SEOBowhntr

SEOBowhntr

Cardiac, Post Anesthesia, ICU, ER

Member

  • Content

    180

  • Visitors

    4,809

  • Followers

    0

  • Likes

    2

All Content by SEOBowhntr

  1. Dilema-need advice. Is Dr. misdiagnosing patients for financial gain?

    SEOBowhntr replied to Stray Kitty's topic in Cardiac

    Stray Kitty, I don't think I'd put too much faith in this above post. If you see this as a major issue, report him to the board. If he refused to let another doctor assume care even at the families...

  2. Calling all cath lab RNs

    SEOBowhntr replied to 2real's topic in Cardiac

    Vicky, Cath lab can be quite boring, but does seem to be a little lower stress, regular hours, less the call, but pretty rewarding when you consider you got called in to save someone's life, not just...

  3. Nurses need to stick together instead of EAT THEIR YOUNG!!!

    SEOBowhntr posted a topic in General Nursing

    As I sit here and read many of the posts on this forum, I see a pattern that I, too have seen over my 10 years in this field. The trend of experienced nurses in management cannibalizing newer,...

  4. Differences in Bilateral BP's

    SEOBowhntr replied to Rhonda V's topic in General Nursing

    Major differences in BP from one arm to the other can often times indicate a Subclavian Artery Stenosis. I have a couple really good pictures on my bulletin board of a large Subclavian Steal Syndrome...

  5. Retaliation for voicing concern over unsafe pratices

    SEOBowhntr replied to Keysnurse2008's topic in Activism, Healthcare

    TNNurse, I applaud you for taking stand in efforts to ensure safe patient care. But often times, we need to make sure that our message delivery is not overly harsh. Either way though, if you were...

  6. Intramuscular Injection Sites?

    SEOBowhntr replied to Nurse Bethie's topic in Patient Safety Issues

    For all of you who use the dorsal glut's, read the bold and read it again if you still desire to use the dorsal glut. The last thing you want to be involved in is a lawsuit over a person who's lost...

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

    SEOBowhntr replied to christvs's topic in Cardiac

    I think what really makes the biggest difference most of the time is symptoms and patient tolerance. If the patient is assymptomatic and can tolerate a SBP in the low 80's, then it is less of an...

  8. CVP readings

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

    Not really correcting you as much as showing an extreme case and why the CVP readings are important. I think a CVP can show you a lot about a patient, and aren't used as much and well as they could...

  9. Recovery after mitral valve replacement

    SEOBowhntr replied to MedicalZebra's topic in Cardiac

    HeartNurse, I would advocate the mech. valve over the a porcine or bovine, but the best option would be a valvuloplasty if possible. I've seen several patients who were only able to get 2-3yrs out of...

  10. Recovery after mitral valve replacement

    SEOBowhntr replied to MedicalZebra's topic in Cardiac

    And reasons like your friend being on her fourth tissue valve are precisely WHY I might reccommend a mechanical valve, or valvuloplasty. Is long-term Coumadin therapy worth having the chest "cracked"...

  11. Recovery after mitral valve replacement

    SEOBowhntr replied to MedicalZebra's topic in Cardiac

    Zebra, You will likely be on continuous dialysis, otherwise known as CVVHD (Continuous Veno Veno Hemo dialysis) which is standard for most HD patients. You will probably also run increased risk for...

  12. Cardiac Catherization

    SEOBowhntr replied to Mariannsi's topic in Cardiac

    Mariannssi, I think there are a couple things that need answered here. Firstly, did they use a closure device?? If so what type. I've seen more problems with closure devices than with good old...

  13. Atrial Myxoma

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

    I can't say much more than what Siri has already hit on except the 3 that I've seen did have Atrial Fibrillation after surgery. Each left the hospital in stable condition and should have been able to...

  14. CVP readings

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

    John, I've seen a couple patients who had negative CVP's, but they were EXTREMELY DRY!!! And yes, their Right Heart did literally suck the blood. I was drawing blood on one and didn't clamp the...

  15. Strippers in the ICU!

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

    Our Dr's don't mind one way or another. I strip mine, and have never had a bad outcome in my almost 10yrs. of doing it that way. I have actually saved a few patients from having additional chest...

  16. What's the Youngest CAD/MI Pt. You've Had?

    SEOBowhntr replied to HillNPStudent's topic in Cardiac

    Lovern, He actually had strong family history and was living a healthy lifestyle, non-smoker, active duty military, regular workouts, etc, and when he had the chest pain, he had to argue with the ER...

  17. What's the Youngest CAD/MI Pt. You've Had?

    SEOBowhntr replied to HillNPStudent's topic in Cardiac

    I think I may take the cake here with a 24yo M with moderate to severe CAD, requiring CABG I cared for about 6 yrs. ago, and a 28yo F I took care of about 3 yrs. ago who'd had a 4 vessels CABG. Both...

  18. Frequent PVC's

    SEOBowhntr replied to medicrnohio's topic in Cardiac

    MedicRN, If the PVC's are directly related to Ischemia, Beta-Blockers can and do help, I've also seen Nitro help. But I agree, with a BP of 80/40 and a ECG rate of 80, I may have questioned the order...

  19. Anyone still using Lidocaine?

    SEOBowhntr replied to VickyRN's topic in Cardiac

    We still use Lido on occasion, but a lot more Amio. I personally don't care much for Amio, but I think they lined the pockets of the AHA, as they sure did show up in a lot of the algorhythms(sp??)...

  20. TPM... AAI vs VVI c tx of bradycardia

    SEOBowhntr replied to RN12345656's topic in Cardiac

    Dinith, This is an exercise in futility that I will now bow out of as you cannot think outside of your box to understand the concept, an impulse such as the shock delivered by a TPM will cause some...

  21. TPM... AAI vs VVI c tx of bradycardia

    SEOBowhntr replied to RN12345656's topic in Cardiac

    You see, that's where you misunderstand, it doesn't torture the patient at all, have you ever heard a patient complain that their pacemaker is shocking them???? As far as not generating a...

  22. TPM... AAI vs VVI c tx of bradycardia

    SEOBowhntr replied to RN12345656's topic in Cardiac

    Not really worth arguing about, but like I said, I've done it numerous times in the past and seen a significant improvement. Ask one of the doc's they may agree with you HN, but I've seen it. I...

  23. TPM... AAI vs VVI c tx of bradycardia

    SEOBowhntr replied to RN12345656's topic in Cardiac

    Dinith, Yes I have, several times, but that charge is definitely less powerful than when I put paddles on them and zap them myself. Have you set up many pacers??? Actually, when setting up a DDD...

  24. TPM... AAI vs VVI c tx of bradycardia

    SEOBowhntr replied to RN12345656's topic in Cardiac

    Actually, Dinith, what the pacemaker senses is electrical activity, thus the measurement "milliVolts. That is why many pacemakers will not dual chamber pace correctly in a patient in A-Fib. If you...

  25. TPM... AAI vs VVI c tx of bradycardia

    SEOBowhntr replied to RN12345656's topic in Cardiac

    Dinith, You can actually overdrive pace the Atria, and it will sometimes work, though it is rarely used, I've seen it maybe 5-6 times in my career, but if you have a slower rate A-Fib, you can check a...