murseman24 MSN, CRNA

anesthesiology

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All Content by murseman24

  1. murseman24

    No Narcs?

    murseman24 replied to MTRNlove's topic in General Specialties

    Why?
  2. murseman24

    Took Ibuprofen for 2nd Vaccine

    murseman24 replied to jlv613's topic in Disaster Preparation

    I think the general recommendation is to take tylenol over ibuprofen as ibuprofen has been shown to reduce the immune response somehow. This is probably more of an issue with older patients who...
  3. murseman24

    Intubation Should Be A Nursing Skill, Especially Now

    murseman24 replied to ErikWeeWoo's topic in Disaster Preparation

    agreed. If already coding RT can intubate, as they don't need meds at that point and all you need is the physical act of intubating. Someone circling the drain requires much more consideration with...
  4. murseman24

    Intubation Should Be A Nursing Skill, Especially Now

    murseman24 replied to ErikWeeWoo's topic in Disaster Preparation

    I performed over 500 intubations before graduating CRNA school, and after that there were still plenty of airways that would give me pause or require extra help and consideration. Special situations...
  5. murseman24

    JUST finished school

    murseman24 replied to Guest 1064378's topic in General Nursing

    Why wait so long to take your boards? Didn't you just spend the last 4 years learning what you need to take them? I think it better to cram really hard over a two week period if you're worried about...
  6. murseman24

    New grad from online RN program with ZERO CLINICAL EXPERIENCE

    murseman24 replied to angel1312's topic in General Nursing

    How can one have the capacity for this when they are focused on how to prime the IV tubing they never got to touch in school? No, you have to be able to go through the basic motions before you...
  7. murseman24

    New grad from online RN program with ZERO CLINICAL EXPERIENCE

    murseman24 replied to angel1312's topic in General Nursing

    This is ridiculous and SHOULD NOT BE A THING. You should not be able to graduate without a minimum of clinical hours. When I graduated I worked as a CNA in the ICU full time during the nights while...
  8. murseman24

    New grad from online RN program with ZERO CLINICAL EXPERIENCE

    murseman24 replied to angel1312's topic in General Nursing

    yes
  9. murseman24

    IV Vitamin Infusion therapy, what you don't know can hurt you

    murseman24 replied to nlkimmel's topic in General Nursing

    Noice! *tips hat in your
  10. murseman24

    opioids

    murseman24 replied to suturethis's topic in Patient Safety Issues

    Toradol is supposed to have the same strength as 10mg of morphine. There is good evidence for magnesium. Tylenol and ibuprofen work best when given together.
  11. murseman24

    IV Vitamin Infusion therapy, what you don't know can hurt you

    murseman24 replied to nlkimmel's topic in General Nursing

    "When medication such as a vitamin is administered via intravenous infusion the vitamin bypasses the liver; this is known as the first-pass effect." That's not really how that works... Why...
  12. murseman24

    Bagging ETT

    murseman24 replied to stacylethani's topic in Critical Care

    Looks like ya'll pretty much got the physiology covered, quality post guys! Only thing I can add towards bagging "technique" is when squeezing hold the bag for a quick half second at end inspiration...
  13. murseman24

    Very Confused About Flushing IV Lines And Bolus Administration

    murseman24 replied to Demareseitipota's topic in General Students

    I just want to say I think it's great that you're critically thinking and questioning these
  14. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    the IBR schedule is 20 years, not 10, that is PSLF. Mathematically you just pay less this way, plain and
  15. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    This statement was made in response to a comment on the general utility of Dave Ramsey's advice from someone other than the OP. My advice as previously mentioned to the OP is to get on an...
  16. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    CONGRATS. His teaching is more along the lines of how to be responsible with your money, not how to invest and make the best use of
  17. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    exactly why an income-based repayment plan going for loan forgiveness after 20 years is the way to
  18. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    Congratulations, that's a big deal. If everyone followed his principles there would be much less financial hardship for sure. It's a great base to get yourself out of the hole and back in the...
  19. murseman24

    A fib RVR vs SVT

    murseman24 replied to NurseKnope's topic in CCU, Coronary, Cardiac

    If you're looking for a very easy to read first ekg book, Dubin's "Rapid Interpretaion of EKG's" will get you started. It's a very easy read with pictures on each page and usually less than a...
  20. murseman24

    A fib RVR vs SVT

    murseman24 replied to NurseKnope's topic in CCU, Coronary, Cardiac

    Main thing is don't give adenosine to anyone in a-fib, if there is an accessory pathway their ventricular rate may INCREASE and convert to v-fib. a-fib RVR can be treated with calcium channel...
  21. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    Some of his advice is just plain wrong. He advises foregoing contributing to your 401k until all of your debt is paid off and not carrying a credit card. He has an axe to grind and has made his...
  22. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    as a general rule once your debt:income ratio is over 2 (You owe twice as much on your student loans than what you make per year), you end up paying less money in the end by stretching out your...
  23. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    none of this addresses the question nor is it anything that's not obvious to someone who is old enough to hold an actual job, whether or not they put it into practice is
  24. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    good expert advice isn't and should not be free, that' s how you know you're not being sold up the river. Any financial advice should be fee for service not commission based to avoid conflicts of...
  25. murseman24

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    If you're looking for a resource you may want to check out the pdf book I posted previously. He is a widely cited expert on student loans and has been featured on whitecoatinvestor and financial...