Mully

Mully

SICU
Member Member Nurse
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Mully specializes in SICU.

Just a friendly guy making a name for himself.

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  1. NYC CRNA Program Clinical Sites

    Anyone on here in one of NYC's CRNA programs? I would be extremely appreciative if you would give me the Christmas gift of answering a few questions I have. Thanks ya'll
  2. Starting neuromuscular blockers

    Interestingly enough, the BIS was never actually tested on patients who were paralyzed when it originally came out. So a few crazy anesthetists in Australia did a study where they paralyzed each other, placed a tourniquet on an arm so they could stil...
  3. ICP and D5NS

    Main thing is you don't want anything hypotonic. Isotonic or a little hypertonic (Like D5NS) is okay. Hypotonic fluid like D5W (It actually starts isotonic, but as the dextrose gets metabolized it becomes hypotonic) will cause fluid to move into cell...
  4. so cold in OR!

    I usually just splice into my patient's bair hugger. Y it into my pants, puff up like the Michelin man. Warm my hands on the Des vaporizer. What happens behind the drape stays behind the drape.
  5. I&O Goal Clarification & Nipride vs Nitroglycerin

    This. Nitro is purely venodilation, with a small amount of arterial dilation at really high doses. Nipride is a mixed dilator, meaning it dilates both venous and arterial sides.
  6. Fentanyl Drip

    I don't believe it was either of the drips. These explanations for the bradycardia are essentially zebras when there was much more likely a horse which caused it. Fentanyl does not cause a vasovagal response. The only time you'll see a change in hemo...
  7. Anticoagulant Preventing CVC Insert?

    Where have you gotten this information about small IV sizes being better for pressor administration? Do you have any research or manufacturer's guidelines? You seem pretty adamant.
  8. Anticoagulant Preventing CVC Insert?

    Subcutaneous heparin is low-dose heparin (5000 U subq). This usually doesn't even alter the INR at all. Patients get these shots right before surgery to prevent DVT post-operatively. You know... surgery. Where we cut people open and whatnot. We also ...
  9. new job/letter of rec

    She gave me a good rec. A couple reasons I attribute to it. 1. It was a large teaching hospital and they were always giving out LORs. 2. One of my preceptors had just gone to this manager and complimented me highly on how I was doing while on orienta...
  10. new job/letter of rec

    I had the same situation. I think I asked my supervisor for an LOR after 4 months of being there! Hahaha, it sucked I didn't want to do it but I had to. I'd probably stay where you are just to avoid that. Or ask for an LOR from your current supervis...
  11. How long did it take you to become a CRNA

    By the time I'm done next year it will have been 8 years. That includes a semester doing a CNA course and a little over 2 years as a nurse. Basically all of my young adult life lol. I'll be 28 when I graduate. Phew!
  12. Failed CCRN - Need Encouragement

    I never got my CCRN and I'm a year out from being a CRNA. That should be encouragement enough lol One quick rec for retaking it though. How you study is a big deal. Clearly what you did before didn't work. You need to change something this time. Figu...
  13. Code blue in OR

    Anesthesia. The surgeons rarely have any clue what the patient's vital signs are unless we tell them (not talking down, simply because they're performing surgery). Certainly it's a team effort, but who decides what drugs to give, when, and how? Anest...
  14. extra P wave?

    A couple things... It could in fact be a PAC, termed a "non-conducted PAC". This is when there is a P wave which occurs earlier than its expected time (hence premature), not followed by a QRS (hence non-conducted). These are relatively common and rel...