Dear Nurses

Saturday, February 23, 2008

THE CLINICAL SETTING STEP BY STEP


Hi guys,

Hope you had a good week. I have had a very busy week. However, I have given a lot of thought to how one feels as a new nurse or inexperienced nurse. Do you sometimes feel like the nurses above? Well, keep heart!

I have decided to put together a number of clinical situations you might encounter fairly often. Please bear with me while I get it all together. God bless you all my fellow nurses for the special work you do. It is a pleasure to serve you all.
WHAT IS WRONG WITH THIS EKG SERIES WILL ALSO BE CONTINUED AT A LATER DATE.
IT IS READY FOR YOU. ENJOY LEARNING!

Friday, February 15, 2008

WHAT IS WRONG WITH THIS EKG - ADDRESSING V-TACH


Hi guys,

Hope you had a good Valentine's day. WHAT IS WRONG WITH THIS EKG SERIES continues. A scenario for Ventricular Tachycardia is shown above, to help nurses understand how V-TACH can occur. Below, the causes, treatment and intervention are expressed. Next week, another type of V-TACH known as Torsades de Pointes will be addressed.

You may also enjoy watching the Clinical Videos called SESSIONS, in particular,
watch Sessions 16 through 18.

UNDERSTANDING VENTRICULAR TACHYCARDIA

An overview of Ventricular Tachycardia is shown above. Clinical skills to attempt resuscitation of a patient with V-Tach calls for special training as ACLS. Please refer to American Heart's Guidelines for more information. Hope the above information is of some help to you. For the complete EKG series, just click on the link:http://www.dearnurses.com/ and enjoy reading: EKG SERIES- WHAT IS WRONG WITH THIS EKG.

Sunday, February 10, 2008

SUBARACHNOID HEMORRHAGE, A CASE STUDY


Hi guys.

Are you the nurse who has never taken care of a patient with a SUBARACHNOID HEMORRHAGE ?
Well, here is A SUBARACHNOID HEMORRHAGE CASE STUDY that will be of help to you.
ENJOY LEARNING!

You may also enjoy watching the Clinical Videos called SESSIONS, in particular,
try Sessions 7.


Friday, February 08, 2008

HAPPY VALENTINE'S DAY TO ALL NURSES


Dear nurses,


Thanks for visiting my blog. If you have any special questions please let me know. I have tried to simplify *Heart Blocks for those of you who are not familiar with EKG reading. Read below.

I plan to continue the: WHAT IS WRONG WITH THIS EKG SERIES next week.
HAVE A HAPPY VALENTINE'S DAY AND BE SAFE NURSES!
* Chapter 11

WHAT IS WRONG WITH THIS EKG SERIES - THIRD-DEGREE AV BLOCK

The above EKG demonstrates a patient with a *Third-Degree AV Block. When a third-degree AV block is present, the heart rate is usually slow (bradycardia). Typically, the heart rate would be less than 60 beats per minute. To learn more, just click on the link:
EKG SERIES-WHAT IS WRONG WITH THIS EKG and enjoy learning.
* Chapter 11 Part 2

IDENTIFYING THE CAUSES AND SYMPTOMS OF THIRD-DEGREE AV BLOCK

Symptoms of patients in Third-Degree AV Block will vary from one patient to the next. If the patient is symptomatic , drugs such as Atropine is ordered by the doctor to improve the heart rate. *IV Infusions such as Epinephrine or Dopamine(in the absence of hypovolemia) may be used to improve blood pressure. To learn more about this topic and EKG reading, simply click on the link: EKG SERIES-WHAT IS WRONG WITH THIS EKG and enjoy learning.

You may also enjoy watching the Clinical Videos called SESSIONS, in particular
watch Sessions 16 through 18.
* Sessions 51

TREATMENT OF THIRD-DEGREE AV BLOCK


Transcutaneous pacing is a form of treatment used to treat patients in Third-Degree AV block.(chap 11)
The type of treatment used will depend on the severity of symptoms. Transcutaneous pacing will help the heart to beat and improve cardiac output until a permanent pacemaker is inserted. Patients may need analgesia and sedation to keep comfortable, during this period.To learn more about this topic and EKG reading, simply click on the link:

TREATMENT OF THIRD-DEGREE AV BLOCK


It is important to remember that the treatment of Third-Degree AV Block (*chap 11), will depend on the
severity of symptoms.
The history and physical, as well as symptoms will determine the degree of treatment to be implemented. The doctor will also decide whether to use drugs such as Atropine.
For more helpful information on this topic and EKG interpretation, simply click on the link:

You may also enjoy watching the Clinical Videos called SESSIONS, in particular
watch Sessions 16 through 18

RED ALERT FOR NURSES

Saturday, February 02, 2008

HAVE A GOOD WEEK NURSES


Dear nurses,


Hope you had a good week. I have tried to simplify some more EKG rhythms. Next week the SERIES continues. For more information on the heart, its functions and how to to assess and document correctly, simply click on the link:

HAVE A GOOD WEEK AND GOD BLESS YOU ALL.

WHAT IS WRONG WITH THIS EKG / FIRST DEGREE AV BLOCK



This graph paper has been enlarged just to make learning the EKG easier. A first degree AV block may be present in athletes and never cause any disruption in the heart's natural
rhythm. To learn more about EKG reading and chest pain assessment, simply click on the link:
and enjoy WHAT IS WRONG WITH THIS EKG and CHEST PAIN SERIES-MASTER YOUR CLINICAL SKILLS.
There is also a video available for you, simply click on the link:

UNDERSTANDING THE HEART AND ITS RHYTHM

For more helpful information on EKG interpretation and cardiac issues, just click on the link:
http://www.dearnurses.com/ and enjoy reading "EKG SERIES-WHAT IS WRONG WITH THIS EKG "and "CHEST PAIN SERIES ," MASTER YOUR CLINICAL SKILLS.

You may also enjoy watching the Clinical Videos called SESSIONS,
in particular watch Sessions 16 through 18

WHAT IS WRONG WITH THIS EKG SERIES / SECOND DEGREE AV BLOCK

This is an example of how a cardiac event can occur. History and physical is a very important part of the assessment when a patient is admitted. Character and the duration of the chest pain should also be documented.
http://www.dearnurses.com/clinical_nursing_videos_called_sessions
PLEASE CLICK ON THE LINK AND LEARN MORE :
http://www.dearnurses.com/
1)CHEST PAIN SERIES- MASTER YOUR CLINICAL SKILLS and
2)WHAT IS WRONG WITH THIS EKG
FOR MORE INFORMATION!

You may also enjoy watching the Clinical Videos called SESSIONS
in particular watch Sessions 16 through 18

WHAT IS WRONG WITH THIS EKG SERIES / SECOND DEGREE AV BLOCK


Admission to the CCU/ICU is necessary to begin treatment of a heart attack. Methods of intervention following a heart attack, is usually decided by the doctor. To learn more about the above topic, simply click on the link:http://www.dearnurses.com/
and enjoy learning.

SECOND DEGREE AV BLOCK /TRANSCUTANEOUS PACING

FOR MORE HELPFUL INFORMATION ON THIS TOPIC, CLICK ON
THE LINK: EKG SERIES -WHAT IS WRONG WITH THIS EKG.

TYPE 2 ( MOBITZ 2). TYPE 1 may be the result of a myocardial infarction ( heart attack)involving the inferior wall of the heart. Depending on the degree of damage, it may be transient and only require observation.

TYPE 2 is more serious and may be the result of a myocardial infarction ( heart attack) involving the anterior wall of the heart, which is where the heart has its pumping power. If the anterior wall of the heart is damaged and the heart's pumping power is affected, symptoms of chest pain, shortness of breath, lightheadedness and hyotension( low blood pressure)may occur.

TCP ( Transcutaneous Pacing )may be ordered by the doctor. It is often used as a bridge until a permanent pacemaker is inserted. Patients may need analgesia and sedation during this period. The doctor will order whatever is necessary to keep the patient comfortable. Assessment and documentation of the neurological , respiratory and cardiac status is essential.
You may also enjoy watching the Clinical Videos called SESSIONS, in particular
watch Sessions 16 through 18