gasmaster

gasmaster

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All Content by gasmaster

  1. nailbed pressure

    gasmaster replied to gasmaster's topic in Neuro Intensive Care, ICU

    When checking gag on my intubated patients I usually just move the ETT tube a bit if they don't cough with suction. The other day I saw a nurse shoving the ETT down so far I thought I'd lose sight of...

  2. Ethical ???

    gasmaster replied to nurseguinness's topic in Neuro Intensive Care, ICU

    Hey, what are ICP and CPP? Thanks. ICP is intracranial pressure. CPP is cerebral perfusion pressure, or the pressure of blood flow to the brain. You derive CPP by subtracting your ICP from your Map,...

  3. Med school to CRNA

    gasmaster replied to HouseDO2b?'s topic in Student Registered Nurse Anesthetist

    To finish what I'm doing now is at least 6 more years If I decided to leave and get a CRNA, it is around 1.5 for the accelerated BSN, 1 working in an ICU, and 2 for the CRNA, so about 4.5 years...

  4. nailbed pressure

    gasmaster replied to gasmaster's topic in Neuro Intensive Care, ICU

    HATE the nipple twist. I can imagine seeing it done on a family member would be pretty traumatic. Typically the GCS just says flexion or extension on 3 & 2 of motor, and doesnt' elaborate....

  5. nailbed pressure

    gasmaster replied to gasmaster's topic in Neuro Intensive Care, ICU

    By the way, where do you work where there are 55 Neuro ICU beds? That must be some place! Are they all critical care, or are some of them step-down beds? Are they divided by trauma vs surgical,...

  6. nailbed pressure

    gasmaster replied to gasmaster's topic in Neuro Intensive Care, ICU

    Also, in your complete neuro assessment you should always be scoring motor strength of UE's and LE's

  7. nailbed pressure

    gasmaster replied to gasmaster's topic in Neuro Intensive Care, ICU

    I said it was typically viewed as more central. I didn't say it was used to test GCS. Where I've worked we always use either trap or supraorbital. We only use the skin pinchs if none of the other...

  8. Brainstorming in neuro pt

    gasmaster replied to nurseguinness's topic in Neuro Intensive Care, ICU

    Nah, no ignorance. Once in a blue moon there's a real seizure with no SNS response, etc. It's rare but can happen. There are even "seizure" pt's who have normal EEG's, again rare but does happen....

  9. nailbed pressure

    gasmaster replied to gasmaster's topic in Neuro Intensive Care, ICU

    You are right, the foot is peripheral. But if you pinch the upper, inner thigh it's typically viewed as

  10. subdural drain...what to do?

    gasmaster replied to APNgonnabe's topic in Neuro Intensive Care, ICU

    Bacteriostatic saline has preservatives in it. You have to use the preservative free saline for the brain. Bacteriostatic saline can cause brain tissue necrosis, abcess, seizures, and/or meningitis....

  11. Please help!

    gasmaster replied to PARK1004SN's topic in Student Registered Nurse Anesthetist

    Check out Texas Tech U. They have the RN-BSN ALL online now. You have to attend a 2 day orientation at the beginning of your first semester and that's it. The rest is 100%

  12. nailbed pressure

    gasmaster replied to gasmaster's topic in Neuro Intensive Care, ICU

    Be careful with the bottom of the foot stimuli. It's peripheral. But you can squeeze that fatty area on the inner thigh just below the groin. Doesn't take much pressure and the patient will...

  13. What qualities to succeed in NICU?

    gasmaster replied to Curious1alwys's topic in Neuro Intensive Care, ICU

    Priorities are very important in the NVICU. So is being a quick, critical thinker. It will take time. Neuro nurses are very special people. We possess something different.....call it "gut...

  14. nailbed pressure

    gasmaster replied to gasmaster's topic in Neuro Intensive Care, ICU

    Trap is good, periorbital is fantastic. Especially for pseudo-seizure pt's. They often don't expect that. One can typically train themselves to handle the trap squeeze over time, but most of them...

  15. Ethical ???

    gasmaster replied to nurseguinness's topic in Neuro Intensive Care, ICU

    Probably do stay longer because of the low stress and satisfaction. Most of their patients are happy and so are the families. Idea: if we went back to the OLD WAY of the patient just takes what we...

  16. Ethical ???

    gasmaster replied to nurseguinness's topic in Neuro Intensive Care, ICU

    OB? Gads, why would there be a fight to do that? I guess it's a relatively nice environment, not the dog-eat-dog world we live in....:smiley_ab

  17. Gre

    gasmaster replied to cvicu80's topic in Student Registered Nurse Anesthetist

    Texas Wesleyan gives you a choice between the GRE and

  18. Ethical ???

    gasmaster replied to nurseguinness's topic in Neuro Intensive Care, ICU

    If there is critical care internship in your neuro ICU then by all means go for it. If you're not fortunate to have an internship at your hospital then ICU is still ok as long as you have an...

  19. Diprivan Off Label for Seizure Suppression(?)

    gasmaster replied to CCUnocRN's topic in Neuro Intensive Care, ICU

    In high doses propofol has antiseizure activity. We often use it for drug-induced coma with

  20. propofol infusion syndrome

    gasmaster replied to john 1947's topic in Neuro Intensive Care, ICU

    Propofol isn't approved for pediatric ventiltor sedation. It is used but not commonly. The only syndrome experienced in adults is

  21. Need neuro nurse advice re spinal injury

    gasmaster replied to Beech1184's topic in Neuro Intensive Care, ICU

    First of all, you need to see a neurosurgeon not a chiropractor. Please make an appointment soon and get a qualified

  22. our son's R temporal lobe tumor resection

    gasmaster replied to bearanne's topic in Neuro Intensive Care, ICU

    Duh, that's all I have to

  23. 3% Saline

    gasmaster replied to neuro0000's topic in Neuro Intensive Care, ICU

    all I can say is be careful, take it VERY seriously, and go slow with your infusion. The big risk is pontine myelinolysis. You don't want your patient to end up a

  24. Ethical ???

    gasmaster replied to nurseguinness's topic in Neuro Intensive Care, ICU

    As a long timer (and I mean L-O-N-G timer) in the neuro ICU, I also am a professional witness and case reviewer. First of all, ICP's in the 60's with treatment? This kid is going down. No matter...

  25. Cnrn

    gasmaster replied to NeuroICURN's topic in Neuro Intensive Care, ICU

    Congrats to you all. I've been a CNRN for many years. One word of advice: keep up your CE's! They are a B*%&@ to get at the last minute! Yeah!!!!!!!! Way to go!!!!!!!!!!!!!!!:balloons:...