning to take ECG classes next month

Lol...

Hi I am a new icu nurse.... Working on to get knowledge in ECG strips ... How significant is these two rhythms? When you see monitor alarming for multiple PAC and PVC ... What should I do? I have never seen any of my senior nurses informing to doctors... I don't know what happens? And what should I do? I just don't want to blindly follow without knowing reasons... And I am a kind of person who never speaks loud or bring my thoughts out until and unless I have felt ease with them... So passive... Could anyone help me?