PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
These types of questions are answered at least 100 different times in the CRNA forum but I will try to answer it a little. The ideal candidate if I was on an admissions board would be someone with 2+...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
During school you will be very busy. It will only be 3 years of your life then you will be much better off. It is tough when you have kids because you will be away from them for long hours during...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
I would say yes I love my job and feel excited I get to do what I do, but if I won the lottery and had 100 million bucks you bet I'd quit in a heart beat haha. I too loved the exciting really sick...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
Yea not all ACT models are the same. Some are very restrictive and some much less. Mine is an ACT and I did get lucky for the most part with the amount of autonomy I have because it could have been...
You can test TOF on the hand or on the obicularis oculi muscle around the eye from stimulation of the facial nerve. The reason you should use the ulnar nerve to check TOF is because twitches come...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
You're right. I guess because I didn't answer your question on a forum I must be incompetent. You're not even in nursing school and first thing you ask me is about salary and the lifestyle. Don't go...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
And that's the problem with the CRNA profession. We are or at least should be trained to act as an independent practitioner, but then you get these stool monkeys that are totally fine just doing...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
Not sure how to even answer your question because it seems like you really have no idea what to do considering CRNA and optometrist are two very different things. I suggest getting through your ADN...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
Nothing! Try to save money, spend time with your family, and relax. If you feel like you must read something then I recommend a good physiology book like Constanzo
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
Not sure the reason in regards to NPs, but the job market is definitely getting tighter each year with CRNAs because of how many grads come out of school everywhere. You still will have no problem...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
Spinals just come with practice. Never heard of practicing with a watermelon and a dummy is pointless too. I did central lines with U/S and without. In my practice currently I do not use U/S unless...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
I went into nursing to become a CRNA, only reason I did it. In my BSN I made mostly As with a few Bs here and there. I did not find nursing school difficult and felt a lot of the stuff useless IMO....
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
Other than the rest of the CRNAs in the group the only time I actually see any NPs are when they are first assistants in the OR helping the surgeon. All they do are close the incision at the skin and...
PaSSiNGaS replied to WIBound's topic in Critical Care
This post is just idiotic. What does medsurg experience give you? Oh yea, you can manage your time acting like a waitress delivering meds and bedpans, and wiping butt in a timely manner. I'm not...
PaSSiNGaS replied to PaSSiNGaS's topic in Critical Care
School is definitely time consuming. My program didn't have us in the OR the first semester so I could have technically had time to work but didn't. It is very different from RN school and does...
The reason you see vasopressin used more with cardiac surgery is due to the bypass pump. Having the blood come into contact causes a large vasoplegic response and usually can be unresponsive to other...
PaSSiNGaS replied to nurs1ng's topic in MICU, SICU
There are a lot of different studies showing better mortality rates when vasopressin is used in conjunction with levophed than if it was just Levo. Some show better urine output and renal perfusion...
PaSSiNGaS replied to Jlucasrn92's topic in Critical Care
If giving large amounts of fluid as a bolus NS is definitely a bad choice and will lead to hyperchloremic metabolic acidosis. That is why surgeons and us in anesthesia prefer LR or something like...
PaSSiNGaS replied to Jlucasrn92's topic in Critical Care
Fluids have much different osmolalities and if you bolused someone with a hypotonic solution you wouldn't be doing anything to help keep fluid in the intravascular space. That is why the MD asked to...
PaSSiNGaS replied to nurs1ng's topic in MICU, SICU
First question would be why only use venous blood for an i-stat abg? If you are using it for the Hgb then ok, but not sure why else you would run an abg from venous blood. But if you measure sO2 on...
PaSSiNGaS replied to nurs1ng's topic in MICU, SICU
Without getting into a ton of physiology and pharmacology of these drugs you do need to look into their actions at the cellular level. Levophed works on beta and alpha where Vasopressin works on V1...
PaSSiNGaS replied to nurs1ng's topic in MICU, SICU
Rule of thumb is 20-22cm at the lip for women and 22-24cm at the lip for men. If the tube was pulled out to 18-19 on either I would definitely worry it could be sitting right at the glottic opening....
PaSSiNGaS replied to cablefree's topic in MICU, SICU
Ok haha well this has been an amusing thread and proves that too many rns are just stool monkeys obeying others every command and not possessing the skills to critical think on their own. I will be...