papawjohn

papawjohn

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All Content by papawjohn

  1. Arterial Line Question

    papawjohn replied to wonderbee's topic in CCU, Coronary, Cardiac

    Hey RNaus!!! Well, as I said above--there is no better way to teach about pressure lines than an arterial line. So what are we doing when we 'zero' a pressure sensing monitor? We are compensating...

  2. BP Cuff Readings vs. Arterial BP

    papawjohn replied to Zee_RN's topic in MICU, SICU

    Hey Y'all I agree with the Art Line being the 'gold standard' if properly used, kind of 'by definition'. But I really understand the questioning of it. A while back I opened a question on the Nurse...

  3. What can cause the heart rate to drop during exertion?

    papawjohn replied to dawnb70's topic in Cardiac

    Hey Dawn!! Repeat, your Pt's are fortunate in having someone like yourself to care for them. Good on ya for looking into this. And BTW: I bet Dilt XR is a generic extended release 'diltiazem' (which...

  4. Stethoscopes

    papawjohn replied to intothemoon's topic in MICU, SICU

    Hey Moon!!! I'll sort of take a contrary view. There is a cheap ( It's a bad steth if you have to walk up and down a long hall--too heavy. You have to learn over close to the Pt to use it--too...

  5. Need opinions of boom or swing arm system.

    papawjohn replied to Mags4711's topic in MICU, SICU

    Hey Faith!! Sounds fascinating. Haven't worked with 'boom' or 'swing-arm systems' but I have thought of a similar over-bed system on my own. Amazing that there is actually someone marketing the...

  6. Hyperosmolar Hyperglycemic Nonketotic Coma

    papawjohn replied to debbie604's topic in MICU, SICU

    Hey Y'all I think I know what puzzles Debbi. In something so much like DKA, how come there's no Ketones which are the indicator of protein breakdown. Well, I'm just fishing around the ol' memory...

  7. ICP - puzzled

    papawjohn replied to epiphany's topic in Neuro Intensive Care, ICU

    Hey Pixeelb You're of course completely correct that trauma with multi-system failure is the biggest challenge in our profession. At least, nothing I've ever done comes close. If the Pt is so...

  8. What can cause the heart rate to drop during exertion?

    papawjohn replied to dawnb70's topic in Cardiac

    Hey Y'all I puzzled over this too. Didn't make any sense. Then I thought--'wonder if she' changing her rhythm?' If she went into Atrial Fib during her PT, she'd lose her atrial filling ('kick') and...

  9. What can cause the heart rate to drop during exertion?

    papawjohn replied to dawnb70's topic in Cardiac

    Hey Dawn!!! I'm an ICU nurse married to a LTC Nurse. I've learned to listen to what she says. (Despite what she might say!!! ) There are really few physiological things that determine the...

  10. Can someone explain PTT, aPTT, and INR?

    papawjohn replied to rn2bn07's topic in Nursing Student Assistance

    Hey!!! Great learning/teaching!!!! My favorite activity here. My personal hint: PTT (imagine you make the two T's lower case with one cross bar to make them from LL or 11 to TT--two verticals...

  11. Help! CCU or Not?

    papawjohn replied to HillNPStudent's topic in CCU, Coronary, Cardiac

    Hey LoveRN!! If I understand your question REALLY--you are asking about the learning curve between Tele RN with 6 months experience and CCU RN with real competence. And if the curve is steep and you...

  12. Moral character review

    papawjohn replied to mismissy69's topic in General Nursing

    Hey Y'all Shame they can't require this of some of our elected leaders. Papaw

  13. New Grad. Should I work in CCU?

    papawjohn replied to rdiehl45's topic in CCU, Coronary, Cardiac

    Hey LuvMyGamecocks The best way to get a job as a TeleMonitor is to work in a hospital that has lots of Tele beds and uses monitors--then apply for a transfer. So I'd advise one of my daughters or...

  14. Nursing..THE GOOD & BAD as Male

    papawjohn replied to 2bnurseguy_2005's topic in Men in Nursing

    Hey Dude NO HATE!!! Just have been following the thread and thought you were the winner. Hands-down. No contest!!! And it made me wanna introduce you to a world where we DON'T luv Texas unless...

  15. Nursing..THE GOOD & BAD as Male

    papawjohn replied to 2bnurseguy_2005's topic in Men in Nursing

    Hey VetteGuy S'cuse me but were those 'Texans' really Mexicans in rebellion? And does #1 mean there are more Vettes on the road than Mustangs? Try counting them. Papaw

  16. any EKG reading tips?

    papawjohn replied to RNin2007's topic in Nursing Student Assistance

    Hey SN You've got the idea. If you want to use the ancient analogy of a rubber band as a bit of cardiac muscle, you have to stretch it first--this is POLARIZING the cells. Then you release the...

  17. levels

    papawjohn replied to nu570's topic in CCU, Coronary, Cardiac

    Hey Nu I can't believe there's none available on the unit!!! Didja look in the other rooms, etc. (People who don't put tools back where they belong--priceless.) If you just HAD to buy a level, try...

  18. Nursing..THE GOOD & BAD as Male

    papawjohn replied to 2bnurseguy_2005's topic in Men in Nursing

    Hey 'VetteGuy Ya know, Texas is just what happens when a bunch of Tennessee boys get bored and say, 'why don't we start a state!' More Tennesseans at the Alamo than any other state, ya know. Like my...

  19. Esbl

    papawjohn replied to Bird2's topic in Geriatric, LTC

    Hey Bird I gotta admit, I opened this thread 'cause I had no idea what ESBL meant. (Always tryin' to learn something new!!) So I goggled ESBL and found a 'medscape' article about them. This...

  20. Two IV lines

    papawjohn replied to ag2005's topic in Infusion, Intravenous

    Hey AG2005 Would have been more useful in thinking about your question if you'd told us a little about the Patient. I imagine (almost 'assumed' but you know what happens when you 'assume' 8->)...

  21. Anyone from Florida?

    papawjohn replied to moonischasingme1's topic in Pre-Nursing Students

    Hey Moon Thought I'd say HELLO, NEIGHBOR. Papaw

  22. Ohhhhh your a Nurse!?!?

    papawjohn replied to Antikigirl's topic in General Nursing

    Hey Triage Dave Berry the humorist once said, 'If you're nice to me but mean to the waitress, you're NOT a nice person.' Papaw

  23. Innapropriate comment at CODE?

    papawjohn replied to Dinith88's topic in CCU, Coronary, Cardiac

    Hey Y'all I've said lots of things in codes and in crises that maybe I'll have to apologise for on judgement day. But I don't think that the BIG JUDGE will hold them to much against me. As has been...

  24. Anyone have the formula for correcting Calcium based on the Albumin level??

    papawjohn replied to KR's topic in MICU, SICU

    OK, waiting for half-time before I take my shower--sitting at keyb'd--get to thinking I didn't get that calc right--started playing google.. Here's the corrected calc: For every 1 mg/dl albumin is...

  25. Anyone have the formula for correcting Calcium based on the Albumin level??

    papawjohn replied to KR's topic in MICU, SICU

    Hey KR I'll try this from memory (dangerous at my age) and check on it later, since I'm 'bout to head off to work. Subtract the Pt's albumin level from the minimum normal level. Multiply by 1.8. Add...