papawjohn

papawjohn

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All Content by papawjohn

  1. What is a B2 heart sound?...

    papawjohn replied to mlr4's topic in Cardiac

    Hey Y'all A brief google of coxsackie b2 shows a few viral cardiac inflamations. Nothing that the Original Poster questioned. Nice try. I tried too..."P2 Heart sounds..." but the original...

  2. I'm a new MICU RN and not liking it!

    papawjohn replied to Kitty-MayRN's topic in MICU, SICU

    Hey Y'all I think DORIMAR's thoughts are wonderful and complete and I was going to say essentially the same thing but probably not as well. I would add that there is a kind of special joy in doing a...

  3. How to keep a physical assessment simple?

    papawjohn replied to milenko's topic in Nursing Student Assistance

    Hey Milenko Here what yer ol' Papaw does (after 25yrs of ICU): Let start with neuro: "Lethargic. Responds to voice. Oriented X 2 to 3. Follows simple commands. Moves all extremities. PERL....

  4. Atrial Fib. Noninvasive Treatment

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

    Hey Y'all Gosh, qanik--had the heart rate (Says P- J- who's been on the ol' treadmill and under the nuc med sensor hisself.) When I worked in cardiac stepdown there were two BIG things I learned to...

  5. POLL: Do you still use trendelenburg?

    papawjohn replied to bluesky's topic in MICU, SICU

    Hey FNimuaemae Wow---I'd assumed that the Original Post was regarding putting a Pt in T-berg whose BP had crashed. I hope I was correct in that--cause otherwise my reference to putting the Pt's...

  6. Please Help!!

    papawjohn replied to cube's topic in MICU, SICU

    Hey Cube OK, it's hard to be a newbie, when you really want one sanctified, holy, blessed way of doing things and suddenly there's all this ambivalence!!! But hang in there, now. Stop and think....

  7. Question about Trachs

    papawjohn replied to mpbc25's topic in General Nursing

    Hey Y'all Man, I feel so nostalgic for the little section of the 'trache care kit' that you poured the peroxide and saline into (swimming with strange slime) after the bottle-brush---anyone but old...

  8. POLL: Do you still use trendelenburg?

    papawjohn replied to bluesky's topic in MICU, SICU

    Hey Y'all I've stopped using T-berg myself and not noticed any more problems than I had before. I do elevate the LowerExtrems. And if the previous nurse has the Pt "on his head"---I don't change him...

  9. SICU Interview

    papawjohn replied to mjv123's topic in MICU, SICU

    Hey Mjv You should emphasis that you have experience and skills with the procedures and monitors and the particular kinds of Pts/Doctors common in that unit. Do they do a good bit of Neurosurgery?...

  10. CVP readings

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

    Hey Y'all I've never worked with a monitor that displayed "offset" so didn't join in but have thought a bit about the peculiarity of "negative" numbers on the CVP monitor. Here's my thoughts.... If...

  11. Boston Globe series on ICU Nursing....

    papawjohn posted a topic in MICU, SICU

    Hey Y'all Was doing my usual political scavanging, found this fabulous story (first part of a 4part series) in today's Boston Globe. MUST READ!!! http://www.boston.com/news/special/nursing/part1.html...

  12. Most important thing to know when using TPN?

    papawjohn replied to mitchsmom's topic in Nursing Student Assistance

    Hey Y'all Just wanna second VickyRN's response. Remember this is TOTAL nutrition. So it's s'posed to provide glucose (the only CNS nutrient) and ALL the lytes and vitamen that the body needs. You...

  13. ECG Question

    papawjohn replied to VickyRN's topic in Cardiac

    Hey Chadash There's lots of places you can look up the business of 1st degree, 2d degree, mobitz 1 and mobitz 2, etc. There are some of us compulsive enough to think about facsicular blocks and such....

  14. What is a B2 heart sound?...

    papawjohn replied to mlr4's topic in Cardiac

    Hey Y'all Re-reading all this...doesn't it remind us of the experience we've all had--carrying the chart from nurse to nurse, getting everyone's opinion of what the Dr wrote. I realized that we're...

  15. Apnea test and norepi

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

    Hey Siri Thanx for the refs. I had assumed Hillary's Pt was a trauma so wasn't thinking of anuerism. P-

  16. Apnea test and norepi

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

    Hey HillaryC Sounds like your Pt had an extremely advanced case of DND (damned near dead). You must have done a really great job of resuscitating her and caring for her for some time--'cause usually...

  17. What is a B2 heart sound?...

    papawjohn replied to mlr4's topic in Cardiac

    Hey Y'all Was doing some self-assigned studying the other day. Ran across a ref to 'split S2' that described the Pulmonary Valve sound as P2. Thought of this thread.... 'Course the original poster...

  18. High Troponins, No Q-wave

    papawjohn posted a topic in Cardiac

    Hey Ever'body!!!! Thought I'd lay out a little scenario for comment. Guy comes in the ER with history of CABG 15yrs ago, old inferior MI on EKG, stable angina pattern at home (approx 1 NTG SubLing...

  19. New male thinking about nursing

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

    Hey Guys!!! I thought NurseMike's post was terrific. I've been doing this crazy s##t for 25yrs and never have gotten over the thrill of doing a job that actually, literally means the difference...

  20. Atrial Fib. Noninvasive Treatment

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

    Hey Dinith88 Well thats just fascinating!!! And thanx for the excellent very clear explanation. Papaw

  21. Atrial Fib. Noninvasive Treatment

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

    Hey AustinHeart!!! Gosh, coronary care evolves so quickly---when I knew anything about it, the EP Lab and Ablation were connected with Wolf-Parkinson-White and similar re-entry type tachycardias. It...

  22. Lovenox IV

    papawjohn replied to Celia M's topic in CCU, Coronary, Cardiac

    Aw shucks. I bet I was over-sensitive. (My wife would say THAT'S unlikely....). P-

  23. Atrial Fib. Noninvasive Treatment

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

    Hey Y'all Was just droppin' by and happened to re-read the OriginalPost. 'what are non-invasive treatments' for AF. Humm.....if the OP is still hanging around, were you implying that there's INVASIVE...

  24. Caught in the middle

    papawjohn replied to Marchantia's topic in Men in Nursing

    Hey Y'all Papaw John smiles, covers his mouth with his hand and turns and walks away. P-

  25. Why are pts with low BPs still on meds that could lower their BPs even more?!

    papawjohn replied to christvs's topic in Cardiac

    Hey Christvs In lots of cases the Pt in a cardiac unit might not be able to sustain an arterial BP anywhere near 'normal'. When I started off in this strange trade, the really sick Pt's had...