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  1. by Guide Dec 13, '11
    Would the SRNAs on here like it if I started a pimp thread? The questions would be clinically related pearls or questions related to boards.
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    http://allnurses.com/showthread.php?t=653693

    by wtbcrna Dec 13, '11 11:40 pm
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    MoLee228 and Jarnaes like this.
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  3. 33 Comments so far...

  4. Dec 14, '11 by
    yes that would be great
  5. Admin
    Dec 14, '11 by
    Great idea - run with it.

    And thanks.
  6. Dec 14, '11 by
    Pls do. I need all the help I can get!
  7. Guide
    Dec 14, '11 by
    Okay, a couple of simple knowledge questions to start with.

    1. Name the most common nerve injured during surgery on the upper extremity and the lower extremity.

    2. Name the all the nerves that need to be blocked for an ankle block ( separate into deep and superficial & identify what main nerve each branches off of).


    Clinical question: You have a patient undergoing a hysterectomy with a history of a prolonged QT interval and hx of PONV, but otherwise healthy. What is your intra op anesthesia plan and what anti-emetics would be appropriate for this patient post op?
  8. Dec 14, '11 by
    1. a)ulnar nerve b) common peroneal nerve
    2. posterior tibial, saphenous, deep and superficial peroneal, sural;

    clinical - rehydrate to approach euvolumia, no N2O, maintain BP with ephedrine if appropriate, decadron, H2-blocker, reglan can be given, acupressure on the P6 (?) meridian; alternatively you could go TIVA with propofol
  9. Guide
    Dec 14, '11 by
    Quote from WolfpackRed
    1. a)ulnar nerve b) common peroneal nerve
    2. posterior tibial, saphenous, deep and superficial peroneal, sural;

    clinical - rehydrate to approach euvolumia, no N2O, maintain BP with ephedrine if appropriate, decadron, H2-blocker, reglan can be given, acupressure on the P6 (?) meridian; alternatively you could go TIVA with propofol
    Which nerve(s) are from the femoral and sciatic branches with the ankle block?

    Your pt comes to recovery and has severe ponv. What else can give/do to help with her PONV?
  10. Dec 14, '11 by
    Quote from wtbcrna
    Which nerve(s) are from the femoral and sciatic branches with the ankle block?

    Your pt comes to recovery and has severe ponv. What else can give/do to help with her PONV?
    saphenous from femoral, all others from the sciatic; the PONV 10mg propofol can act as an antiemetic, I need a lifeline for anything else
  11. Guide
    Dec 14, '11 by
    Quote from WolfpackRed
    saphenous from femoral, all others from the sciatic; the PONV 10mg propofol can act as an antiemetic, I need a lifeline for anything else
    http://www.azcert.org/medical-pros/d...t=Generic_name
  12. Jan 2, '12 by
    No zofran for prolonged QT, right? Doesn't it worsen prolonged QT? The ankle block was a good refresher!

    More questions please!