kaitef07

Just had a question on PEs and DVTs. So why is it that some people with DVTs and PEs are on strict bedrest while others are able to get up and walk around? Same question goes regarding Teds & SCDs as well. Thanks.

Thanks yeah 99% of the time a person at our hospital with labs that low will get a direct ticket to ICU. He initially was brought in for a cardiac cath but after doing his labs that certainly wasn't happening. His 12 lead from the day before actually showed sinus Brady and like an hour or so after I saw junctional I looked at the tele again and he was back in sinus Brady. I'm pretty confident in my skills as a nurse (not always with tele but I just got an ICU job somewhere else so I'm sure that will change) but no one even noticed any of these issues until I hooked him up to tele so I just think he truly lives there.

Hey everyone so I was hoping someone could shed some light to me on the difference between junctional bradycardia and sinus bradycardia. So my patients hgb was 4.8 & plat was 18. I was instructed to give him 3 units of blood and 2 units platelets. Right after initiating the blood I called the MD and asked if he wanted him on tele since there was a question of gi bleed and our hospitals policy is tele for gi bleeds so he agreed. I got it hooked up towards the end of the first unit of blood and I noticed his heart rate was 37. The rest of his vitals were fine and the pt was asymptomatic. I notified the doctor and the ICU charge nurse and we continued to monitor the patient as i proceeded with the transfusions. I looked at the heart rhythm again and my opinion was he was in junctional bradycardia. There was absolutely no P wave. QRS measured 0.08 and the T was 0.44 I believe. I called the doctor since his heart rate was still in the 30s and asked if he thought he was appropriate for our floor. He agreed to send him to a higher level of care but upon transferring him the ICU was giving me problems saying he doesn't need to be here you guys can monitor arrhythmias on your floor and that isn't junctional that is sinus bradycardia so if someone could help me understand the difference between the two rhythms a little better that would be great. thanks.