offlabel

offlabel

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All Content by offlabel

  1. Allergy to PCN is the most bogus element of any medical history...the 10% cross sensitivity to 3rd gen cephalosporins is as credible as big foot sightings during elk season....what you are describing...
  2. New grad RN, absolutely hate nursing

    Device sales rep...anything
  3. This ^^^ is why you will be entering a mine field if you choose anesthesia. Been doing this for 25 years in every practice setting that exists. What the naive individuals that think this way don't...
  4. Does anyone here actually like nursing?

    If people come here to kvetch and belly ache, more power to 'em. Better here than at
  5. Safety of heparin IV vs SQ

    In the context the OP is asking, no it couldn't. Not even close. 40,000 units of heparin bolused as fast as you can push it is not at all unusual in cardiac
  6. Trans Patient

    Best of all
  7. Trans Patient

    No you don't, but that is a false comparison anyway. The "accomodation" is simply superimposed on the psychiatric situation at hand. There is the reason the transwoman is there and then there is the...
  8. I do wish CRNA's were as interested in talking about the technical/theoretic aspects of the job as much as the political aspect. Remember NA.org? That place tanked. Not much on this site either. It'd...
  9. New grad on cardiac floor just cannot relax after today

    Being unaware of circumstances or not knowing something is not an indicator that something is
  10. What would you expect an anesthesiologist to say? This is neither new nor unique. Aside from trolling controversial exchanges, the point here is
  11. Seriously doubt this will be endorsed by the AANA, but...thoughts? The Nurse Anesthesiologist Movement is officially underway! Help support the movement as we take the next steps to ensuring it comes...
  12. How would Medicare for all affect nursing?

    Fair has nothing at all to do with it. It is a single payer, national health care
  13. How would Medicare for all affect nursing?

    Just look at the
  14. Hydralazine question

    With that ejection fraction, end organ perfusion will fall if the systolic pressure rises too much. A systolic of 160 doesn't sound awful, but with an impaired left ventricle like that, it could...
  15. Is a pension really worth it?

    If you are a 20 something RN and don't contribute your maximum amount to at least a traditional if not a Roth IRA yearly (about $6000) you are out of your mind. It's easy, you hardly feel it and...
  16. I accidently took home a zofran in my pocket.

    Yeah...don't take meds home in your pocket. I usually just use my back
  17. Is getting your DNP worth it?

    Historically, for dentists and podiatrists, the entry level degree is a doctorate in a very specific field. That field of study is characterized by international homogeneity. This can't be said of...
  18. Frustrations with the dreaded OSH

    Really? There are no nicotinic receptors in smooth muscle. Vecuronium is known to precipitate a muscarinic block? A block?When? How often? At what dose? As evidenced by what? A dog
  19. Frustrations with the dreaded OSH

    An off label use of sildenafil for it's effect on PVR is hardly the equivalent of using a muscle relaxant to facilitate mechanical ventilation and then calling it therapeutic for PHTN. If PHTN is the...
  20. Frustrations with the dreaded OSH

    To the extent that it facilitates mechanical ventilation and doesn't make PH worse, but the suggestion that it in itself is meaningfully therapeutic is ludicrous. As far as rocuronium goes, from the...
  21. I have made a complaint against an NP

    I bet
  22. Add Veterinary services to my credentials

    If that's so, seems Charlie might be impersonating a service dog...just 'cause a guy is wearing a
  23. Not yet. It's only a matter of time. Once allowable objections to participation in termination of pregnancies are now considered invalid in many western countries and even residency programs in the...
  24. Allowable for all terminally ill and vegetative (decision can be made by family or patient if the patient is competent). This is the reason why institutionalized suicide is a horrible idea, because...
  25. I have made a complaint against an NP

    Absolutely...why is it anyone's else's business if someone chooses to represent a professional group charged with the well being of brittle psychiatric patients dressed like she's meeting the fleet at...