offlabel

offlabel

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All Content by offlabel

  1. Aspiring Christian & Nursing student

    offlabel replied to gopats1234's topic in Spirituality, Religion

    Be careful about the association a "connection" with God with an emotion or sentimental feeling. Warm fuzzies are not necessary at

  2. What to see in a SICU

    offlabel replied to tickledlemur's topic in Critical Care

    Observe the satisfaction level of the nurses, how they treat each other and you and get a feel for how long they've worked there and how intelligently they approach problem solving. If the acuity...

  3. Transvenous Pacing Wires

    offlabel replied to Defibn''s topic in Certified Registered Nurse Anesthetist, CRNA

    I've done it one time with the cardiologist right there before we left the OR for the cath lab for a permanent pacemaker. If you can put in an IJ sheath and float a PA catheter, you can float a...

  4. Medication error

    offlabel replied to red426's topic in General Nursing

    It is a sad commentary that in the rush to judgement, a rash grab at a red herring drug error leads to blaming the nurse for an arrest in a patient that is clearly peri-arrest with or without the...

  5. Medication error

    offlabel replied to red426's topic in General Nursing

    Yeah...missed that unstable part...Once that condition exists, especially outside of an ICU, rapid response request or, short that, call a code and synchronized

  6. Medication error

    offlabel replied to red426's topic in General Nursing

    Amount aside, the cardene didn't have time to do anything, let alone cause the patient to arrest if your timeline is accurate. As a Monday morning quarterback, the physician ought to have been...

  7. Atrial kick and A-flutter

    offlabel replied to usernamee's topic in CCU, Coronary, Cardiac

    Apologies....in the first sentence, "retention" should read "excretion". My bad...sorry for the

  8. Atrial kick and A-flutter

    offlabel replied to usernamee's topic in CCU, Coronary, Cardiac

    A fall in renal perfusion (fall in CO) causes a fall in sodium and water retention, right? That results in volume retention which acts to overcome the impediment to right heart return, or the right...

  9. Atrial kick and A-flutter

    offlabel replied to usernamee's topic in CCU, Coronary, Cardiac

    So what I was going for was that CO is maintained by fluid retention as a result of a fall in renal perfusion which increases atrial and ventricular filling and the secretion of BNP and ANP. The major...

  10. Forgery,

    offlabel replied to BettyGirard's topic in School

    "consent" forms can be chewed and spit by most any competent

  11. Atrial kick and A-flutter

    offlabel replied to usernamee's topic in CCU, Coronary, Cardiac

    Eh...not what I was looking for...there is a more specific answer than the 'body can adapt'....and it's true for anyone with atrial

  12. Atrial kick and A-flutter

    offlabel replied to usernamee's topic in CCU, Coronary, Cardiac

    If both are inefficient( and that is true), how is it that most patients with chronic a flutter or a fib have normal cardiac outputs at varying levels of

  13. USF BS-DNP Fall Program 2019

    offlabel replied to meltominoire's topic in Student Nurse Practitioner

    So...is this the University of Southern Florida or University of San Francisco? If its San Francisco, get your checkbook

  14. Atrial kick and A-flutter

    offlabel replied to usernamee's topic in CCU, Coronary, Cardiac

    In a flutter the usual atrial conduction system of depolarization isn't being used so atrial contraction isn't as efficient so there is less ventricular filling that if there were NSR. It is still...

  15. Would this shirt get me into trouble in class?

    offlabel replied to FloridaLPN19's topic in LPN, LVN Corner

    If it's attention you want, it's attention you'll get. A tight push up bustier would probably have a similar effect. It's your wardrobe, though...have at

  16. When is cardiac clearance needed?

    offlabel replied to Denise362's topic in PACU

    Postponing a procedure because of any impediment is on the CRNA (sounds like you are a small place with a single, solo CRNA). That's a big part of being a CRNA. The pre-op nurses can call the surgeon...

  17. Was CRNA worth it all?

    offlabel replied to murse1293's topic in Certified Registered Nurse Anesthetist, CRNA

    beats 25 years to life in the

  18. Please help me with central line education

    offlabel replied to CVICU RN 513's topic in Critical Care

    Complications? Pneumothorax, arterial dilation, air

  19. How long before turning?

    offlabel replied to JRN72's topic in CCU, Coronary, Cardiac

    I can't understand the urgency some places have to do all that stuff. We (anesthesia and surgery) had to put a stop to the short sighted insistance on turning, changing, wiping down etc. without...

  20. Swan-Ganz catheter & PCWP

    offlabel replied to SamanthaRT2020's topic in Cardiac

    We don't even do that anymore...it's all echo now...if the surgeon asks for a PA catheter anymore it's for ICU

  21. PA catheter and parameters

    offlabel replied to hyhero89's topic in Critical Care

    PA measurement in the CCL are one time, kind of snap shot in time for diagnostic purposes only whereas, at least in theory, an indwelling PA catheter is for real time treatment decision making. Echos...

  22. Are We Too PC?

    offlabel replied to traumaRUs's topic in General Nursing

    That part of the US economy depended on slavery is not equivalent to the constitutional basis for the government being founded on slavery. There were founding fathers that were anti-slavery, but...

  23. Are We Too PC?

    offlabel replied to traumaRUs's topic in General Nursing

    So? The 10 Commandments are carved into the doors (I think its the doors) of the Supreme Court building. They're all over Washington, DC. Like it or not the origin of the United States was in the...

  24. Ask a CRNA anything...

    offlabel replied to PaSSiNGaS's topic in Critical Care

    You've got what it takes. Do

  25. Are We Too PC?

    offlabel replied to traumaRUs's topic in General Nursing

    No my dear...I have not labored under that delusion for many years...would that others be freed from delusional thinking as