papawjohn

papawjohn

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All Content by papawjohn

  1. Lovenox IV

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

    Hey Justme!!! If there's something an ignorant ol' redneck hates its the softly spoken implication that he's an ignorant ol' redneck. If you think it, hun, you can say it. It might even be true. Or...

  2. Hanging IV Potassium

    papawjohn replied to MrsMinor's topic in First Year After Licensure

    Hey Y'all Just a little contribution. With the new IV site and the KCL concentration of 10mEq in 100ml running at 10mEq/hr, the thing that's going to dilute the KCL is BLOOD. So the big issue in how...

  3. Gastric Bypass.... yes or no???

    papawjohn replied to alichael's topic in Gastroenterology

    Hey Alichael Of course I/we never thought you would do something so dramatic for simple vanity. You have a very serious health problem or you wouldn't be thinking of such a surgery. My advise is the...

  4. Gastric Bypass.... yes or no???

    papawjohn replied to alichael's topic in Gastroenterology

    Hey Alichael I don't wanna put myself too far forward into a personal decision. But I've taken care of several 'rou-n-Y' and 'gastric bypass' patients having had this type of surgery for weight loss....

  5. New Grad. Should I work in CCU?

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

    Hey Redielh I am personally in favor of new grads working in my ICU---IF (note capitals) they've had other background experiences. Have you been an ER Tech, an EMT, an LPN, a Resp Rx? That kinda...

  6. SOB/dyspnea 7 months post-op CABG

    papawjohn replied to rehab nurse's topic in General Nursing

    Hey Rehab Nurse Don't sell yourself short. You've certainly got the question right!!! And asking the right question is necessary to getting the right answer. So here's my two cents worth...has he...

  7. Calcium Channel Blocker, probably a stupid question?

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

    Hey Y'all I just noticed that the link to anaesthetist.com doesn't work. Use google. I don't know why the link won't take you there but it's a really good site for this kinda thing. I can ALMOST...

  8. Calcium Channel Blocker, probably a stupid question?

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

    Hey DutchgirlRN I can't stand thinking I've made someone more confused. I apologize. I re-read my post and see why it doesn't seem clear. (It works so much better when I can draw a picture of a...

  9. Calcium Channel Blocker, probably a stupid question?

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

    Hey DutchgirlRN My .02 worth. You said your Calan works on your SVT and PVCs but that you didn't understand just how. (It also decreases BloodPressure.) You'll remember that the cardiac muscle has...

  10. The sound of pneumonia

    papawjohn replied to tarahg's topic in Pulmonary

    Hey Taragh The first thing to remember about breath sds is that you've gotta have air going in and out before you've got 'em. So Southernlpn is of course correct that ABSENT breath sds can be pneumo-...

  11. Atrial Fib. Noninvasive Treatment

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

    Hey Y'all I got to thinking, it's been a long time since I've seen a cardioversion for AFib. We used to do it alot. Hummm. Cardioversion works better if you give drugs (usually dig) first. I...

  12. Atrial Fib. Noninvasive Treatment

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

    Hey Again OK...Here's the story if your Pt goes into a rapid atrial rhythm or SVT. Your role is to get them back into NSR as soon as possible. (Do I get extra credit for NOT saying NSR ASAP?)...

  13. ICU RN's responsible for CRRT or CVVH

    papawjohn replied to graciev's topic in MICU, SICU

    Hey Y'all Here in StPete, the dialysis nurse sets up the machine and I operate it overnight. I'd really like to be trained to set up the CVVHD that we use. When I was at the ShockTrauma in...

  14. Atrial Fib. Noninvasive Treatment

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

    Hey Theoneguy Had a stir in my family recently when a cousin emailed all the nurses in my family (several MDs also) that her mom, my aunt, had Atrial Fib diagnosed. Wow---I wish I could encapsulate...

  15. High Troponins, No Q-wave

    papawjohn replied to papawjohn's topic in Cardiac

    Hey Y'all Thanx for all the input/conversation.... Our guy had no renal impairment. (Post op Bun and Cr totally normal with some variation that had to do with normal fuctuations in CVP and because...

  16. picket line

    papawjohn replied to natsangel's topic in General Nursing

    Hey Natsangel This is really a 21st century question isn't it? In an earlier day (our fathers/mothers generation--you might or might not decide to cross or not cross the picket line but you'd KNOW...

  17. working in neuro

    papawjohn replied to Laura77598's topic in Neuro Intensive Care, ICU

    Hey Laura I'm glad you have a story to tell with a happy ending. I've been a Neuro ICU nurse in two level 1 trauma centers. I'll tell you my little story. I started in CCU when there were no...

  18. Catch a nurse stealing meds/what to do?

    papawjohn replied to county162's topic in Emergency

    Hey County 25 year nurse here. You've gotta go to your manager. I assume this nurse is stealing Narcs, yes? Absolutely no question. You gotta explain to the right management person what's going...

  19. Hemodynamics question

    papawjohn replied to nursing4him's topic in CCU, Coronary, Cardiac

    Hey Nurse032006 Oh MY God....this ancient ghost rises out of the wishing well---makes me play an air-guitar to a GordonLightfoot tune.... Well, you have to think.... Cardiogenic shock is because the...

  20. elevated biliruben

    papawjohn replied to Spider Cat's topic in General Nursing

    Hey Spider I sympathize with the nurse practitioner. Not because BILIRUBIN is complex itself but because it raises so many questions it doesn't answer. Here's the bilirubin story: Your RBCs are very...

  21. Planning for Dooms Day Scenario

    papawjohn replied to 1Tulip's topic in General Nursing

    Hey Tulip Here in Florida, the official thinking is that we'll only ('only') be on our own for three days maximum. And that Hospitals would be an early (whatever early means) focus of outside...

  22. is the university wrong?

    papawjohn replied to nursing student5364's topic in Legal

    Hey 5364 Bad deal for you, Buddy. The worst part is that expunging your record doesn't change the answer to the question: Have you ever been convicted of a crime? You'll be faced with the choice...

  23. The Ultimate Question!!!

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

    Hey Sriblanc The good thing you can say about working in a hospital while going to school is that usually you can make the work schedule fit the school's schedule. I had to work full-time while in...

  24. Paperwork?

    papawjohn replied to jaylynn67's topic in Nursing Career

    Hey JayLynn To put it charitably, your secretarial skills will be helpful if you pursue a nursing career. It has become common to have a 'flow-sheet' to keep track of 'flow sheets'--and all require...

  25. dextrose and dilantin

    papawjohn replied to sweetieann's topic in General Nursing

    Hey Sweetie Gosh that sounds good, doesn't it.... Anyhow, dilantin; however you put it in the IV line, first flush thoroughly with saline. Then you can give it at 50mg/min for a MONITORed Pt. Then...