CRNA1982

CRNA1982

Anesthesia

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All Content by CRNA1982

  1. Codman ventriculostomy without monitoring

    CRNA1982 replied to classicaldreams's topic in Neuro Intensive Care, ICU

    No

  2. Political Discussions at Work

    CRNA1982 replied to drgnflydggr's topic in General Nursing

    You could not be more right......Everyday I see O.R. personnel (NOT JUST SURGEONS) but scrub techs, nurses etc making off-color remarks. But surgeons bring revenue to the hospital.....this is the...

  3. Political Discussions at Work

    CRNA1982 replied to drgnflydggr's topic in General Nursing

    NICE......Generalization that

  4. Political Discussions at Work

    CRNA1982 replied to drgnflydggr's topic in General Nursing

    Well, I can certainly relate to hearing continual inappropriate conversations in the O.R. I seem to be pretty laid back to others opinions and I try not to let that kind of stuff bother me; I have...

  5. Sedation..Your thoughts?

    CRNA1982 replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    I must say that Fent and Midaz gtts are far superior than Fent and Prop for long term pts. in the ICU; you just have to give them what they need. We all know that Prop can be some nasty stuff for pts...

  6. Codman ventriculostomy without monitoring

    CRNA1982 replied to classicaldreams's topic in Neuro Intensive Care, ICU

    As long as the pt. was not sedated and A+0x3, you just need to educate them and say that if they want to sit up or stand up they need to call you before they do, so that you can temporarily clamp the...

  7. Codman ventriculostomy without monitoring

    CRNA1982 replied to classicaldreams's topic in Neuro Intensive Care, ICU

    Was the drain ordered to be set at a specific level? Like 15 cmH20 or something? This is usually the case. If the pt. decides to get up and gravity suddenly causes the drain to dump 20 cc of csf...

  8. Lumbar drains and anticoagulant therapy

    CRNA1982 replied to LetsChill's topic in CCU, Coronary, Cardiac

    If you are referring to low dose Heparin, you just hold the dose for about 8 hours and pull the drain and or epidural. This amount of time will ensure that the pt. is no longer anticoagulated....

  9. VQ mismatch?

    CRNA1982 replied to jeyre1847's topic in General Nursing

    Hmmm....I'm assuming they were albuterol/atrovent nebs. There are many reasons why VQ mismatches occur; in fact I have books that pertain to this stuff alone. Remember the V stands for ventilation....

  10. Aortoiliac angio and lower extremity runoff study?

    CRNA1982 replied to jimmy the P's topic in General Nursing

    Not a vascular surgeon....but I do provide anesthesia for these cases. Aortoiliac angiography will most likely result in the surgeon accessing the femoral artery and injecting dye in the distal aorta...

  11. Medication Question---Hospice Related

    CRNA1982 replied to lar2011's topic in Nursing Student Assistance

    Lortab contains hydrocodone....not

  12. Medication Question---Hospice Related

    CRNA1982 replied to lar2011's topic in Nursing Student Assistance

    With a 50% reduction for incomplete cross tolerance, 14 5/325 Lortab is equivalent to 35 mg MSIR PO. Remember this is just a starting point and typically a larger dose of MSIR is needed. When...

  13. Can 2% lidocaine be given IM?

    CRNA1982 replied to newnursealice's topic in General Nursing

    1% Lido is 10mg/ml and 2% 20

  14. nurses intubating newborns

    CRNA1982 replied to gunverferth's topic in General Nursing

    Really? With all due respect, I find it hard to believe that a transport team RN can tube a patient more proficiently than a CRNA/MDA. Intubating is a skill, just like starting an IV. The more you...

  15. Is your hospital green?

    CRNA1982 replied to velardern's topic in General Nursing

    Not sure about compression stockings but I can say that all of our anesthesia stuff (Pulse oximeters, BP cuffs etc are all non-disposable; for the most part). My pet peeve is the large sharps bins...

  16. What is an indwelling IV?

    CRNA1982 replied to chiuli's topic in General Nursing

    Just to let you know....You also run a risk of having a "spinal headache" with an epidural as well. This is known as a post-dural puncture headache. Epidural needles are actually much larger than...

  17. IV drip dose error

    CRNA1982 replied to babbu's topic in MICU, SICU

    So the pt. received 15 mcg/hr Fentanyl instead of 100 mcg/hr? For an hour or two? Mistakes happen; no big deal....Could have been worse. Your RN colleague needs to chill out and not be so upset...

  18. Ativan IVP given undiluted into central line.

    CRNA1982 replied to Septic Boy's topic in MICU, SICU

    If you have concerns of your pt. being an aspiration precaution, then you should probably be questioning an Ativan IVP order..... 1 mg IVP of Ativan would most likely not make a full stomach pt....

  19. Ativan IVP given undiluted into central line.

    CRNA1982 replied to Septic Boy's topic in MICU, SICU

    All of the things that you were taught to "worry about" in nursing school regarding IV push meds can be quite overwhelming. In my experience in the O.R; I can tell you that we PUSH meds whenever...

  20. A moment of your time, please, if you feel so inclined to give me you opinion

    CRNA1982 replied to coonkine's topic in General Nursing

    Is being a doctor all that

  21. BP, CO, afterload question

    CRNA1982 replied to himicu's topic in MICU, SICU

    Both are correct....SV will always decrease with an overly increased SVR/afterload. The only way that BP would decrease with increased SVR/afterload is in an extreme situation of severe increased...

  22. accidental fingerstick

    CRNA1982 replied to chiuli's topic in General Nursing

    Again...Please provide some evidence based information if you want to further discuss this matter. American Journal of Infection Control: Volume 20, Issue 3, Pages 133-137 (June 1992) Needlestick...

  23. accidental fingerstick

    CRNA1982 replied to chiuli's topic in General Nursing

    I don't consider myself an expert on infectious disease transmission.....But I have read the statistics on needlesticks (Specifically HIV related) If I remember correctly, isn't there a 0.3-0.45%...

  24. accidental fingerstick

    CRNA1982 replied to chiuli's topic in General Nursing

    That is a very small gauge needle.....I know it's hard, but I would not worry about it too

  25. How would you interpret this order for pain medication?

    CRNA1982 replied to I<3H2O's topic in General Nursing

    Give Lortab first and use as your primary drug. Only use Morphine for breakthrough pain if Lortab cannot be given. This patient will have to eventually go home (I'm assuming) and they cannot go home...