CRNA1982 replied to classicaldreams's topic in Neuro
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 be administered to provide for a "slack brain"
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 2011. I ASSUMED that she was not the one responsib...
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 alarms; and they work very well. If I ever have a d...
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 familiar with the vent that you are using and it is not...
CRNA1982 replied to IheartICUnursing's topic in MICU
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). As far as Lido, I always give 100 mg to any pt. ...
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" among anesthesia providers. The purpose of these pr...
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 dispenses this to pts. on a unit. Atracurium cau...
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 completely depress respirations. Obviously, when intubatin...
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 in bedridden pts and ones with high K, because it c...
"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 anesthesia. Otherwise, you have a paralyzed patient with ...
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; I'm sure they could educate you.
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 extremities)
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 cardiopulmonary bypass!
Really? Please provide some evidence based rationale for your response. Maybe you should "keep educating yourself" regarding seizures and brain death.....
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 positive pressure ventilations and whatever is connec...
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 Ambu or anesthesia mask and circuit.
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 nurse co-workers is stupid. If you have a problem w...
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. This stuff is still supposed to be interesting r...