SEOBowhntr

SEOBowhntr

Cardiac, Post Anesthesia, ICU, ER

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All Content by SEOBowhntr

  1. Inferior MI

    SEOBowhntr replied to jtmah's topic in Cardiac

    actually, they can be pressure induced. go back a while on this forum, and there was a member named "medical zebra" who had one. supposedly related to line insertions, but it was probably more...

  2. Inferior MI

    SEOBowhntr replied to jtmah's topic in Cardiac

    Inferior MI's, esp. those involving the RV actually have a higher mortality than "other" MI's. A couple of big things you can often times see are brady-arrhythmias, brady A-Fib, Junctional rhythms,...

  3. Cardiac stepdown vs. telemetry

    SEOBowhntr replied to NurseCherlove's topic in Cardiac

    I am an asst manager on a Cardiac Step-Down Unit, and it is a lot of fun. I have time to spend with my patients, however, I also have the unit with the second sickest patients in the hospital. We...

  4. Do you trust automatic "vitals" machines??

    SEOBowhntr replied to Fairlythere's topic in Scrubs, Uniforms, Gear

    BINGO!!!! The NIBP's (at least the newer one's I've used, less than 10yrs old) ARE MORE ACCURATE!!! They actually sense the MAP, rather than figure it like we do, and they absolutely CANNOT give you...

  5. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    SEOBowhntr replied to DutchgirlRN's topic in General Nursing

    dutchgirl, i know your heart is in the right place, but if she's on a vent, and her co2 is 150, then she got to the hospital too late!!!! sat's that are in the low 70's, even in an unsymptomatic...

  6. nursing student/help/why still chest pain

    SEOBowhntr replied to x-tremestudent's topic in Cardiac

    I agree with both of the last two responses. Read a little more of your patho-phys book, and obtain a better understanding. Lidocaine has a suppressing effect on the irregular beats (PVC's) produced...

  7. placing atrial epicardial wire into ventricular port of pacer

    SEOBowhntr replied to graciev's topic in MICU, SICU

    Actually Timothy, those wires should pick up fine at 2-4 milliAmps, and if they are needing to switch to the ventricular side to get more output (up to 25mA), the patient's wires are likely not...

  8. Damn Hippa!!!

    SEOBowhntr replied to nursebrandie28's topic in Emergency

    I've never had a problem when I called another facility asking for an update on a patient we may have sent them. I see this more as showing concern, and keeping staff updated with the progress of a...

  9. placing atrial epicardial wire into ventricular port of pacer

    SEOBowhntr replied to graciev's topic in MICU, SICU

    .... every once in a while, I see something that may not be 100% right, and try to provide more info. I actually enjoy most of your posts as you seem to have an excellent variety in your knowledge...

  10. Heart attack stuff

    SEOBowhntr replied to banbulance's topic in Cardiac

    Yeah, it shows I will argue with anyone who doesn't know what they're talking about, in efforts to protect patients. A personality trait I am quite proud of, as I've always strived to do the "RIGHT"...

  11. Case Study...

    SEOBowhntr replied to manifesto_032's topic in Cardiac

    you would??? and u would end up infront of ur BON. If there is no DNR on the chart or in my hands that man would be a full blown code! I agree 100% morally with Dinith. At least when you went home,...

  12. Help With A Trauma Patient Case

    SEOBowhntr replied to Leng27RN,BSN's topic in Emergency

    Agreed, but I've also seen patients who had pretty severe vasovagal responses after an inability to void and having very full bladders. One case the patient was scanned for 1500cc's of Urine!!!!!...

  13. placing atrial epicardial wire into ventricular port of pacer

    SEOBowhntr replied to graciev's topic in MICU, SICU

    If the doc wanted you to do this, he needs to be getting a cardiologist in to place a permanent pacer, PERIOD, plain and simple. If you need that much output, that pacing wire ain't gonna last long...

  14. Do CT scans always show a brain hemmorhage initially....

    SEOBowhntr replied to Spacklehead's topic in Neuro Intensive Care, ICU

    Unless the bleed is a very tiny bleed, all modern CT scanners should show it. Now with ischemic stroke, the area that has stroked will have changes in density, and these are seen as early as 3 hours...

  15. Heart attack stuff

    SEOBowhntr replied to banbulance's topic in Cardiac

    dinith, actually, one of the things that our facility stresses is the correct interpretation of ekg's and ensuring that we use appropriate meds in appropriate circumstances. i've many times argued...

  16. Heart attack stuff

    SEOBowhntr replied to banbulance's topic in Cardiac

    Obviously, you should read up a bit more on NTG, Dinith. You see, NTG is very much so contraindicated for inferior MI's, esp with a suspicion of RV involvement. Part of the reason we do Right-sided...

  17. Heart attack stuff

    SEOBowhntr replied to banbulance's topic in Cardiac

    Ban, Depends on the type of MI. Inferior/Posterior MI's with associated Right Ventricle involvement, have a very nasty and life-threatening response to Nitroglycerin. If the patient were an...

  18. right sided vs left sided blockage?

    SEOBowhntr replied to banbulance's topic in Cardiac

    Since when??? I think you may be getting your coronary arteries confused. Right sided MI's are sometimes worse than left, esp if there is Right Ventricle involvement, because then you play a game...

  19. Oh God, A NURSE is my pt!!!!

    SEOBowhntr replied to CaLLaCoDe's topic in General Nursing

    I've taken care of many nurses and doctors and their family members during my career. I've also taken care of several lawyers and their family members, and I treat them just as I would any other...

  20. what your hospital policy on sick days?

    SEOBowhntr replied to lannisz's topic in General Nursing

    I may be able to take the "CAKE" here, our facility has a rolling calendar year call-off policy, and 3 gets you informal, 4 gets you a formal (which equals a black mark on your record if you try to...

  21. Thank you's - memorable ones you've received?

    SEOBowhntr replied to Liddle Noodnik's topic in Patient, Colleague Relations

    I got a pair of really good ones in the last couple of years. I took care of a young (48) guy who was having angioplasty, and was very, very nervous, as was his wife. Well, as life goes, he had a...

  22. What is the silliest complaint someone has ever made aboutyou?

    SEOBowhntr replied to SharonH, RN's topic in Patient, Colleague Relations

    I had an older lady who complained to the doctor when he rounded that the "Big, bald man crushed my pelvis!" He came to me and asked what I did to her. She was referring to me holding pressure on...

  23. Pulmonary hypertension?

    SEOBowhntr replied to wincha's topic in Cardiac

    Pulmonary Hypertension is usually a result of an assortment of things, including smoking, asthma, COPD, sleep apnea, and Left Sided Heart failure, to name a few. The big problem with pulmonary...

  24. Does this sound right?

    SEOBowhntr replied to lisab23's topic in Cardiac

    ACLS is a great class and you will learn a lot from the class, and it will help you feel much more comfortable with what to do when the real thing happens. ACLS also will help familiarize you with...

  25. Inservice Topics

    SEOBowhntr replied to latina06's topic in Cardiac

    Pick something you are interested in and know a little about, do a fair amount of research (the internet is wonderful for this, as I frequently utilize internet research to present educational...