TakeBack

TakeBack

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  1. Are NPs and PAs "Interchangeable"

    Thanks for all your feedback. I'm eager to hear more examples if you have them.
  2. Are NPs and PAs "Interchangeable"

    This is a great example. I agree that out of the box an NP with this specialty focus in training and RN experience wins hands down. I still feel that I wouldn't NOT recruit a position excluding one group because, as you said, there are experienced PA...
  3. Are NPs and PAs "Interchangeable"

    The question for me is how to recruit. Is it appropriate to recruit for a position SOLELY to one or the other. Do you post the Surgical job ONLY to PAs, the Family Practice SOLELY to an FNP, etc.
  4. Are NPs and PAs "Interchangeable"

    Hello all, I am a PA and would like your feedback. When recruiting for any given position, do you feel that the hiring practice should have a preference for one credential over the other? E.g., should a Family Practice only/preferentialy recruit for ...
  5. Albumin/fluids and svr

    I think we're getting at the same idea from different sides.It's impossible to predict the result of one intervention (say, volume loading/increased SV) when the other variables are not fixed. It sounds like we agree that textbook scenarios don't uni...
  6. Albumin/fluids and svr

    It is really difficult to say that volume loading will have any absolute effect on SVR. Resistance results from the interplay of flow (CO) and vascular tone. With fixed tone and CO the SVR would increase with IVF. However EVERY pt responds differentl...
  7. Albumin/fluids and svr

    The main reason they require volume is due to the massive third spacing from cardiopulmonary bypass/inflammatory response, and the use of vasodilating agents for anesthesia and postoperative sedation. The thoracic pump mechanism you are suggesting wo...
  8. Amiodarone help!

    why was the pt unresposive w/ a SBP 180? 300 amio IVP is usually given w/ VF/unstable VT. This sounds like hemodynamically stable VT if I'm reading you right.
  9. Another question about Amiodarone

    The pacer will protect the pt from bradycardia caused by dual therapy, but NOT from potential ventricular arrhythmia 2/2 dig toxicity. Levels should be monitored.
  10. PA's make more $$ than NP's?!

    Here's the latest comparison, PA-NP head to head per specialty In some the difference is marginal, in others, significant. National Salary Report 2011 on ADVANCE for NPs & PAs
  11. Nitro vs Morphine

    noncardiac chest pain- musculoskeletal pain esophageal spasm pneumonia/pleuritis PTX abd source etc
  12. tachycardia, left pneumonectomy

    Bengin in spectrum of postoperative complications, overall arrhythmias, and epidemiologic data on liklihood of acute decompensation. Numbers are numbers.
  13. tachycardia, left pneumonectomy

    certainly- just sharing my clinical experience. My Masters specialization was in AF and I have taken care of easily >1000 AF pts. Most tolerate it, FWIW. Instability is rare and the most common reason they seek treatment is palpitations/anxiety/fa...
  14. tachycardia, left pneumonectomy

    AF in and of itself is benign. Having dealt with easily >1000 pts with AF, most tolerate it very well. I have had to cardiovert pts for instability but it is rare. As I said above the greater risks are from the treatment not the condition, as you ...
  15. tachycardia, left pneumonectomy

    There will typically be some shift after pneumonectomy. The concern for shift is with a tension situation- pneumo or hemo. Tension effects re assessed with echo, invasive monitoring numbers (swan) and clinical parameters.