Mully

Just give it. Problem solved lol.

All ways round, though, that baby needs a central line!

I see what you're saying, kind of. The physics thing I believe you're referring to is Poiseuille's law, which says (among other things) that flow is directly related to the radius of a cylinder raised to the 4th power. So although I agree which the g...

Why would the baby get less than what you infuse? Can you explain the mechanism behind what you mean? I'm not saying you're wrong, but I've never heard this.

If you can't explain something well, then you don't understand it well. Too complicated to explain = to complicated to comprehend... by anyone lol. I agree with the previous posters here. If the patient was septic, then early, aggressive fluid resusc...

In my experience, that's not really how it works. Mostly nursing schools are all going to cover all the same topics relatively evenly. If a particular school does clinicals at a place that you're very interested in working at, then you could focus on...

When you're removing a line which is placed above the level of the heart, especially a large gauge line, you want to lower the patient's head to at least the level of the heart. This would be either supine, or preferably trendelenburg. This is to avo...

Resistance = Change in pressure/Flow Or in cardiac terms: SVR = MAP-CVP/CO. This is because MAP is basically your starting average pressure at your aorta, and CVP is your ending pressure at the R atrium. Therefore your entire periphery is contained i...

Excactly. If you did have a good waveform, dicrotic notch, and were able to draw blood and flush appropriately, it is likely that the art line is more accurate than the cuff. A better method that will keep you out of trouble than just "not worrying a...

I may not be the best one to answer that as I am only in semester 2 of anesthesia school, but so far it hasn't come into play much. It's definitely important for people who create the drugs (obviously). The only thing people have said to me is that y...

I'll take a stab at it. Others can correct me if I'm wrong... Ok, in the sense of the question you posed, you could technically figure out at which pH the drug would be more ionized vs. unionized. The problem comes in when you want to know exactly ho...

I did the same thing you are. It was a very smooth transition for me and I think you're doing all the right things. Good luck and have fun! ICU nursing is my favorite type of nursing.

Regardless of the flowrate, the patient will get the same Fi02 with a non-rebreather. The flowrate just works to provide the 02 to the bag which the patient then breathes from. Non-rebreather valves open during exhalation, and 02 from the bag supplie...

Did you see my last post...

Throwing someone on a non-rebreather is generally going to make their pO2 levels tolerable for a while. It's more about the trending. My best guess (correct me if you think I'm wrong): Pt with CHF is hypoxic and starts hyperventilating subtly, right?...

Right so respiratory acidosis would be caused by sleep apnea when the patient is asleep. But that's self limiting. When the patient awakes, they breath fine right? So ignore that that's what the MD said, it's likely they said that for medicare billin...

I like this discussion. Okay so you have a CHF pt that's likely been getting worse over the past few days. RNexplorer: What could explain a ABG of respiratory alkalosis in this patient? Or, if you can't figure it out, what are some causes of respirat...

An important clarification is how quickly after the roc did you give the Etomidate? As many people have pointed out, the onset of rocuronium is slower than the onset of etomidate, so it makes sense to push the roc first. Because of this, I wouldn't b...

We always had an intermediate box "withdraws to pain". "Arousable" alludes more to waking up, as in consciously. It can definitely be taken either way (depending on the attorney ) and would best be followed up with a supervisor or someone other than ...

She taught at the school I graduated from! Although she was retired when I went through there, everyone had nothing but great things to say about her. Thanks for posting this.

I PM'd ya

It's important to note the political climate of anesthesia in America for a thorough answer to your questions, which is an entire bag of worms that goes beyond the scope of this thread. Suffice it to say that more important than how much science a pr...

I disagree with Just an Illusion, although I may not be the best to say so because I never actually got my CCRN. However, I did study for it. The CCRN makes you a more knowledgeable ICU nurse, and that's the foundation of a CRNA. The more you know in...

Some thoughts from an SRNA... Well there are some valid points. Take the education of a physician for instance. They go through an amazing amount of education, not only regarding anesthesia, but across many disciplines and practices. This shouldn't b...

Very impressive and objective write-up, Ether511. Opinions aside, you make many valid points.