Tenesma

Tenesma

Member

  • Content

    364

  • Visitors

    7,745

  • Followers

    0

  • Likes

    3

All Content by Tenesma

  1. Is there something comparable to Toradol that can be given IV for pain?

    Tenesma replied to bellehill's topic in Pain Management

    nursekatydid: how does toradol increase the effect of heparin or a LMWH??? while both drugs play a role in coagulation they are involved in two distinct pathways? toradol: inhibits platelet...

  2. Is there something comparable to Toradol that can be given IV for pain?

    Tenesma replied to bellehill's topic in Pain Management

    you are going to get a lot of flak for your statement, so i will try to soften the situation 1) while you are ABSOLUTELY right that Ativan will calm somebody down - it has to do with the fact that you...

  3. Is there something comparable to Toradol that can be given IV for pain?

    Tenesma replied to bellehill's topic in Pain Management

    a few issues with toradol post-operatively: 1) platelet function: it interferes with platelet aggregation - it has nothing to do with heparin or other LMWH. 2) bone healing: it interferes with bone...

  4. Extending training for NP's

    Tenesma replied to Dave ARNP's topic in Nurse Practitioners, NP

    residents are funded by medicare - the government spends about $130,000 per resident every year - the hospital/department in turn pays the resident $30-40,000 and keeps the rest to cover departmental...

  5. Extending training for NP's

    Tenesma replied to Dave ARNP's topic in Nurse Practitioners, NP

    just curious - how will it be

  6. Lidocaine patches

    Tenesma replied to ernurse2244's topic in Pain Management

    for some chronic (esp. cancer) pts admitted for pain mngmt i will use IV lidocaine drips - great

  7. Physician Hostility

    Tenesma replied to blake's topic in Nurse Practitioners, NP

    i have no issue with autonomy (well - i don't have a say in it) but I truly feel that in an ambulatory setting NPs and PAs excel!!!! i agree that autonomy in the hospital/acute/critical setting is...

  8. do you fight a V/Q mismatch

    Tenesma replied to alansmith52's topic in Certified Registered Nurse Anesthetist, CRNA

    a quick correction: long sats of 70s and 80s aren't bad when compared to 50s...

  9. do you fight a V/Q mismatch

    Tenesma replied to alansmith52's topic in Certified Registered Nurse Anesthetist, CRNA

    actually apneic oxygenation can keep sats normal for up to 3.5 hours.... if you want to be bold and correct the mismatch you can use Nitric Oxide!!! In my practice, i don't worry about the collapsed...

  10. Physician Hostility

    Tenesma replied to blake's topic in Nurse Practitioners, NP

    isn't this debate getting old for you guys??? PA vs NP... yawn... what blows me away is this striving for complete autonomy!!! do i believe that most PAs/NPs can take care of most basic issues?...

  11. laryngospasm

    Tenesma replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    gwenith - don't take this personally... i understand your background, and i just want to guide you... I am an Intensivist as well as an anesthesiologist, so i am flattered that you feel my training is...

  12. laryngospasm

    Tenesma replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    1) racemic epi is cheaper 2) you guys are missing my point: you don't use epinephrine for laryngospasm after extubation!!! it is useless... the only time epinephrine is relevant is when the...

  13. Anti-dysrhythmic therapy for Malignant Hyperthermia

    Tenesma replied to Brenna's Dad's topic in Certified Registered Nurse Anesthetist, CRNA

    i would shock VF... that is my favorite form of

  14. laryngospasm

    Tenesma replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    nebulised epinephrine and laryngospasm have nothing to do with each

  15. laryngospasm

    Tenesma replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    no - in fact, oral airways can increase the risk of

  16. Physician Hostility

    Tenesma replied to blake's topic in Nurse Practitioners, NP

    zenman: i agree... just pointing out the poor standards expected of MDs in certain

  17. Black Widows

    Tenesma replied to Kason's topic in Certified Registered Nurse Anesthetist, CRNA

    it binds to pre-synaptic cholinergic receptors - usually not a big deal, give supportive care (ie: pain meds) ... if symptoms are bad: hypertensive crisis, angina, MI, placental abruption (in the...

  18. Physician Hostility

    Tenesma replied to blake's topic in Nurse Practitioners, NP

    globalRN: if you read the full text of JAMA 2000 (january): you will see that the study was not done in the emergent/acute setting, but rather at 4 different urban primary care sites, with primary...

  19. Physician Hostility

    Tenesma replied to blake's topic in Nurse Practitioners, NP

    zenman: in some states you don't need to be trained in acupuncture in order to practice acupuncture - just as long as you are an MD (ie: Massachusetts)... so how do those oriental practitioners w/...

  20. Could an FPNP start an operate a "cash only" walk in...

    Tenesma replied to Roland's topic in Nurse Practitioners, NP

    so zenman, it looks like we agree on a few points 1) prevention/education is key 2) we need to merge the good components of both western and eastern medicine 3) our medical/nursing education should...

  21. Physician Hostility

    Tenesma replied to blake's topic in Nurse Practitioners, NP

    which studies are

  22. Could an FPNP start an operate a "cash only" walk in...

    Tenesma replied to Roland's topic in Nurse Practitioners, NP

    Zenman: I will re-address your points and let's see if you can make some rational responses to some of them... 1) the ranking you are referring to is the WHO Health Systems review - which bases its...

  23. Could an FPNP start an operate a "cash only" walk in...

    Tenesma replied to Roland's topic in Nurse Practitioners, NP

    zenman: you are confusing a lot of points in one paragraph 1) my primary practice is "western" medicine, but as part of my pain practice i rely on "alternative" medicine: acupuncture, behavioral...

  24. Could an FPNP start an operate a "cash only" walk in...

    Tenesma replied to Roland's topic in Nurse Practitioners, NP

    roland, anti-platelets, statins, ACE-I, beta-blockers have long been part of multi-drug therapy for anybody with ischemic cardiac disease.... at least for the patients I take care of.... however,...

  25. Could an FPNP start an operate a "cash only" walk in...

    Tenesma replied to Roland's topic in Nurse Practitioners, NP

    Dave, if you really enjoy pain so much you should consider going into pain!!! forget OB.... pain is way