Toby's mum

Toby's mum

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About Toby's mum

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  1. Midwestern University CRNA Program...Class of 2011

    The website says the application deadline is June 1st. Did this change? It would make it so much easier if it truly were later. Thanks,
  2. Antibiotic retention enemas??

    I heard of this for the first time recently. Pt received vancomycin enema--it was dc'd after repeated enemas resulted in frank blood gushing out of rectum. Supposedly used for CDiff.
  3. Free anesthesia medication/flash cards

    I would love a copy of the medication/flash cards too please! Thank you very much for sharing. It's greatly appreciated
  4. Diagnosis Wenckebach- YouTube video

    Very funny! Thanks for sharing.
  5. Metoprolol and aflutter 40's-50's with BBB

    A patient had AVR/MVR/RFA and post surgery his native rate/rhythm was aflutter 40's to 50's with BBB. He was asymptomatic with this rate/rhythm and perfusing well (maps 70s to 80s) & mentating fine. Post op day 1 (post extubation) he was not p...
  6. Radio frequency ablation

    What's been your experience with patients undergoing radio frequency ablation for chronic afib? Does it work? Do your patients tend to experience blocks and dysrhythmias post procedure, if so, does this tend to resolve over time or do they typical...
  7. Nitrates, Desaturation & pulmonary shunting

    If a patient is on some form of the nitrate drug classification, why might they experience desaturation and I am also trying to understand why they might cause pulmonary shunting. Any help with understanding the above would be greatly appreciated. ...
  8. Milking those chest tube: I need your opinion

    I work on the CSICU where we routinely are required to 'strip' blakes to keep them flowing, especially in the first few hours fresh post op cardiac surgery. We use alcohol swabs or the gel you use for dopplers and quickly, but carefully strip the tu...
  9. the stress as a CRNA

    I think working in a high acuity, fast-paced SICU/CSICU gives you good insight to how you might deal with the stress level that you would undoubtedly encounter as a CRNA. It continues to be a humbling and enlightening experience to work in such a un...
  10. Do you get paid from being 'on-call'?

    On my unit, we are required to be on call two 12 hour shifts out of every six week schedule. You have to be available & reachable from 5am or 5pm until 11 a or 11p (respectively depending on whether you selected an AM shift or PM shift to be on ...
  11. Are betablockers the new way to go?

    PACU RN, we recover fresh post op cardiac surgeries and generally I've seen betablockers given after the first 12 hours or so post op rather than immediately post op. We use the standard nipride/NTG to titrate for goal Map and the fresh hearts are u...
  12. Determining G-Tube placement, what's the NCLEX answer?

    Hoping, the NCLEX answers can be frustrating. You are correct that an XRay would be the ideal way to verify placement, however, you need a MD order to do so--the NCLEX focuses on what you as the nurse can do without needing MD's order. Therefore, t...
  13. New To Night Shift

    I work rotating days 7a-7p to nights 7p-7a. I try to lump my nights together. I am a very light sleeper and it takes me a good 2-1/2 days to recover whenever I switch from shift to shift. I use earplugs, have a quiet noise machine and black out c...
  14. How Do I Get My Shoes To Stop Squeaking?

    Vlsgrl: the "blue bootie things" over the shoes is a great suggestion! Hadn't thought of it, but it's the perfect solution. Thanks,
  15. VAD's & antiplatelet protocol?

    Augigi, Thank you for taking the time to provide such a thorough/comprehensive response! I really appreciate it, especially since this is all relatively new to me and I want to learn more. The particular LVAD I was thinking of was the Heartmate I...