hrtprncss

hrtprncss

ICUs, Tele, etc.

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All Content by hrtprncss

  1. Want to Discuss Hearts?

    hrtprncss replied to nedanurse's topic in CCU, Coronary, Cardiac

    Same here, pretty much gtt's u see often with these pt's are ntg/neo/dob, we also tend to use albumin more than hespan. Some surgeons really push you to fast track the patients to extubate, though...

  2. HIT in CABGs

    hrtprncss replied to TennRN2004's topic in CCU, Coronary, Cardiac

    Very very rarely we use argatroban, I've only used lepirudin maybe once I think or twice. Usually we don't see VERY low PLT, maybe 80's or something, If that's the case we just usually watch the...

  3. triple reflex

    hrtprncss replied to goldentxnurse's topic in Neuro Intensive Care, ICU

    I've never heard of the term triple reflex? Maybe you're talking about Cushing's Triad? HTN, Brady, Widening

  4. Cardiothoracic Nursing texts

    hrtprncss replied to AussieKylie's topic in Cardiac

    Buy the thelan, 9 years ago about a month before I transferred from Step Down to SICU, I read Thelan's Critical Care Nursing....It helped me a whole

  5. Want to Discuss Hearts?

    hrtprncss replied to nedanurse's topic in CCU, Coronary, Cardiac

    Same here we get them up the morning of POD#1, most of the time that's when we take the lines out. So basically we have overnight to get patients off the drips...Usually though, by the time...

  6. Want to Discuss Hearts?

    hrtprncss replied to nedanurse's topic in CCU, Coronary, Cardiac

    Yes, more threads about Open

  7. Haloperidol ...

    hrtprncss replied to rninme's topic in General Nursing

    I too have given this IV and IM and also PO. I have a quick question though, I'm aware that it says IM only on the vial. If you give this IV, and I have before, because a 1 mg IM haldol doesn't do...

  8. IV pumps for art lines

    hrtprncss replied to shadowflightnurse's topic in CCU, Coronary, Cardiac

    Thanks again for the explanation, very interesting. EDIT: One more thing, you said there was a weight limit and then you switch to the regular 300mmhg pressure bag. This might sound ignorant, but I...

  9. IV pumps for art lines

    hrtprncss replied to shadowflightnurse's topic in CCU, Coronary, Cardiac

    Hi I was wondering if you could explain the setup? I'm quite curious as to what kind of tubing it is, you know the whole component of it. Just in case I run into it. I mean when it's connected to a...

  10. Philippino Nurses to Japan--My view

    hrtprncss replied to kelly302's topic in International Nursing

    offensive post and remarks removed by the moderator . ??? What's with this post, that's not

  11. IV pumps for art lines

    hrtprncss replied to shadowflightnurse's topic in CCU, Coronary, Cardiac

    I agree with what zashagalka said, besides wouldn't the patient get charged the IV pump every day, unneeded cost when the alternative ''could'' be cheaper. But I won't claim to know how much a...

  12. Pulling Femoral Lines

    hrtprncss replied to Nurse-o-Matic's topic in CCU, Coronary, Cardiac

    Found something rather interesting, it's the same question discussed in a PTCA forum by cardiologists or those practicing in cardiology...Asking the same question, getting different answers, one says...

  13. Questions about peak and trough levels??

    hrtprncss replied to stnurse2008's topic in General Nursing

    In our facility, when the pharmacist initiates and controls the dosages, most of the time about 95 percent of the time, they don't do peaks. Only troughs. They will specify wether to wait for the...

  14. Pulling Femoral Lines

    hrtprncss replied to Nurse-o-Matic's topic in CCU, Coronary, Cardiac

    I suppose pulling the arterial sheath first makes sense as well. The reason I was taught to pull the venous sheath first before the arterial, is that once you pull the arterial sheath, then you'd...

  15. Pulling Femoral Lines

    hrtprncss replied to Nurse-o-Matic's topic in CCU, Coronary, Cardiac

    Venous first, from my experience, either from watching how the cv fellows did it, and how the cardiologist preferred when I asked

  16. Swan Lines

    hrtprncss replied to 2ndChance's topic in Certified Registered Nurse Anesthetist, CRNA

    Don't mean to hijack this thread, but here's a link, I believe he's a cardiologist. It's a video where he breaks down the pros and cons about swan lines, it's an interesting talk......

  17. Looking for help/advice concerning my pt. Long...

    hrtprncss replied to Bumashes's topic in Patient, Colleague Relations

    I just wanted to say that you're so nice and kind for doing this, you'll be a great and caring

  18. How would you have handled this pt?

    hrtprncss replied to benette's topic in First Year After Licensure

    Offer an alternative for this patient, order a nicotine patch if it isn't contraindicated. She's young so you might be able to get away with having a nicotine patch

  19. How would you have handled this pt?

    hrtprncss replied to benette's topic in First Year After Licensure

    If this patient wants to smoke, then refer her to her own attending so that her attending can talk to this patient. Either to convince the patient of not smoking while in the hospital, or give the...

  20. Visitation and staying the night

    hrtprncss replied to optimisticSRNA's topic in MICU, SICU

    With regards to phone calls, what we usually do is if there are a lot of people calling in for information about the patient, then we would have the family assign a person to be their point of...

  21. Orientation Differential

    hrtprncss replied to imenid37's topic in General Nursing

    That'd be so nice, I have been precepting for a long long time and I have not gotten a single cent differential for precepting, the occasional gift from the orientees maybe Never from the hospital...

  22. Nurse drawn ABGs vs RT drawn

    hrtprncss replied to Puff RN's topic in CCU, Coronary, Cardiac

    You should, because there are places where RN's are required to draw blood gases even if the patient doesn't have an A-line. Besides, it'd be a good idea because you won't have to wait for someone...

  23. Mandatory 6 mo-1y. intership+NCLEX for GN to get license?

    hrtprncss replied to sunnyjohn's topic in General Nursing

    It might be a good idea, but like the other poster said it won't be cost effective. If you grant a GN a one year internship, then in order for the hospital to agree with this and make it beneficial...

  24. Can you help a student understand PCWP?

    hrtprncss replied to mandana's topic in CCU, Coronary, Cardiac

    http://www.onlinece.net/courses.asp?course=232&action=view scroll down to the wedge part, it's explained in simple

  25. Evidence Based Practice - please help

    hrtprncss replied to New CCU RN's topic in CCU, Coronary, Cardiac

    EDIT: post too clinically related to ccu patients, I thought it was a unit inservice and not hospital