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

    A clamped drain for an open crani is ok because the skull is open. The bone flap is removed and the brain is able to expand. ICP is no longer a problem.....Hyperventilation and medications can also...

  2. low pressure alarm if trach comes out?

    CRNA1982 replied to nursedelia's topic in General Nursing

    I am perfectly aware that lots of people can manage home vents; including home health aides or even a blind person....they are easy to manage. The OP has been posting about this issue since October...

  3. low pressure alarm if trach comes out?

    CRNA1982 replied to nursedelia's topic in General Nursing

    I was trying to help you......by replying to numerous posts from you. Then you started getting ****** with me. Don't turn this around on me..... All ventilators that I work with have low pressure...

  4. low pressure alarm if trach comes out?

    CRNA1982 replied to nursedelia's topic in General Nursing

    I assumed you are not responsible for managing the vent because you clearly don't know how to manage a ventilator based on your previous posts. I can't answer these questions for you. I am not...

  5. What is the weirdest thing someone has been admitted to the hospital for?

    CRNA1982 replied to SweetsRN522's topic in General Nursing

    Pt. came direct to O.R. from E.D. with frozen gerbil in colon. Exploratory laparotomy for removal or gerbil. Good

  6. Drug choice during intubation

    CRNA1982 replied to IheartICUnursing's topic in MICU, SICU

    Nothing wrong with what you said about giving a non-depolarizer without airway secured; you can never be too safe. Therefore, you can never go wrong with Succs (As long as it is not contraindicated)....

  7. Sedation and Hypotension

    CRNA1982 replied to Dempather's topic in Emergency

    You are right, this forum is a good educational tool for the person presenting the case. We often do Morbidity and Mortality presentations in our anesthesia dept to discuss "cases that went south"...

  8. Sedation and Hypotension

    CRNA1982 replied to Dempather's topic in Emergency

    Wow! All the wrong drugs were used in this case for both muscle relaxation and sedation. What kind of a doctor orders these drugs? Atracurium is a dead drug.....I can't even believe that a pharmacy...

  9. Succ vs Etomidate

    CRNA1982 replied to maloneys's topic in MICU, SICU

    Amidate is a pretty forgiving drug therefore it is a good choice for inducing critical care pts. It is very cardiac stable and often pts. will continue to breathe, unlike propofol which can...

  10. Succ vs Etomidate

    CRNA1982 replied to maloneys's topic in MICU, SICU

    Succs is avoided in pts who have been bedridden or pts with a high serum K. Due to the mechanism of action of the drug, it causes K to be released from the motor end plate. Therefore it is avoided...

  11. Succ vs Etomidate

    CRNA1982 replied to maloneys's topic in MICU, SICU

    "Succs" or Succinylcholine is a muscle relaxant. Etomidate is an anesthesia induction drug causing hypnosis. You never give Succs alone without Etomidate or some other drug for induction of...

  12. low pressure alarm if trach comes out?

    CRNA1982 replied to nursedelia's topic in General Nursing

    What mode of ventilation were you using? Who is responsible for managing the ventilator? I'm assuming that you are not. Talk to the person who is responsible for ventilator management in your unit;...

  13. One carpal spasm question-please guess

    CRNA1982 replied to Blackcat99's topic in General Nursing

    I can't say I have ever seen a pt. with a carpal spasm secondary to C-spine nerve impingement. Usually they present with paresthesias (numbness/tingling in upper

  14. One carpal spasm question-please guess

    CRNA1982 replied to Blackcat99's topic in General Nursing

    Not sure I understand? Can you

  15. One carpal spasm question-please guess

    CRNA1982 replied to Blackcat99's topic in General Nursing

    The answer is

  16. medication error

    CRNA1982 replied to py2010's topic in Patient Safety Issues

    I am unfamiliar with dialysis line dosing and Heparin BUT 85,000 Units seems off. Are you sure it isn't 5,000 per mL? 85,000 Units of Heparin is more than you would give before you place a pt. on...

  17. removal from life support question

    CRNA1982 replied to Erika LPN's topic in General Nursing

    Really? Please provide some evidence based rationale for your response. Maybe you should "keep educating yourself" regarding seizures and brain

  18. What Heart Lung Machines are currently being used in the OR?

    CRNA1982 replied to Jacqui_IPI's topic in Operating Room

    Stockert and Terumo are

  19. low pressure alarm if trach comes out?

    CRNA1982 replied to nursedelia's topic in General Nursing

    All mechanical ventilation utilizes positive pressure to deliver a respiration. In contrast, a spontaneous breathing patient respires using negative pressure. If the ventilator is set to deliver...

  20. non-rebreather vs oxymask

    CRNA1982 replied to thelema13's topic in Emergency

    Theoretically, it delivers 100% FiO2 but due to lack of airtight fit of NRB mask on face; 80-85% is an accurate statement. The only way to deliver 100% FiO2 accurately is via airtight ventilation via...

  21. non-rebreather vs oxymask

    CRNA1982 replied to thelema13's topic in Emergency

    NRB mask is designed to delivers 100% FiO2 whereas a SM delivers 60%

  22. The Things I've Seen Today...

    CRNA1982 replied to INparrothead's topic in General Nursing

    No problem at

  23. The Things I've Seen Today...

    CRNA1982 replied to INparrothead's topic in General Nursing

    Dude....you have made it more than clear that you deal with idiot co-workers and how you are more superior than the other nurses around you. All I am saying is that talking smack about your fellow...

  24. The Things I've Seen Today...

    CRNA1982 replied to INparrothead's topic in General Nursing

    Rhody34 diva rn is just telling you how it is bro! Sorry if the truth hurts. P.S. You aren't even a nurse yet, you shouldn't be listening to other nurses complaining about their jobs all day long....

  25. The Things I've Seen Today...

    CRNA1982 replied to INparrothead's topic in General Nursing

    Thank you diva