RN12345656

Just curious if anyone has given IV Methylene blue post cardiopulmonary bypass for catecholamine-refractory vasoplegia. The only knowledge I had of methylene blue was the antagonist to cynanide poisoning. I thought it was interesting...and thought I ...

If I understand planeflyer correctly, the issue is that the family had not come to grips with the gravity of the situation, and all heroic measures were being made. If that is the case, stepping over 5 family members is ridiculous. If, however, the ...

I feel your pain planeflyer...I would definitely bring your concern up in your next staff meeting. That is absolutely ridiculous and should not have be allowed. It is one thing if your patient was stable. Or, if the family had come to some agreement ...

Of note...Medicare will no longer pay for hospital acquired MRSA infections. That is why most hospitals/facilities now are screening patients on admission

Abiomed AB5000

I think the nurse who was taking care of you was being polite when she told you that it would be an easy transition from RDU to CVICU. Just last year, we had a dialysis nurse who was told at the end of her orientation that she was not ready to be on ...

:redpinkhe I think it depends on the program and how sick the patients are pre-op, nontheless post-op. The hospital I work at does 50 cases weekly...and we recover some sick patients. We use D5 1/3 NS for maintenance. We use 2-3 L of NS or LR for flu...

Recently, while orienting a new nurse to the floor, I was reviewing her charting. She charted scrotal edema as..." Scrotal edema the size of a large baking potatoe". I couldn't help but laugh :rotfl: Anyone else care to share their story?

Just wondering if there are many Cardiac Surgery services that use mediastinal chest tubes vs. Blake drains post surgery and vice versa. I work on a cardiac surgery stepdown unit btw--and recently I flew to Nebraska to see a friend who had valve sur...

Doesn't sound right to me. I don't consider a PPM/AICD major surgery. It is a procedure that takes a couple hours. When did the cardiologist actually start? The pt could have been waiting for the cardiologist. Happens all the time from case to case. ...

Since wayover20 found a different dept to work..I thought I continue the cath lab piece and pose this thought/question... I never understood a cath lab that doesn't do interventions. I mean, what is the purpose? I realize it is a tool for diagnoses, ...

It is not too uncommon for someone like yourself to have a patent formen ovale--a PFO closure is minor compared to your valve surgery. I find it hard to believe your PFO was caused by a IJ catheter--but I guess anything is possible. Did the cardiolog...

Be an advocate for this child... Do what your heart is telling you to do. I think, at the very least, you should educate mom regarding the effects of alcohol comsumption while breastfeeding. If she is well aware of what she is doing directly and/or i...

Christi-- Everyone is entitled to their opinion in regards to a new nurse working in the cath lab. It all depends on the nurse. Cath lab nurses may operate in a different capacity compared to other facilities. Where I work there are cath lab nurses,...

FitnessRN-- Please keep in mind that many facilities/hospitals CR nurses work in different capacities. The hospital I work for, the CR nurses exercise "well" patients with cardiac hxs or post cardiac surgery and/or post cardiac interventions. The CR...

On the unit that I work on we have floor pharmacists. LOVE IT!!!

I am one of the charge nurses on my unit. I work days 7a-7p and DO NOT take pts. I work for cardiac surgery stepdown for a very big teaching hospital. I handle bedflow, staff assignments, help out the nursing staff, enter orders, assist the docs with...

Nurse Kern, You need to report it to your supervisor/nurse manager ASAP. I have been in your situation before--"Oh, she/he is a new nurse..I will give them some time". Listen to your gut!! Put it in writing and give it to the appropriate person immed...

Community hospital...boring. Throw yourself into the Level I arena...you will see/learn a whole heck of a lot more!! I do not know where you live...but I am sure you could negotiate a salary. The LEVEL I could possibly have a better tuition assistan...

Unfortunately, you may not find exactly what you're looking for. We know as nurses at any rate it will act as a pressor. These sites may help you.. http://www.rxlist.com/cgi/generic3/dopamine_ids.htm http://www.rxmed.com Search Intropin

But its not you making the decision...what are you?...a MechValve Rep? :rotfl: I am not an advocate for either tissue or mechanical...I believe the right decision is the one the patient makes for him/herself..regardless. I think if the surgeon was ...

Mariannsi, The extent of your ecchymosis to umbilicus is significant. Plus you are in pain. I REALLY think you should ask the cardiologist to send you for a PVL. I can't believe he didn't look into it first before passing the buck to a vascular surge...

CVVHD is not the standard for every RF pt. It is a possibility depending on fluid volume/BP during the intra/post op periods. I am not sure how old Zebra is, but that is also a factor. I don't think anyone should suggest or reccommend the type of va...

Glad I could help!! If you have any other questions..don't hesitate to ask-you can pm me. Good luck on your TEE. A good friend of mine had her TEE while she was pregnant without sedation--horrible!! She's having open heart next month for her valve r...

Last month we did a case--26yo CAB with OB/GYN and CT surgery in same OR ... Baby was delivered first then Ct surgery did their thing. Mom & baby did fine :) I remember a case 2 yrs ago of a 92yo woman who had a valve replacement...she appeared ...