miamiheatrn

miamiheatrn BSN

CEN, CCRN

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All Content by miamiheatrn

  1. FIU ACUTE CARE NP PROGRAM

    miamiheatrn posted a topic in Student Nurse Practitioner

    Hi, I wondering if anyone knew anything about FIU (florida international university) rolling out with an AGACNP program somet time in the near future. This would be a great addition for them and the...

  2. Best sedation med

    miamiheatrn posted a topic in General Specialties

    Propofol? Versed? Ketamine? Precedex? Fentanyl? Etomidate? And

  3. Chest tube (water seal chamber)

    miamiheatrn posted a topic in General Specialties

    When dealing with pleuro-vac's is it true you wont have any intermittent bubbling in the water seal chamber when there is wall suction present? I understand gentle or intermittent bubbling in this...

  4. Best sedation med

    miamiheatrn replied to miamiheatrn's topic in General Specialties

    For example, just basic management of your intubated ICU patient. Particularly, the ones who are hemodynamically unstable with low BP's? In my ER we use Etomidate for pretty much all RSI's. Even...

  5. Cardioversion without ECG leads

    miamiheatrn posted a topic in Emergency

    Question, can one cardiovert a patient with just the handsfree pads on the patient? Does the monitor's leads absolutely need to be on the patient also? I understand for pacing they need to be. What...

  6. Chest tube (water seal chamber)

    miamiheatrn replied to miamiheatrn's topic in General Specialties

    So some bubbling can be expected in the presence of pneumothorax with or without wall

  7. Cardioversion without ECG leads

    miamiheatrn replied to miamiheatrn's topic in Emergency

    Correct, such as the new zoll defibrillators. But for most other like the phillips heartstart and likepacks I gguess you so need to connect the limp

  8. Anterior vs. Inferior MI

    miamiheatrn posted a topic in General Specialties

    Hi guys, just wanted to refresh up on these. What are the differences in clinical presentation between an Inferior vs. Anterior MI?? Also, how does treatment differ before cath lab?

  9. University of Miami FNP Fall 2017

    miamiheatrn replied to RN2611's topic in Student Nurse Practitioner

    Hey guys, I am also interested in starting in 2017 to the FNP track. Does anyone have any valuable insight on the program? It would be a dream come true for me to go to UM, but it is just soo...

  10. University of Miami FNP 2016

    miamiheatrn replied to Laurenrobertson's topic in Student Nurse Practitioner

    Hi Guys, for those of you in the part time NP program at UM. About how much do you guys pay per semester for tuition? Or fee per

  11. Inferior vs anterior wall MI's

    miamiheatrn posted a topic in Emergency

    Hey there! I need help understanding the course of treatment for when a pt has a right sided or verntricular MI vs. a left ventricular MI. Right sided you want to increase pressures and preload, while...

  12. O2 while cardioverting?

    miamiheatrn posted a topic in General Nursing

    Hi guys, quick question I recently took ACLS not too long ago and wanted to ask a question. I was taught to remove oxygen sources from the patient while they are being defibrillated because of...

  13. O2 while cardioverting?

    miamiheatrn replied to miamiheatrn's topic in General Nursing

    Got it , so it's

  14. Bradycardic STEMI

    miamiheatrn posted a topic in Emergency

    Had a pt like last night and the MD who just came off residency was very passive in the treatment to the point where the pts HR went from 50 to 40 to 30 and then into vfib. It was a complete disaster....

  15. Bradycardic STEMI

    miamiheatrn replied to miamiheatrn's topic in Emergency

    I work in a small ER just 16 beds so we only have a PA and an MD. This pt is still intubated in the ICU with cariogenic shock and low prognosis. Currently on levophed drip. Had this been a LV MI and...

  16. Bradycardic STEMI

    miamiheatrn replied to miamiheatrn's topic in Emergency

    Had this been a left ventricular MI, the pt would have had hypertension and tachyarythmias right? So the course of that treatment would have been NTG, ASA, morphine and beta blockers? No fluids in...

  17. Bradycardic STEMI

    miamiheatrn replied to miamiheatrn's topic in Emergency

    I thought about atropine but that would of increased o2 demands in an already ischemic

  18. Bradycardic STEMI

    miamiheatrn replied to miamiheatrn's topic in Emergency

    thank you guys so much. So pretty much external pacing, some fluids to increase preload and pressures and dobutamine if need be to increase contractilty until

  19. FIU FNP 2016

    miamiheatrn replied to blessedRN30's topic in Student Nurse Practitioner

    Any advice into what they more or less ask during the interview process? Their expectations and

  20. FNP Program in south FL

    miamiheatrn posted a topic in General Students

    Hi guys, I am looking into an FNP program in the miami/broward area. I have been looking into FIU, FAU and UM. Is anyone here familiar or know anyone who has gone to these programs that can provide me...

  21. FNP Program in south FL

    miamiheatrn replied to miamiheatrn's topic in General Students

    Absolutely , thank you so

  22. FAU FNP 2016

    miamiheatrn replied to fau2016's topic in Student Nurse Practitioner

    Hi, im looking to applying to the FAU FNP program. Do you guys have any insight on it? Does it have any incentives or particular features that help you guys make your decision? Im looking to apply to...

  23. Epinephrine and coronary arteries

    miamiheatrn posted a topic in General Nursing

    Hey guys, So im familiar that epi is a potent vasoconstrictor. But does epi also constrict the coronary arteries, or do the coronaries dilate ? And another question, pt comes in with a glucose of 25...

  24. Epinephrine and coronary arteries

    miamiheatrn replied to miamiheatrn's topic in General Nursing

    Yeah epi, increases HR/BP and contraction. But dilate the coronaries for more o2 delivery. Thank

  25. Epinephrine and coronary arteries

    miamiheatrn replied to miamiheatrn's topic in General Nursing

    Thanks you guys have been very