SEOBowhntr

SEOBowhntr

Cardiac, Post Anesthesia, ICU, ER

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All Content by SEOBowhntr

  1. Texas RNs are to be enlighten

    SEOBowhntr replied to mark hamel's topic in Activism, Healthcare

    AMEN!!!! Unions are about having someone who will support you when you think you've been wronged. About having someone to go to because you're questioning a policy, about having someone on your...

  2. Jcaho Medication Reconciliation

    SEOBowhntr replied to SEOBowhntr's topic in Patient Medications

    Ain't that the truth. Nursing is so filled with passive, oh, I'll do whatever they tell me ignorant people that nurses can NEVER depend on each other for support. Forums like this could help, but I...

  3. Jcaho Medication Reconciliation

    SEOBowhntr replied to SEOBowhntr's topic in Patient Medications

    Thanks for the replies, I actually plan to use some of the responses on this forum in my case against why it is completely absurd to expect nurses to do this. I have no problem tabulating a list, but...

  4. Jcaho Medication Reconciliation

    SEOBowhntr replied to SEOBowhntr's topic in Patient Medications

    You see Isyorke, that's the problem, the nurses shouldn't be held liable for making rationales for why a physician discontinues a med, that is HIS/HER responsibility. I am fighting that battle right...

  5. Bnp

    SEOBowhntr replied to steelydanfan's topic in Cardiac

    BNP is a very unpredictable misunderstood indicator for CHF. A lot of issues can affect come into play when dealing with a CHF patient that can be missed, when trying to use BNP as a diagnostic test....

  6. Recovery after mitral valve replacement

    SEOBowhntr replied to MedicalZebra's topic in Cardiac

    Rick, Sorry for your loss. Sounds like in essence, she did it her way, without regrets, and who could ask for anything more. A very good Oncologist I worked with several years ago said to his...

  7. Natracor and low bp

    SEOBowhntr replied to ark-two's topic in Cardiac

    Adding a little more to the mix, was the patient SEPTIC??? Maybe some of the problem was due to sepsis. A combination of meds may have been more effective. If the patient has a baseline Renal...

  8. cardiac care/lab values

    SEOBowhntr replied to lcazgirl's topic in Cardiac

    Good Point!!! Elevated Thyroid Function Tests, or patients taking excessive doses of Synthroid (I've seen 4 this year), can have common Tachy Arrhythmias, most commonly Atrial Fibrillation and...

  9. Ruptured pulmonary artery

    SEOBowhntr replied to sharann's topic in Cardiac

    Sharann, It probably happened doing a Pulmonary Capillary Wedge Pressure. I've known of it to happen a couple of times, both times it was in a very elderly frail female. The doc was probably doing...

  10. cardiac care/lab values

    SEOBowhntr replied to lcazgirl's topic in Cardiac

    A little more to add...... Ck and Ck-MB are really the best indicator in indicating an acute MI, Troponin-I is good in finding those small Non Q MI's or a person with a potentially diseased heart, but...

  11. cath lab RN's - angiomax

    SEOBowhntr replied to brittkay70's topic in Cardiac

    Angiomax will send your ACT's through the roof, and they will stay elevated for long periods of time. We do not check ACT's on Angiomax patients, we generally just pull the sheath an hour after it...

  12. Vasovagal after sheath pull complete?

    SEOBowhntr replied to cjblu's topic in Cardiac

    An hour after a sheath pull is pretty rare, unless that hematoma was forming already and you just didn't know it yet. I generally try to keep post sheath pull patients BP's less than 140, even if I...

  13. student question on murmurs

    SEOBowhntr replied to Gottago's topic in Cardiac

    Murmurs are usually graded on a 1-6 out of 6 scale. Yes, that is most likely a typo, or your instructor is in need of some studying. Likely the Typo answere though, I

  14. What is up with insurance?

    SEOBowhntr replied to ark-two's topic in Cardiac

    Insurance is a scam in many cases, but so too are doctors. I've seen many patients who had a "suspected" run of VT, often times reperfusion ectopy, and then had nothing for days afterwards, and were...

  15. Recovery after mitral valve replacement

    SEOBowhntr replied to MedicalZebra's topic in Cardiac

    Rick, I am very sorry to hear this. Any surgery this major is high risk, esp. for a patient dependent on hemo-dialysis. There are a multitude of things that could have caused her death, excluding...

  16. Noninterventional Cath Labs

    SEOBowhntr replied to RN12345656's topic in Cardiac

    Jury is still out on this one, but I think you mean "non" interventional Cath labs, not interventional. As far as "Is it a money maker??" question goes, well sure it's a money maker, and if you can...

  17. My Mom has extensive Arteriosclerosis and no risk factors, need advice please!

    SEOBowhntr replied to DutchgirlRN's topic in Cardiac

    A lot of the recent study info has shown that an 81mg ASA is just as good as a 325 with a decreased risk of bleeding problems, esp. GI Bleeds and there is much lessened Gastric upset. We are now...

  18. My Mom has extensive Arteriosclerosis and no risk factors, need advice please!

    SEOBowhntr replied to DutchgirlRN's topic in Cardiac

    Good to hear the good news. I know you were pretty concerned, but like I had said, I really don't put too much faith in those scans, and "squirting" dye down those arteries really is the only way to...

  19. My Mom has extensive Arteriosclerosis and no risk factors, need advice please!

    SEOBowhntr replied to DutchgirlRN's topic in Cardiac

    Dutch, I guess I don't understand all this CT stuff, pretty expensive, and the only way to really know how the arteries look is to go in there and squirt a little dye down them and take some pic's....

  20. ingest handsoap

    SEOBowhntr replied to mandrews's topic in General Nursing

    Other than "FARTING BUBBLES," he could have some issues with diarrhea and some potential gastritis. OFF TOPIC The worst examples of soap ingestion and the problems it caused I've ever read about was...

  21. Sheath pulls

    SEOBowhntr replied to jesshopper12's topic in Cardiac

    Dinith, I use it a few times, probably once a month or so. It actually works extremely well. Similar to the way it is used in GI procedure to stop bleeds. I will infiltrate the area, not unlike you...

  22. My Mom has extensive Arteriosclerosis and no risk factors, need advice please!

    SEOBowhntr replied to DutchgirlRN's topic in Cardiac

    Off Topic, but I just couldn't resist!!! Is that "T-R-U-E-L-Y????" or "T-R-U-L-Y????" Dutchgirl, Many people never realize they have problems until it's too late. I've heard mixed reviews about...

  23. Sheath pulls

    SEOBowhntr replied to jesshopper12's topic in Cardiac

    Dinith, I feel for you. I've had half a dozen of those over the last 10 years, and they are never fun. I think my worst was actually a totally alert 55yo male who repeatedly bled and developed a...

  24. Recovery after mitral valve replacement

    SEOBowhntr replied to MedicalZebra's topic in Cardiac

    MZ, Sorry to hear that the TEE went so rough, we usually use Versed, and don't often have too many issues with patients waking up, nor remembering much if they do. Because you are a Dialysis RF...

  25. Strippers in the ICU!

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

    Trust me, you wouldn't suck out a graft!!!! The grafts are under the pericardial sac, the tube is external to the sac. I don't strip tubes unless there are clots in them, and often time you don't...