Diprivan/Vented

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1. Nursing satisfaction almost equal to anal wart researcher.

   Diprivan/Vented posted a topic in Activism

   Worst Science Jobs II: Number 10 By William Speed Weed | November 2004 Disillusioning, high stress, poorly compensated (see more) In our Internet-based summons for readers to top (bottom?) last year's "Worst Jobs" list, nurses nominated themselves in...

2. Aggressive fluid therapy in Severe Septic Shock and ARDS.

   Diprivan/Vented replied to Diprivan/Vented's topic in CRNA

   Maybe I can give you an idea of an ideal pt that would benefit from this procedure: 52 y/o BM. Trached, size 8. Vent settings SIMV 12 (up from 4 over the past few weeks), TV 650, Fi02 50% (up from 30 over the past few weeks), P 5, PS 10. Pt AAO x2, r...

3. Aggressive fluid therapy in Severe Septic Shock and ARDS.

   Diprivan/Vented replied to Diprivan/Vented's topic in CRNA

   Thanks for the questions. I really appreciate them. I'd like to discuss dialysis on these sorts of pts since many of them are also in acute renal failure. I think that Dopamine 2-5 mcg/kg/min would benefit most of these pts, and I've seen many of the...

4. Aggressive fluid therapy in Severe Septic Shock and ARDS.

   Diprivan/Vented replied to Diprivan/Vented's topic in CRNA

   I have seen some pts with +4 edema with sloughing and wet skin, but not to the extent that they were like burn pts. Pts can easily obtain electrolyte imbalances, however. That's why electrolytes should be monitored on a scheduled basis. BMP, Mag, PO4...

5. Aggressive fluid therapy in Severe Septic Shock and ARDS.

   Diprivan/Vented replied to Diprivan/Vented's topic in CRNA

   I'm not sure of what you mean. Are you saying that causing a mild pulmonary edema will cause pulmonary shunting secondary to pulmonary hypertension? If so, from my understanding, the time for intentional induction of pulmonary edema isn't long enough...

6. Aggressive fluid therapy in Severe Septic Shock and ARDS.

   Diprivan/Vented replied to Diprivan/Vented's topic in CRNA

   I was hoping you'd reply. What I've noticed in the practice is that pts will start to develop generalized edema. It's only later on, after they've developed edema, that the pulmonary vascular endothelial cells will start to leak, so we're looking f...

7. Aggressive fluid therapy in Severe Septic Shock and ARDS.

   Diprivan/Vented posted a topic in CRNA

   This isn't meant to be an official scientific document, so I apologize in advance for the sloppy work. It's been widely known that increased fluid volume can lead to edema. My theory is based upon the intentional inducement of mild to moderate edema ...

8. lets discuss extubation

   Diprivan/Vented replied to gaspassah's topic in CRNA

   Let me just preface this with the fact that this is all theory. I wouldn't ever do this nor do I have it within my scope of practice to do this. Also, I think I am using the word "paralytic" more liberally than you guys are. In my view, a paralytic i...

9. lets discuss extubation

   Diprivan/Vented replied to gaspassah's topic in CRNA

   No one likes diprivan? Short life span, fast-acting. I was able to perform conscious sedation on a pt going through dt's using diprivan and ativan so that the urologist could insert a coudet (?) catheter. That was pretty sweet. Had the guy asleep all...

10. ATTN: SRNA's with approximately 3.0 to 3.1 GPA

    Diprivan/Vented replied to Diprivan/Vented's topic in CRNA

    Which school did they get into?

11. ATTN: SRNA's with approximately 3.0 to 3.1 GPA

    Diprivan/Vented posted a topic in CRNA

    What school are you going to? Which schools accepted you? Thanks!

12. Is it possible to titrate paralytics?

    Diprivan/Vented replied to Diprivan/Vented's topic in CRNA

    I just thought how wonderful it would be to be able to titrate paralytics at that golden rate in which they couldn't move but could still maintain their airway. Of course, they would be sedated. Just think of all the complications and costs you would...

13. Is it possible to titrate paralytics?

    Diprivan/Vented replied to Diprivan/Vented's topic in CRNA

    The other day I was doing conscious sedation on a patient with morphine. He was agitated, trying to get out of bed, trying to leave the hospital, but completely confused (didn't know place or date). They had just extubated him, a bit prematurely, and...

14. Is it possible to titrate paralytics?

    Diprivan/Vented posted a topic in CRNA

    Is it possible to titrate paralytics so that they can still breathe but remain immobilized?

15. CRNA's in Hawaii

    Diprivan/Vented replied to richard13's topic in CRNA

    I don't understand why anyone would want to live in Hawaii. Yeah, it's got nice beaches and it's a nice place to relax, but that's all! And the women there are so-so. When I went to visit there, all the gorgeous ladies I talked to wound up being from...