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Search Results Type: Posts; User: Mully

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  1. All about the tubes... reflections of a new ER nurse
    Well written. We've all been there! Those 88 y/o vaginas.. you don't know which way is up! I've had so many catheters in there, at times, that it resembled the lake monster from lord of the...
    Mar 28
    Forum: Emergency Nursing
  2. IV bolus ordered because pt hypertensive
    If you can't explain something well, then you don't understand it well. Too complicated to explain = to complicated to comprehend... by anyone lol. I agree with the previous posters here. If the...
    Mar 20
    Forum: Nursing and Patient Medications
  3. What are the best nursing schools to learn neurology on the East Coast?
    In my experience, that's not really how it works. Mostly nursing schools are all going to cover all the same topics relatively evenly. If a particular school does clinicals at a place that you're...
    Mar 7
    Forum: Neuro Intensive Care Nursing
  4. IJs
    IJs
    When you're removing a line which is placed above the level of the heart, especially a large gauge line, you want to lower the patient's head to at least the level of the heart. This would be either...
    Feb 11
    Forum: MICU / SICU Nursing
  5. Calculating SVR, CVP, Preload, etc..
    Resistance = Change in pressure/Flow Or in cardiac terms: SVR = MAP-CVP/CO. This is because MAP is basically your starting average pressure at your aorta, and CVP is your ending pressure at the...
    Feb 7
    Forum: CCU Nursing / Coronary / Cardiac
  6. Art line question
    Excactly. If you did have a good waveform, dicrotic notch, and were able to draw blood and flush appropriately, it is likely that the art line is more accurate than the cuff. A better method that...
    Jan 31
    Forum: Critical Care Nursing
  7. Anybody want to discuss pKa?
    I may not be the best one to answer that as I am only in semester 2 of anesthesia school, but so far it hasn't come into play much. It's definitely important for people who create the drugs...
    Jan 24
    Forum: Student Registered Nurse Anesthetist
  8. Anybody want to discuss pKa?
    I'll take a stab at it. Others can correct me if I'm wrong... Ok, in the sense of the question you posed, you could technically figure out at which pH the drug would be more ionized vs. unionized....
    Jan 24
    Forum: Student Registered Nurse Anesthetist
  9. Going from SDU to ICU at a different hospital. Anyone else done this?
    I did the same thing you are. It was a very smooth transition for me and I think you're doing all the right things. Good luck and have fun! ICU nursing is my favorite type of nursing.
    Dec 29, '14
    Forum: Critical Care Nursing
  10. Intubation - confused about orders
    Regardless of the flowrate, the patient will get the same Fi02 with a non-rebreather. The flowrate just works to provide the 02 to the bag which the patient then breathes from. Non-rebreather valves...
    Dec 18, '14
    Forum: Critical Care Nursing
  11. Intubation - confused about orders
    Did you see my last post...
    Dec 17, '14
    Forum: Critical Care Nursing
  12. Intubation - confused about orders
    Throwing someone on a non-rebreather is generally going to make their pO2 levels tolerable for a while. It's more about the trending. My best guess (correct me if you think I'm wrong): Pt with CHF is...
    Dec 17, '14
    Forum: Critical Care Nursing
  13. Intubation - confused about orders
    Right so respiratory acidosis would be caused by sleep apnea when the patient is asleep. But that's self limiting. When the patient awakes, they breath fine right? So ignore that that's what the MD...
    Dec 17, '14
    Forum: Critical Care Nursing
  14. Intubation - confused about orders
    I like this discussion. Okay so you have a CHF pt that's likely been getting worse over the past few days. RNexplorer: What could explain a ABG of respiratory alkalosis in this patient? Or, if you...
    Dec 17, '14
    Forum: Critical Care Nursing
  15. Intubation - confused about orders
    An important clarification is how quickly after the roc did you give the Etomidate? As many people have pointed out, the onset of rocuronium is slower than the onset of etomidate, so it makes...
    Dec 17, '14
    Forum: Critical Care Nursing
  16. Assessment question
    We always had an intermediate box "withdraws to pain". "Arousable" alludes more to waking up, as in consciously. It can definitely be taken either way (depending on the attorney ;)) and would best be...
    Dec 16, '14
    Forum: Neuro Intensive Care Nursing
  17. RIP Betty Ackley RN - Nursing Diagnosis textbook author
    She taught at the school I graduated from! Although she was retired when I went through there, everyone had nothing but great things to say about her. Thanks for posting this.
    Dec 16, '14
    Forum: General Nursing Discussion
  18. I need advice! DNP-A or MSN?
    I PM'd ya
    Nov 23, '14
    Forum: Student Registered Nurse Anesthetist
  19. Advice for getting into CRNA school?
    It's important to note the political climate of anesthesia in America for a thorough answer to your questions, which is an entire bag of worms that goes beyond the scope of this thread. Suffice it to...
    Nov 23, '14
    Forum: Student Registered Nurse Anesthetist
  20. CCRN Content Helpful During CRNA School
    I disagree with Just an Illusion, although I may not be the best to say so because I never actually got my CCRN. However, I did study for it. The CCRN makes you a more knowledgeable ICU nurse, and...
    Nov 22, '14
    Forum: Student Registered Nurse Anesthetist
  21. Jane Fitch MD, prior CRNA, now Anesthesiologist elected president ASA
    Some thoughts from an SRNA... Well there are some valid points. Take the education of a physician for instance. They go through an amazing amount of education, not only regarding anesthesia, but...
    Nov 16, '14
    Forum: Certified Registered Nurse Anesthetist (CRNA)
  22. Jane Fitch MD, prior CRNA, now Anesthesiologist elected president ASA
    Very impressive and objective write-up, Ether511. Opinions aside, you make many valid points.
    Nov 16, '14
    Forum: Certified Registered Nurse Anesthetist (CRNA)
  23. SICU RN, I just turned in my applications
    Wow! How cool! Congrats.
    Nov 14, '14
    Forum: Student Registered Nurse Anesthetist
  24. SICU RN, I just turned in my applications
    It adds a lot that you have done well in your most recent science classes. Prepare for the interview as in prepare to answer the obvious questions you know they're going to ask. You should...
    Nov 12, '14
    Forum: Student Registered Nurse Anesthetist
  25. Working while in CRNA school...
    My school allows you to work, but it highly discourages it. Certainly you can't work full time. Here's a good example; one person in my class kept his job in the ICU per diem which only required 1...
    Nov 12, '14
    Forum: Student Registered Nurse Anesthetist


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