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RedCell's Latest Activity

  1. RedCell

    Why no air bubbles in IV lines for cardiac patients?

    If there is a communication between the left and right heart and right sided pressures exceed left, air can get into the aorta where it enters the arterial circulation. This is bad. Actually, air in the heart can do some interesting things when there is a defect. You should go to youtube and check out some echos where bubble tests are performed.
  2. RedCell

    Why no air bubbles in IV lines for cardiac patients?

    Look up right to left shunts and this will give you a good idea of the people at risk. The majority of the time a small amount of air in the venous system goes to the right side of the heart, into the pulmonary artery and gets blown out in the lungs. It doesnt matter if they are "cardiac" patients or Lance Armstrong.
  3. That is not exactly the best way to answer that question. Mreicher pretty much was correct in regards to blood loss. Think of a bag of packed red cells. The hematocrit averages 70%. Pour out half of the blood and while the volume has decreased the remaining blood will still have a hematocrit of 70%. In acute blood loss doing a CBC will not help. There would be no difference between hemoglobin and hematocrit from what it was before the bleeding occurred. After a few hours plasma volume will be replaced by fluid from the interstitial space and you will then see a decrease in H&H. Also, there are many other methods that aid in assessing blood loss and volume deficit. Lactic acid and base excess are a good place to start looking if you want to read into this topic further.
  4. RedCell

    Can I be a CRNA with Malignant Hyperthermia?

    I find this statement quite amusing. What do you think YOUR healthcare provider (FP or even internist) knows about MH? I guarantee you it is less than that of a first year SRNA or AA student. Based on a recent event I was involved with regarding MH, it is quite surprising what little is actually known of this condition once you leave the OR.
  5. RedCell

    I want to know

    Look up Cushing's triad
  6. Anesthesia or if I couldn't get back into school...... street pharmacist (no taxable income).
  7. RedCell

    is this an allergic reaction? or something else?

    Sounds like a bradykinen disorder. Maybe related to something obvious like an ace inhibitor. Could also be something more complex such as a hereditary disorder that is constantly activating her complement system.
  8. RedCell

    respiratory arrest

    There is one answer and that answer is FRC. Once the functional residual capacity is depleted the dude meets Jesus unless someone is around that actually knows how to ventilate/oxygenate the gomer. While no individual can be completely denitrogenated (lung physiology, basic organic chemistry and physics prevent this), a properly preoxygenated patient can go approx 6-8 minutes before desaturating (10 minutes is kind of a stretch Gila, maybe an olympic free diver could go this long, but not an average joe).
  9. RedCell

    Alphabet soup

    Greygull, I believe you have completely missed the point I was attempting to get across in this whole alphabet soup game. What someone chooses to post on their forum profile in fantasyland (an anonymous web forum) is irrelevant. Patients for the most part have no clue what the slurry of certifications behind their provider's name badge means. Many nurses and physicians do not know or care either. In the real world with real people, these random acronyms cause confusion. Confusion that is unnecessary and easily avoidable. Drop the nurse code and stick with the meat. If you really want people to know all of your "credentials", go with the PDF CV gimmick and pass it out to all who grace your presence throughout the day.
  10. RedCell

    Alphabet soup

    I could not agree more man. All of those consonants and vowels randomly strewn together are confusing to the patients as well as the nursing and medical staff. The bottom line, I will be more impressed by how an individual actually functions as an RN when needed rather than the "PDF CV" attached to the end of their badge.
  11. RedCell

    Nurses from other units to start IV's

    To me, this is just another example that further proves the lack of useful education in nursing schools today. Something as simple as placing an IV is a task learned through repetition. It is a shame that while a nursing student is bombarded with theory, cultural sensitivity and nursing diagnosis...they can expect roughly ten minutes of IV training that most likely will be provided by a computer simulation (not even a real homosapien). My advice to the OP, don't take your frustration out on the ICU nurse that solved your problem. This will accomplish nothing. Be proactive and go down to the ER where you can get with a few nurses that can provide some pointers. Then practice, practice, practice. With enough repetition, you will become competent in a skill that should have been covered in school.
  12. RedCell

    The best nursing advice you've ever received

    "When in doubt, pull it out".... best advice I have ever received. I apply it to my practice every day.
  13. RedCell

    Working full time as a CRNA student

    Nurse Anesthesia school does not equal Nurse Practitioner school. 60-70 hours of OR time per week (5-6 days), 8 hours of didactic (1-2 days) and a minimum of 10-20 hours of self study. I cannot really see how one can fit three 12 hour shifts in to that kind of schedule. This does not even take into account 24 hour call the majority of SRNAs take part in. Just because Lennon and McCartney can conjure up 8 days in a week does not mean that it equals reality for the rest of us. I find it quite interesting that of all the anesthesia forums online, this is the only one where non SRNAs or CRNAs feel free to post random fabrications of inaccurate information pertaining to the education of nurse anesthetists. Even the anesthesiologist and anesthesiology assistant forums do a better job and these are two groups that we traditionally butt heads with.
  14. RedCell

    What professional Websites do you use?

    Nurseanesthesia.org, pubmed.com, anesthesiaanalgesia.com, borland.edu, aana