NewHam CRNA

Latest Activity

1. Meperidine (Demerol) or Morphine for pancreatitis patients?

   NewHam CRNA replied to Shell120's topic in Pain Management

   Equal analgesic doses of fentanyl, morphine, meperidine, and pentazocine increase common bile duct pressure 99%, 53%, 61%, and 15% above predrug levels, respectively. Hydromorphone is similar to...

2. Freezing During Critical Situations

   NewHam CRNA replied to jsrn88's topic in Critical Care

   What are some examples of times you have frozen up? I think ACLS is every ICU nurses best friend. It's one thing to be certified, it's another thing to be confident with it. Then you have a starting...

3. Reoccurring code nightmare

   NewHam CRNA replied to LonghornChic's topic in General Nursing

   I've had this happen to me a couple times. It's seriously spooky. And you were clearly right to continue compressions. Patients in comas, if you open their eyes, will sometimes follow your finger with...

4. ECMO: Most Advanced ICU Technology?

   NewHam CRNA replied to CVVH's topic in Critical Care

   BIS monitors are neat. Not wildly advanced tech but it's something you might use in the ICU when you paralyze a patient. They're not perfect by any means - and most people who regularly read EEGs...

5. Ethical Issues

   NewHam CRNA replied to ShanHK's topic in Critical Care

   All the above posters offered insightful comments. I'd just add that if a patient is actively dying, it is nice to have morphine you can give that frequently to keep the patient comfortable and...

6. Student...I have a question about EKG's

   NewHam CRNA replied to NEMurse95's topic in Cardiac

   So a few thoughts: Some of the infarcted area will recover because of collaterals. The necrotic myocardium is cleared, fibrous tissue/collagen is deposited and scarring is complete within about 7...

7. I survived my first week in ICU!

   NewHam CRNA replied to dogmombyday's topic in Critical Care

   Woot woot! Congrats! Keep

8. Which unit is more manageable for a newbie: MICU or SICU?

   NewHam CRNA replied to Workinghard123's topic in Critical Care

   I've worked both MICU and SICU at a few different hospitals. I think MICU is a better ICU to start in. No doubt it's challenging, and there's no reliable way to know which patients will be sicker in...

9. Anesthesia for CPR

   NewHam CRNA replied to Rinto's topic in Critical Care

   Only a few times have I seen patients have a return of consciousness during CPR without ROSC. First of all, pat yourself on the back for doing damn good CPR. Second, it's almost always in patients who...

10. Vasoactive medication help

    NewHam CRNA replied to XDeemerDogx12's topic in Critical Care

    This is a very good, and very tricky question. I'm going to give some scattered thoughts: In undifferentiated cariogenic shock, norepi has been found to be an OK choice until the the cardiac process...

11. Myoclonus From Sedation

    NewHam CRNA replied to Catticus11's topic in Critical Care

    A number of sedatives/anesthetics cause myoclonus that appear similar to tonic-clonic seizures but are distinct from them on EEG: Propofol, etomidate, barbiturates (not used in US). It tends to happen...

12. Feeling Incompetent

    NewHam CRNA replied to vanaly's topic in General Students

    Keep your chin up! That's exactly how your ought to feel at this point. Honestly you'll be constantly doubling-back because you forgot supplies for 6+ mo after you graduate and get a job and that's...

13. Accidental migration of PICC line (1-1.5cm)...

    NewHam CRNA replied to RNsteve's topic in General Nursing

    Definitely check out hospital policy because that's what'll get ya. That said, If you needed the line is should be perfectly fine to use. Maybe have some caution with things like vasopressors. As long...

14. Bicarbonate HC03 - As High as 43?

    NewHam CRNA replied to NurseSonata's topic in General Nursing

    Some scattered thoughts: I agree with everyones comments - your patient's kidneys were properly compensating for the prolonged respiratory acidosis (CO2 retention), and that number alone isn't...