Mully

Hey everyone, I'm a new graduate nearing the end of my orientation at my first job on a busy Stepdown unit at my local hospital. Although we don't deal with vents, we do most every common gtt (cardizem, dopamine, insulin, nitro etc...) and I'd say we...

I was thinking about this really awkward situation that happened to me a couple years ago and I thought it'd be funny if you all shared your most awkward moments in your nursing career. Without a doubt, here's mine: I'm a male CNA at a long term car...

If you give a patient a cookie, they'll want a glass of milk. If you give them a glass of milk, they'll probably need to go to the bathroom. They'll be too weak to get out of bed so you'll have them use the bedpan, but they won't be able to go in tha...

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

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...

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...

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.

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...

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.

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 ...

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...

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...

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!

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...

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...

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...

I think I'd rather go through the labor than be the male nursing student on his OB rotation again... bahahaha Seriously tho. I'd rather hold my breath for 2 months than rotate through OB again. As a man, it's just something you get through to get to ...

Yes it is totally unnecessary. If you want to get into CRNA school, this is what you do: get into the ICU, work for 6 mo. to 1 year and start applying to schools. The end. If you have good grades, interview well, have good LORs etc. etc., with 3 year...

But are the people who comprehend them better nurses? Are the people who don't comprehend them worse? That's the assumption I challenge. I think NCLEX style questions are often times wholly unfair and poor predictors of successful nurses. I'm sure yo...

The irony of you responding to my multi-paragraph response about focussing on the point of a post rather than a small detail to correct with a spelling correction is sort of too good to make up.

Offended. Everyone on the ****** planet is endlessly and marvelously offended. I wish for once, just one mother freaking time, an article could be posted without 1/2 of the entire audience plucking ONE sentance out of it to indignantly and furiously...

GI symptoms and vomiting can be caused by a number of different mechanisms that can be quite complicated. I did a quick Google search to see if I could find an exact mechanism on this, and I found a whole lot of nothing. I will say this though, I've ...

Wait a second... he's a frail 80 something year old in LTACH?! Why are we treating him at all? I say give the man a sandwich and let him R.I.P.! bahahaha No for real though, a good motto someone taught me in anesthesia is thinking to yourself, "If I ...

The wedge wouldn't be accurate with mitral stenosis either, so yeah I don't know why she did that. In order for a wedge pressure to accurately be a measure of LVEDP, equal pressure across the system must be present. In other words, the pressure has t...