PaSSiNGaS

PaSSiNGaS MSN

Nurse Anesthesiology

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All Content by PaSSiNGaS

  1. Incompatible drips

    PaSSiNGaS replied to cablefree's topic in MICU, SICU

    I have been combining vasoactive drugs for years and have not had a single issue or had any precipitate in my lines. Same thing I find funny when I hear a nurse say they can't give said vasoactive...

  2. Incompatible drips

    PaSSiNGaS replied to cablefree's topic in MICU, SICU

    Enjoy being that nurse who just does what they are told and not think on their own. Many nurses are just like this so its

  3. Incompatible drips

    PaSSiNGaS replied to cablefree's topic in MICU, SICU

    Just because someone from pharmacy or your unit says something doesn't mean it's correct. I simply asked you to prove me wrong with actual evidence which you haven't provided me. Everything in my...

  4. Incompatible drips

    PaSSiNGaS replied to cablefree's topic in MICU, SICU

    Prove me wrong that these drugs are NOT compatible and don't just tell me it's because pharmacy tells you so. Show me actual evidence that they will precipitate or cause a reaction because I use them...

  5. Incompatible drips

    PaSSiNGaS replied to cablefree's topic in MICU, SICU

    Just about everything is compatible. Don't listen to pharmacy and all the people in your unit. I've ran every drip together with each other with no precipitate except for things like lasix,...

  6. Your PROPOFOL stories wanted

    PaSSiNGaS replied to RNNCcicu98's topic in CCU, Coronary, Cardiac

    Your intensivist has his facts slightly confused. While Propofol does have a very large volume of distribution it does not continue to work for a week once turned off. It is very protein bound...

  7. Have you ever infused phenylephrine peripherally?

    PaSSiNGaS replied to nurse678's topic in MICU, SICU

    I know norepi and phenylephrine are two different drugs. One thing though, phenylephrine is not anything like epi other than alpha 1 properties, that's it. I am basically saying phenylephrine...

  8. Have you ever infused phenylephrine peripherally?

    PaSSiNGaS replied to nurse678's topic in MICU, SICU

    This is a very idiotic statement considering I am in anesthesia and use phenylephrine through a peripheral IV every day lol. Think about it. That's like saying the norepinephrine your body produces...

  9. Heavily dependent on the Chem's

    PaSSiNGaS replied to 13905 BSN's topic in Certified Registered Nurse Anesthetist, CRNA

    Sorry but you don't need a "very good" understanding of those topics. While it will help it is not necessary to know the 50 million pathways in biochem. Yes some Ochem is helpful you do not need to...

  10. Blood pressure drop while giving albumin bolus

    PaSSiNGaS replied to luckyou's topic in CCU, Coronary, Cardiac

    Could have been because the albumin was going through the same catheter and just causing backflow into the lumen where all your gtts were and not letting them

  11. Any info at all on bkat 8 pleeeaassse

    PaSSiNGaS replied to ICURN7's topic in MICU, SICU

    If you have experience and do poorly on the test I'd be worried about your actual ability to care for sick patients. It's a very simple broad test of hemodynamics for the most

  12. Does this follow ACLS guidelines?

    PaSSiNGaS replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    ACLS - Epi first, but that hypothetical just sounds like the person vasovagaled and the antimuscarinic effect stopped the vagal

  13. Starting another program, kids or school,help?

    PaSSiNGaS replied to Spode's topic in Certified Registered Nurse Anesthetist, CRNA

    Honestly you've tried twice now and didn't go through with it. If I were deciding who was accepted I wouldn't give you another chance. Who's to say something else won't pop up again. No offense,...

  14. Facilitating intubations

    PaSSiNGaS replied to poppy07's topic in MICU, SICU

    Another important thing especially when we show up to intubate the patient know your patient's history. It never looks good when I ask someone a question about the patient and they have no idea what...

  15. Hyperdynamic circulation

    PaSSiNGaS replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    Short answer, NO. The only way I would be worried about it would be if I thought the patient was developing sepsis. But the patient you are mentioning only has that great CO because his SVR is so...

  16. Working full time as a CRNA student

    PaSSiNGaS replied to dmtaylor3's topic in Certified Registered Nurse Anesthetist, CRNA

    I'd love to know how you could work full time as a RN and still do the required amount of clinical time each week. I know myself we are doing 50-70 hours each week in rotations and that's not...

  17. What is a good sedative for a hypotensive patient?

    PaSSiNGaS replied to nursingdude78's topic in CCU, Coronary, Cardiac

    I understand how dex works. That's why I said it's an alpha2 agonist. Initially when you give dex it will work peripherally and can cause an increase in BP because of the alpha1 effects it causes on...

  18. What is a good sedative for a hypotensive patient?

    PaSSiNGaS replied to nursingdude78's topic in CCU, Coronary, Cardiac

    Sorry to tell you, but dexmedetomidine does not drop BP nearly like propofol or ativan. Dex is an alpha 2 agonist. Propofol works on GABA receptors and is totally different than dex. Ativan is a...

  19. How to get recommendations letters?

    PaSSiNGaS replied to AllAngelsRN's topic in Student Registered Nurse Anesthetist

    I would shadow a CRNA a bunch of times and get them to write one for you. Also ask another RN with a MSN of some type and a MD you work with that knows your capabilities with acute patients. Most...

  20. GPA Question

    PaSSiNGaS replied to Fashionista1218's topic in Student Registered Nurse Anesthetist

    Try and get the best GPA you can but don't sweat it if it isn't a 4.0. I got in with a 3.1 GPA, 960 GRE, and about 4 years experience in ICU. So yes it is possible to get into CRNA