Richard_Head

Richard_Head

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All Content by Richard_Head

  1. NA's, Please tell me this isn't common practice!

    Richard_Head replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    Just finished browsing through this thread and my 2 cents: When an anesthesia resident is in the process of intubating a patient, who is legally responsible for the outcome of that process? The...

  2. Lasix and CRF

    Richard_Head replied to WonderRN's topic in Emergency

    Lasix is not particularly helpful in this situation. Yeas lasix works in the Loop, if I recall it acts at the Na-K-2Cl cotransporter. It will not trick dead glomeruli into working. It is also probably...

  3. Paradoxical Respirations in SCI?

    Richard_Head replied to jelly221,RN's topic in Nursing Student Assistance

    This is a good question. I am not certain but I think a non-obese patient with a T1 lesion in the supine position will have difficulty generating a diaphragmatic excursion (thus creating a tidal...

  4. Edema question???????

    Richard_Head replied to kalhonaaho's topic in Nursing Student Assistance

    Hypervolemia does not cause edema. A change in the balance of net pressures between the tissue and the vascular system causes edema. Hypervolemia can contribute by increasing intravascular hydrostatic...

  5. Autonomic drug help

    Richard_Head replied to cmonkey's topic in Nursing Student Assistance

    You are on the right track to a BASIC understanding of the ANS. It's easiest to think in terms of receptor and effect (affinity). Endogenous catecholamines often act different than exogenous ones...

  6. lawsuit

    Richard_Head replied to Ms.RN's topic in General Nursing

    Lawyers add everyone they can get away with to the suit, that allows them the most

  7. Toprol and MI?

    Richard_Head replied to fabi_guerra22's topic in General Students

    Toprol is not always indicated post-MI. It is useful in reducing cardiac O2 demand. If the ischemia/infarct is demand (tachycardia) related metop can be useful. The heart is unique in that it's tissue...

  8. Is there an easy way remembering cardiac medications?

    Richard_Head replied to rn2bn07's topic in Nursing Student Assistance

    The simplest way to approach this is to re-read the autonomic nervous system chapter in your A&P book, if you don't have a good recall of the underlying systems it's not very effective to try and...

  9. What got you into school?

    Richard_Head replied to RNextraordinare's topic in Student Registered Nurse Anesthetist

    3 Previous degrees adult and pediatric CCRN GPA 3.8 GRE 1390 3 years RN experience: Flight Nurse, STICU at level trauma center, PICU/peds TCV accepted on the spot at first

  10. Question regarding drug administration to an infant

    Richard_Head replied to pinkfluffybunny's topic in General Nursing

    Be aware that if it a medicatio ordered as part of their hospital stay you will be the legally responsible party for any irregularities related to the administration of the

  11. Anyone know what happened to the CNL?

    Richard_Head replied to Joe NightingMale's topic in Post Graduate Students

    It's always good to get additional education...but....degrees like MSN/CNL that don't specifically translate to revenue generation for a hospital are somewhat risky. I have worked at a place that went...

  12. Should I be concerned/

    Richard_Head replied to milksteak's topic in General Students

    Your school may have accreditation problems with a pass rate that

  13. First yr nursing student needing help with drug opposites!

    Richard_Head replied to lillian2010's topic in Nursing Student Assistance

    Imitrex is not a good choice for this assignment. Go easy on yourself and do a alpha agonist (phenylephrine) vs alpha antagonist (hydralazine) or beta agonist vs antagonist

  14. Postpartum care plan - r/f imbalanced fluid volume?

    Richard_Head replied to linnaete's topic in Nursing Student Assistance

    A more exact measure would be to analyze fluid loss during delivery vs fluid replacement and ongoing urine output. Average EBL for lady partsl delivery is 500-800ml and for a ceasarean section is...

  15. Nursing care plan- risk for fluid volume deficit

    Richard_Head replied to babycookie's topic in Nursing Student Assistance

    What were the pre-op vital signs vs post op vital signs? What was the pre-op HGB/HCT, intraop EBL, and intra-op fluid admin totals? As a rule of thumb blood loss should be treated with 3ml of...

  16. Colloid osmotic pressure -vs- hydrostatic pressure

    Richard_Head replied to occc2010rn's topic in Nursing Student Assistance

    Hydrostatic and oncotic pressure work in opposition of each other but all tissue compartments have both...what counts is the DIFFERENCE between the two, this difference is what determines which way...

  17. Bully nurse question

    Richard_Head replied to obfuscate's topic in General Nursing

    If you are a new nurse and you confont a bully (*******) nurse about their behaviour, they will talk about you behind your back to everyone...but this will probably happen anyways. Your best defense...

  18. Need help with this vague patient safety question.

    Richard_Head replied to obfuscate's topic in Patient Safety Issues

    This is a ridiculous question. Your nursing instructor is wasting your time by making you answer

  19. hemodynamics help please

    Richard_Head replied to ajmoore1325's topic in General Nursing

    You should always put a CVP measurement in the context of a trend, it is a much more meaningful measure that way. If you have a pt with a CVP of 2 and you give them a liter and the CVP remains 2, they...

  20. Which BP meds do not affect heart rate?

    Richard_Head replied to Zippy Head's topic in General Nursing

    read the data on it: known side effect is reflex tachycardia from a baroreceptor mediated response. from the not so scholarly wikipedia: clinical use hydralazine is not used as a primary drug for...

  21. A legality question about pay

    Richard_Head replied to Amberjade's topic in General Nursing

    Anonymous complaint to the state attorney general. If they know who complained they will fire that person for

  22. Which BP meds do not affect heart rate?

    Richard_Head replied to Zippy Head's topic in General Nursing

    I think a better way to phrase the question would be "what BP meds have a direct effect on heart rate?" Beta blockers that have a greater % of beta 1 affinity, non-dihydropiridine calcium channel...