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January 2023 USCIS Visa Bulletin Update - Make it stand out Final Action Dates For EB3 Visas (Source: travel.state.gov The US Department of State - Bureau of Consumer Affairs, January 2023) https://medliant.com/blog/checking-in-with-nurse-brennan-how-to-approach-an-economic-downturn-as-a-usrn-immigrant monthly 0.5 2022-12-31 https://medliant.com/blog/recognizing-arrythmias-with-nurse-brennan monthly 0.5 2022-12-17 https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/d32aa233-4ae9-4a84-a0dc-3516cbe9e68c/Screen+Shot+2022-12-16+at+10.06.33+PM.png Blog - Recognizing Arrythmia’s with Nurse Brennan - Make it stand out 1. Normal Sinus Rhythm: Characterized by a normal P-wave, QRS complex, and T-wave. The normal heart rate is between 60-100 bpm while at rest for a healthy adult patient. https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/281a15b4-3dae-44b0-aff0-216d87790177/Screen+Shot+2022-12-16+at+10.12.21+PM.png Blog - Recognizing Arrythmia’s with Nurse Brennan - Make it stand out 2. Sinus Bradycardia: A regular sinus rhythm with a visible P-wave and a heart rate of less than 60bpm. Hypoxia is a leading cause of symptomatic bradycardia, and a full set of vital signs should be taken to assess the SPO2 and blood pressure. Other causes may include cardiomyopathy, myocarditis, acidosis, hypotension, hypothermia, drug effects, and increased vagal tone as a result of suctioning, gagging, or vomiting. Sinus bradycardia may not always be a concern, such as with patients who are asleep or conditioned athletes who have a high stroke volume and increased vagal tone. For persistent bradycardia, epinephrine will often be the first drug of choice, followed by atropine. https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/79240f5b-7b75-4fb0-ab4e-c842e5db4cd3/Screen+Shot+2022-12-16+at+10.14.53+PM.png Blog - Recognizing Arrythmia’s with Nurse Brennan - Make it stand out 3. Sinus Tachycardia: A regular sinus rhythm with a visible P-wave and a heart rate greater than 100 bpm. This may be caused by exercise, pain, anxiety, hypoxia, hypovolemia, fever, shock, toxins or poisons, anemia, cardiac tamponade, tension pneumothorax, or a thromboembolism. Sinus tachycardia is often a response to an increased oxygen demand. https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/70b9454c-99cd-4c47-b72b-21fa4393e5a1/IMG_5980.jpg Blog - Recognizing Arrythmia’s with Nurse Brennan - Make it stand out 4. Supraventricular Tachycardia (SVT): A fast heart rate with narrow and regular QRS complexes. P-waves are difficult to observe with SVT. This is the most common type of tachycardia. SVT is not always detected and may even persist for hours or days if symptoms are not recognized. If unresolved, SVT can lead to impaired myocardial function, hypotension, altered mental status, weak peripheral pulses, lethargy, and cool extremities. A vagal response will often be stimulated in an attempt to escape SVT. If unsuccessful, adenosine may be initiated if the patient is stable. If the patient becomes unstable, synchronized cardioversion is often necessary. https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/2071f019-5f1a-4bd0-a609-8d0b4262f003/IMG_5984.jpg Blog - Recognizing Arrythmia’s with Nurse Brennan - Make it stand out 5. Atrial Flutter (AF or A Flutter): A fast atrial heart rate with a “sawtooth” pattern of P-waves. Conduction from the P-waves to the QRS is variable, hence a QRS complex does not always succeed a P-wave. https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/d8e57c10-c69e-4e5b-9e6e-e4676a028588/IMG_5986.jpg Blog - Recognizing Arrythmia’s with Nurse Brennan - Make it stand out 6. Monomorphic Ventricular Tachycardia (VT): An abnormally fast, regular, and widened set of QRS complexes with no visible P-waves. The QRS complexes are all identical or monomorphic in nature. This rhythm can precede ventricular fibrillation and may be fatal if not treated. Patients with VT often have a family history of cardiac disease. VT can also result from electrolyte imbalances such as hyperkalemia, hypocalcemia, or hypomagnesemia, as well as drug toxicity or coronary artery abnormalities. https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/47f3b31d-8636-49d3-a819-429aa8e0d0ed/IMG_5981.jpg Blog - Recognizing Arrythmia’s with Nurse Brennan - Make it stand out 7. Polymorphic Ventricular Tachycardia: Similar to monomorphic ventricular tachycardia, QRS complexes are widened, however, with polymorphic ventricular tachycardia, QRS complexes will be irregular and are not identical in their appearance. 8. Torsades de Pointes: This is a specific type of polymorphic ventricular tachycardia. Torsades de Pointes is often referred to as the “turning of points” and presents with a QT interval that is prolonged at the base. QRS complexes will often appear as if they rotate around the ECG isoelectric line. It can be caused by long QT syndrome, hypomagnesemia, hypokalemia, or drug toxicity. https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/2e557ad1-ac79-4659-b424-c8019d9871cd/IMG_5985.jpg Blog - Recognizing Arrythmia’s with Nurse Brennan - Make it stand out 9. Ventricular Fibrillation (VF or VFib): There is no definable QRS complex with ventricular fibrillation. It will often present as an irregular and chaotic or disorganized heart rhythm. 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Make it stand out Medliant Named Top Healthcare Staffing Services Provider by Healthcare Business Review 2024 https://medliant.com/contact daily 0.75 2024-09-06 https://medliant.com/faq daily 0.75 2024-09-25 https://medliant.com/apply-now-2 daily 0.75 2020-04-15 https://medliant.com/hospitals daily 0.75 2024-09-25 https://medliant.com/faq3 daily 0.75 2020-03-21 https://medliant.com/about daily 0.75 2024-10-10 https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/810dcf1d-e0f8-4250-9c94-20e8caf0389d/unnamed.png About - Who We Are For almost 40 years, Allen Miller has worked to bridge the gap for international, highly qualified professionals looking to obtain employment in the United States. Medliant was specifically formed to provide educated, experienced, and compassionate healthcare professionals to hospitals throughout the United States. Mr. Miller, one of the earliest innovators in recruiting and staffing highly skilled Information Technology professionals, founded Deltam Systems in 1984. In 1991, he decided to take his knowledge of recruiting and staffing and apply it to the international community. He established offices in England, India, Singapore, and the Philippines while building recruiting networks around the world, with the intention of bringing in highly skilled international talent to fill the growing shortage of computer programmers in the United States. In 1998, he sold Deltam but retained its international recruiting and staffing division for both IT and healthcare professionals, forming International Consulting Resources Group (ICRG). In 2001, he chose to solely focus on healthcare professionals, making Medliant one of the leading employers for international nurses today. Medliant Named Top Healthcare Staffing Services Provider by Healthcare Business Review 2024 https://images.squarespace-cdn.com/content/v1/5e738eca0ca7cc69742e0300/1584678216651-PQMTP0MH4FHSS0L2AXZZ/WHAT+WE+DO.jpg About - WHAT WE DO Medliant is an International Healthcare Staffing agency. We are a direct Green Card sponsor and direct employer. We pay all salaries and benefits. We place nurses at one hospital location that best compliments their professional background. 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