hawksit

Etoh works on GABA. Ativan, versed, propofol, valium work on GABA. Precedex works on Alpha 2 (clonadines big brother). All are acceptable for withdrawl. Fentanyl may help relax the person too, but it is not for the withdrawl and may contract the spincter of oddi (pancreatitis problem, but not at the same degree as morphine). Pancreatitis is severly painful, perhaps this person was having some withdrawl and a lot of pain. Hydromorphone (dilaudid) may have helped this person. I don't know why the nurse you were with was upset with the versed. It does cost more, also does have a shorter duration of action (eliminated quicker).

Ativan doesn't really affect breathing too greatly...other than it might slow it down if the patient is hyperventilating d/t anxiety or withdrawl. 7mg is really not that much. I have seen patients on 50-60mg per hour on a drip and not intubated. It is basicallly used to prevent seizures and control the withdrawl from alcohol/other substances.

Thanks, I think that I will try to take a couple of science courses throughout the next year or so. Was thinking along the lines of.... Inorganic chemistry Biology II and/or Biology III Genetics College Chemistry Physics Those sound about right? I have taken Biology, Microbiology, Pathophysiology, Organic Chemistry, Human Anatomy and Phys I and II

When I show up at rapid responses on med-surg floors I am always amazed that they seem to do so little. The absolute first thing you need to do is A-B-C's. People who aren't around that situation often seem to freeze and forget their basic training sometimes. Get some vitals, hook them up to a monitor, give them some oxygen. It doesn't matter what kind of rapid response you go to you need these things on a patient. I went to a rapid response the other day and the lady was complaining of severe back pain...upon entering the floor no one had take vitals or done basically anything for her except given more pain meds. After looking at her 50/30 BP is was pretty quickly decided that some serious action needed to be taken.

I was wondering what my chances are to get into a CRNA program. I didn't do the best in undergrad, getting around 2.5...mostly due to not caring. I got straight B's in nursing school and straight A's in BSN school. I have over 2 years of critical care experience (CCU) and have my CCRN. Have lots of experience with every critical care aspect except ventriculostomys, CRRT, LVADS, and ecmo. I have been to over 50 codes and helped in each of them. Do I need a different work experience? Should I retake some of those classes that I took about 10 years ago to better my GPA? What other things could I do in order to improve my chances? Paramedic degree, CMC or CSC certifications, etc...