SEOBowhntr

SEOBowhntr

Cardiac, Post Anesthesia, ICU, ER

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All Content by SEOBowhntr

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

    SEOBowhntr replied to RN12345656's topic in Cardiac

    Dinith, I've seen the wire problem in 3 separate hospitals, it's been going on since around 1996, if you need to use Epicardial wires past 1 wk, you probably really need a permanent pacer in the...

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

    SEOBowhntr replied to RN12345656's topic in Cardiac

    Actually, AAI or DDD would potentially be better, because you would be getting and improved atrial kick by pacing the atria, and should result in better ventricular filling and

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

    SEOBowhntr replied to RN12345656's topic in Cardiac

    Sorry, copy paste fails me on occasion. Boy, I bet that really through a monkey wrench in there, I will edit now to make this a little less confusing. Note that quote was not mine!!! :uhoh21:...

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

    SEOBowhntr replied to RN12345656's topic in Cardiac

    NurseinVA, Pacing becomes complex when you start throwing in blocks, vs. SR, vs. A-fib, vs. whatever can be thrown at you, I teach a class on Epicardial Pacing, and will try to attach my quick guide...

  5. Patient with pacer/AED is DNR

    SEOBowhntr replied to oldnewnurse's topic in Cardiac

    In the ones I've seen, the MAGNET shut the whole system down. But this statement kind of irks me, "It really is easier to get an order to have a rep turn the detection off if the patient desires it."...

  6. Patient with pacer/AED is DNR

    SEOBowhntr replied to oldnewnurse's topic in Cardiac

    I am not sure which ICD don't turn off with the use of a Magnet, but in the few cases I've seen in which a patient decided to become a DNR, and make that choice to die if that is their will, our Pacer...

  7. Any Difference?

    SEOBowhntr replied to VickyRN's topic in Cardiac

    I have a couple $.02 to throw in too. I will start by saying that Atrial Tach and SVT are in the same classification, however, a true atrial tach, will not break with the administration of Adenosine,...

  8. ECG Question

    SEOBowhntr replied to VickyRN's topic in Cardiac

    Not sure what the real question is here??? Are you asking if you must do a 12 Lead to see EKG changes associated with Electrolyte imbalances, or to determine Ischemic changes??? If you are speaking...

  9. Right Ventricular Infarct--thing I thought I knew...

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

    John, One thing to remember in many RV infarcts is that the Proximal RCA is the culprit, and the vagal thing is often times related to a loss of feed to the SA node. That being said, if the RV...

  10. ER doc misread EKG? (long vent)

    SEOBowhntr replied to JAHJF's topic in Cardiac

    And little do you know, that ER doctors in every hospital I've worked in have made mistakes just like this one!!! They happen every day, and unfortunately, until someone starts competencying doctors...

  11. ER doc misread EKG? (long vent)

    SEOBowhntr replied to JAHJF's topic in Cardiac

    Angie, This is about ACUTE MI's, not microinfarcts. I agree that small elevations in Troponin are indicative of a "Cardiac" event, however, Troponin's are less acute than CK's. A small bump in...

  12. ER doc misread EKG? (long vent)

    SEOBowhntr replied to JAHJF's topic in Cardiac

    Your inexperience speaks for itself, "never seen a troponin in the hundreds." Troponin is a late indicator of an MI, CK-MB will indicate a cardiac even much sooner. However with that being said,...

  13. Help with common drugs used on a Tele unit...

    SEOBowhntr replied to Jenni_RN's topic in Cardiac

    I think a good place to start is with "Drug Classification," and then learn which are the most aggressive/potent. Something like this: Beta Blockers: Lopressor (Metoprolol) Coreg, Betapace...

  14. Troponin levels

    SEOBowhntr replied to mysterybe's topic in Cardiac

    The correct answer is "YES." But having said that, depending on a patient's pre-incident Cardiac Function, a patient who has a large MI with Troponin Pk @ 500 will have a varying level of recovery....

  15. ER doc misread EKG? (long vent)

    SEOBowhntr replied to JAHJF's topic in Cardiac

    er nurse, you are kidding, right???? this is part of the problem in nursing!!! whether we are factually "right or wrong," the doctor is always right. now i am a large imposing man, but i have many...

  16. Any Tips for Teaching ECGs?

    SEOBowhntr replied to VickyRN's topic in Cardiac

    I've taught Rhythm Recognition and a variety of different EKG classes to small groups in the hospital I work in. I have a MS Word document at work that has been used at the local Nursing School, if...

  17. Hypotention in CSICU

    SEOBowhntr replied to nurse_kambiz's topic in Cardiac

    Was the patient an RCA graft??? Sounds like Right Ventricular failure, ???able graft shut-down. There are also a variety of things you can do depending on how your surgeons do surgery. If you have...

  18. Hypoglycemia and Chest Pain

    SEOBowhntr replied to nurturing_angel's topic in General Nursing

    Angel, I see a few things you can look at, but most obvious is the fact that having been a diabetic for 15+ yrs, there is a good likelihood that you have some moderate CAD, maybe even severe enough...

  19. CCU - Removal of Femoral Sheath by Registered Nurses

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

    Just me, The Lidocaine w/ Epinephrine is injected SQ/IM to create a localized vasoconstriction, it is not IV, and has no effect on HR or BP. The Epinephrine does two great things, it shores up the...

  20. CCU - Removal of Femoral Sheath by Registered Nurses

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

    Howdy, I figured I'd throw my 2 pennies in here too. I pulled my first sheath way back in Jan. 1996, and have pulled somewhere around 2000 or so since. I have seen a variety of hemostasis devices...

  21. Expert nurse

    SEOBowhntr replied to malusport's topic in Men in Nursing

    I am at a point in my career in which I am often times the "Expert," frequently relied upon for explanations etc. Am I at a point in which I can sleep on the job, or am bored with the job??? NO!!!...

  22. Critical/Panic Values- JCAHO pt safety goal

    SEOBowhntr replied to Queen Bee's topic in Patient Safety Issues

    Our hospital just hashed over this one, and the end result was it should be nursing judgement on what labs to call to a physician and which not to call. For example, lab calls because a patient's...

  23. Chronic Tardiness

    SEOBowhntr replied to Tweety's topic in Nursing Professionalism

    The problem here lies in MANAGEMENT!!!! Most facilities have tardiness policies, but few enforce them. This is a societal problem, even in the military now, 5 minutes late is "acceptable." I also...